scholarly journals A Cognitive—Behavioral Intervention for Postpartum Anxiety and Depression: Individual Phone vs. Group Format

2021 ◽  
Vol 10 (24) ◽  
pp. 5952
Author(s):  
Meital Simhi ◽  
Orly Sarid ◽  
Heather Rowe ◽  
Jane Fisher ◽  
Julie Cwikel
Keyword(s):  
Postpartum Depression ◽  
Research Design ◽  
Group Intervention ◽  
Group Versus ◽  
Cognitive Behavioral ◽  
Medium Effect ◽  
Postpartum Women ◽  
Postpartum Anxiety ◽  
Convenience Sample ◽  
Telephone Consultation

Cognitive–behavioral interventions can effectively treat symptoms of perinatal mood and anxiety disorders (PMADs). We assessed the acceptability and effectiveness of a workbook-based intervention (What Am I Worried About? (WAWA)) comprising of cognitive–behavioral and mindfulness techniques and weekly professional guidance to address symptoms of depression, anxiety, and stress among postpartum mothers. We compared the efficacy of group versus individual telephone consultation using a pre-and post-test single group, open trial, research design in replication pilot study. A convenience sample of community-residing postpartum women (n = 34) chose between group intervention (n = 24) or individual phone consultation with a mental health professional (n = 10). Outcome measures were anxiety (GAD-7), depression, anxiety, and stress (DASS21), and postpartum depression (PPD-EPDS). After four weeks intervention, significant reductions were observed in postpartum depression, anxiety, and stress scales. Cohen’s d statistics showed medium effect sizes (0.35–0.56). A small but significantly larger change in PPD-EPDS and DASS stress scores was reported among participants who opted for the phone intervention compared to those in the group intervention. Most participants felt that the intervention was highly beneficial and would recommend it to other postpartum women. In conclusion, the WAWA intervention showed efficacy for reducing postpartum anxiety, distress, and depressive symptoms among postpartum women, with a slightly greater reduction in PPD-EPDS and stress symptoms found among those who opted for individual phone consultation. Definitive evaluation of the intervention requires a larger sample and a RCT research design with two treatment arms: telephone and group intervention.

scholarly journals Factors Influencing Quality of Life in Early Postpartum Women

2021 ◽  
Vol 18 (6) ◽  
pp. 2988
Author(s):  
Yu-Jeong Jeong ◽  
Ju-Hee Nho ◽  
Hye Young Kim ◽  
Ji Young Kim
Keyword(s):  
Quality Of Life ◽  
Postpartum Depression ◽  
Postpartum Period ◽  
Explanatory Power ◽  
Postpartum Women ◽  
Convenience Sample ◽  
Marital Intimacy ◽  
Early Postpartum ◽  
Postpartum Fatigue

Postpartum women experience various changes in their physical and psychological health and in their relationships with their spouse and newborn. This study aimed to identify and evaluate the factors that affect the quality of life (QoL) of women within six weeks after childbirth. A prospective, cross-sectional correlational study was used. A convenience sample of 179 postpartum women was recruited from four postpartum care centers in South Korea. Participants completed structured questionnaires on postpartum fatigue, postpartum depression, marital intimacy, breastfeeding adaptation, and quality of life. Marital intimacy (β = 0.466, p < 0.001) was the most influencing factor on the QoL of women during the postpartum period. In descending order, postpartum fatigue (β = −0.192, p = 0.001), postpartum depression (β = −0.190, p = 0.001), breastfeeding adaptation (β = 0.163, p = 0.002), and occupation (β = 0.163, p = 0.004) all had a significant influence on QoL (F = 32.09, p < 0.001), and the overall explanatory power was 63.6%. It is necessary to assess and consider the physical, psychological, relational, and demographic factors of women during the early postpartum period. Comprehensive interventions need to be developed to improve the QoL of women during the postpartum period.

scholarly journals Sadness along with happiness: depression and satisfaction with life among postpartum women in Faisalabad

2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Nazia Yaqoob ◽  
Mahira Arshid ◽  
Zaib un Nisa ◽  
Zanib Jabbar ◽  
Konain Fatima
Keyword(s):  
Postpartum Depression ◽  
Satisfaction With Life ◽  
Negative Relationship ◽  
Depression Scale ◽  
Demographic Variables ◽  
Satisfaction With Life Scale ◽  
Postpartum Women ◽  
Convenience Sample ◽  
Significant Negative Relationship ◽  
Relationship Of

The purpose of this study is to examine the relationship between demographic variables, Postpartum Depression (PPD) and Satisfaction With Life (SWL) in postpartum women of Faisalabad district. This is the first time that a study on postpartum women has been conducted in Faisalabad. In this cross-sectional study sample of 120 postpartum women (age range 20-40) has been collected from Saint Raphael Hospital Faisalabad by using convenience sample technique. Edinburgh Postnatal Depression Scale and Satisfaction with life Scale were used to measure PPD and SWL among postpartum women. A demographic form used to obtain demographic characteristics of the sample. Results show significant negative relationship between PPD and SWL among postpartum women of Faisalabad at r=0.659 and 0.868, respectively. Results also show significant positive relationship of age and language with postpartum depression at r=0.236 and 0.316, respectively, and significant negative relationship of economic status, residence, hospital, and checkup pattern with postpartum depression with r= -0.365, -0.284, -0.192, & -0.206. Moreover, there is a non-significant relationship between SWL and any demographic variable. Results indicated that PPD and SWL are inversely linked in postpartum women at Faisalabad. And demographic variables are also linked with postpartum depression. Implications are also discussed in the conclusions.

scholarly journals Social Support in the “Fourth Trimester”: A Qualitative Analysis of Women at 1 Month and 3 Months Postpartum

