在线同行为产后抑郁症提供群体认知行为疗法:随机对照试验
Donya Merza1, Bahar Amani1, Calan Savoy2
1Neuroscience Graduate Program, McMaster University, Hamilton, Ontario, Canada.
Acta psychiatrica Scandinavica
|August 31, 2023
概括
在一个为期9周的试验中,同行提供的在线认知行为疗法 (CBT) 显著减少了产后抑郁症 (PPD) 和焦虑症状. 这些对母亲和婴儿的积极结果长期保持稳定.
科学领域:
- 心理健康 心理健康
- 围产阶段精神病学 围产阶段精神病学
- 数字治疗学数字治疗学
背景情况:
- 产后抑郁症 (PPD) 影响了大量的母亲,她们获得基于证据的护理的机会有限.
- 目前的治疗差距凸显了对PPD进行可访问和有效干预的需要.
研究的目的:
- 为了评估9周的有效性,同步在线群体认知行为疗法 (CBT) 对PPD的干预.
- 评估通过从PPD中康复的同龄人进行的干预是否可以改善PPD症状和相关疾病.
主要方法:
- 一项随机对照试验涉及加拿大安大略省的183名参与者,其中包括12个月以下的婴儿和PPD症状 (EPDS得分≥10).
- 参与者被随机分配,接受在线CBT干预加上通常治疗 (TAU) 或单独TAU (等待名单控制).
- 包括抑郁,焦虑,社会支持和母婴亲密关系在内的结果在基线,9周和干预后3个月被评估.
主要成果:
- 干预组在PPD (EPDS分数) 和通用焦虑症 (GAD-7分数) 中显示出统计学上显著的减少,在3个月的随访中持续下去.
- 还观察到母亲的社会支持,婴儿焦点焦虑和婴儿负面情绪的改善,持续的影响.
- 抑郁症和焦虑症减少的影响大小很大 (分别为d=1.32和d=1.22).
结论:
- 在线同行交付的小组CBT是治疗PPD和焦虑的有效方法.
- 该干预措施改善了社会支持和与婴儿有关的结果,提供了一个可扩展的解决方案,以增加获得护理的机会.
- 这种方法有望改善产前期的母亲和家庭福利.
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