Beating the Blues before Birth
Beating the Blues before Birth: Evaluating an Antenatal Depression Treatment Model as a Public Health Priority
Parent-Infant Research InstituteAustin Health
100 participants
Jul 5, 2007
Interventional
Conditions
Summary
Antenatal depression (AND) is at least as prevalent as postnatal depression and is an important risk factor for postnatal depression. Depression has major implications for women's well-being and for the health and well-being of their babies. Despite more than 1 in 10 women being affected by a clinical depression in pregnancy, treatment following identification is not part of routine antenatal care services. This study will test whether an 8 session cognitive behavioural group therapy program will reduce antenatal depression, anxiety and increase health service uptake compared to pregnant women not receiving the program. 100 women with a clinical diagnosis for depression will be randomised to either intervention or control group. Participants will be assessed by self-administered questionnaires pre and post treatment and at 3,6 and 12 month follow-up time points.
Eligibility
Inclusion Criteria1
- Participants will be women, 20-30 weeks pregnant, 18 years or over with a DSM-IV diagnosis of minor or major depression.
Exclusion Criteria1
- Women who are unable to understand written english; major health problem; concurrent major psychiatric disorder affecting competence to give informed consent (e.g., psychotic depression); risk requiring crisis management; and participation in other psychological programs.
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Interventions
Intervention group is allocated to 8 sessions of a cognitive behavioural therapy group program and networked with health professionals. Each weekly session runs for an hour and a half and it is expected that women attend every session. Women in this condition will be case-managed by a midwife/health professional and referred to other agencies/services as necessary, as normally happens where specialised programs are not available.
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ACTRN12607000397415