2018 ◽  
Vol 27 (4) ◽  
pp. 233-242 ◽  
Author(s):  
Disa Lubker Cornish ◽  
Susan Roberts Dobie
Keyword(s):  
Social Support ◽  
Social Networks ◽  
Qualitative Study ◽  
Postpartum Depression ◽  
Postpartum Period ◽  
Community Services ◽  
Postpartum Women ◽  
Convenience Sample ◽  
Semistructured Interviews ◽  
Maternal Adaptation

Social support is essential in the postpartum period when support is positively associated with infant care and maternal adaptation and its absence is associated with postpartum depression. The aim of this qualitative study was to explore how postpartum women experience social support and variations in the type and quantity received. Researchers conducted two semistructured interviews with a convenience sample of 22 participants at approximately one month and three months postpartum. Social support varied in quality and quantity. Respondents indicated that the presence of support made the postpartum period easier, less stressful, and more enjoyable. Efforts to help women plan for postpartum social support during pregnancy should focus on relationships and social networks as well as individual behaviors and community services.

scholarly journals Substance Use Outcomes from Two Formats of a Cognitive-Behavioral Intervention for Aggressive Children: Moderating Roles of Inhibitory Control and Intervention Engagement

2021 ◽  
Vol 11 (7) ◽  
pp. 950
Author(s):  
John E. Lochman ◽  
Caroline L. Boxmeyer ◽  
Chuong Bui ◽  
Estephan Hakim ◽  
Shannon Jones ◽  
...  
Keyword(s):  
Substance Use ◽  
Inhibitory Control ◽  
Group Intervention ◽  
Behavioral Interventions ◽  
Protective Factor ◽  
Group Versus ◽  
Cognitive Behavioral ◽  
Behavioral Engagement ◽  
Group Sessions ◽  
Coping Power

Although cognitive-behavioral interventions have reduced the risk of substance use, little is known about moderating factors in children with disruptive behaviors. This study examined whether aggressive preadolescents’ inhibitory control and intervention engagement moderates the effect of group versus individual delivery on their substance use. Following screening for aggression in 4th grade, 360 children were randomly assigned to receive the Coping Power intervention in either group or individual formats. The sample was primarily African American (78%) and male (65%). Assessments were made of children’s self-reported substance use from preintervention through a six-year follow-up after intervention, parent-reported inhibitory control at preintervention, and observed behavioral engagement in the group intervention. Multilevel growth modeling found lower increases in substance use slopes for children with low inhibitory control receiving individual intervention, and for children with higher inhibitory control receiving group intervention. Children with low inhibitory control but who displayed more positive behavioral engagement in the group sessions had slower increases in their substance use than did similar children without positive engagement. Aggressive children’s level of inhibitory control can lead to tailoring of group versus individual delivery of intervention. Children’s positive behavioral engagement in group sessions is a protective factor for children with low inhibitory control.

scholarly journals Postpartum depression symptoms in survey-based research: a structural equation analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Che Wan Jasimah Bt Wan Mohamed Radzi ◽  
Hashem Salarzadeh Jenatabadi ◽  
Nadia Samsudin
Keyword(s):  
Postpartum Depression ◽  
Latent Variable ◽  
Structural Equation ◽  
Depression Scale ◽  
Public Health Problem ◽  
Equation Modeling ◽  
Depression Symptoms ◽  
Postpartum Women ◽  
Unhealthy Food ◽  
High Level

Abstract Background Since the last decade, postpartum depression (PPD) has been recognized as a significant public health problem, and several factors have been linked to PPD. Mothers at risk are rarely undetected and underdiagnosed. Our study aims to determine the factors leading to symptoms of depression using Structural Equation Modeling (SEM) analysis. In this research, we introduced a new framework for postpartum depression modeling for women. Methods We structured the model of this research to take into consideration the Malaysian culture in particular. A total of 387 postpartum women have completed the questionnaire. The symptoms of postpartum depression were examined using the Edinburgh Postnatal Depression Scale (EPDS), and they act as a dependent variable in this research model. Results Four hundred fifty mothers were invited to participate in this research. 86% of the total distributed questionnaire received feedback. The majority of 79.6% of respondents were having depression symptoms. The highest coefficients of factor loading analysis obtained in every latent variable indicator were income (β = 0.77), screen time (β = 0.83), chips (β = 0.85), and anxiety (β = 0.88). Lifestyle, unhealthy food, and BMI variables were directly affected by the dependent variable. Based on the output, respondents with a high level of depression symptoms tended to consume more unhealthy food and had a high level of body mass indexes (BMI). The highest significant impact on depression level among postpartum women was unhealthy food consumption. Based on our model, the findings indicated that 76% of the variances stemmed from a variety of factors: socio-demographics, lifestyle, healthy food, unhealthy food, and BMI. The strength of the exogenous and endogenous variables in this research framework is strong. Conclusion The prevalence of postpartum women with depression symptoms in this study is considerably high. It is, therefore, imperative that postpartum women seek medical help to prevent postpartum depressive symptoms from worsening.

TF-CBT Group Intervention for Children in High Conflict Custody Disputes

2021 ◽  
pp. 106648072110057
Author(s):  
Kelli Anderson
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Group Intervention ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Ethical Implications ◽  
High Conflict ◽  
Custody Disputes ◽  
The Relationship ◽  
Traumatic Symptoms

This article proposes a conceptual group approach using trauma-based cognitive behavioral therapy for children involved in high conflict custody disputes. Traditionally, interventions for this population have focused on repairing the relationship between parent and child and less on addressing the traumatic symptoms with which the child is suffering. The proposed intervention focuses solely on the needs of the child and provides an outline for seven sessions during which the PRACTICE model of trauma-focused cognitive behavioral therapy is used. Additionally, ethical implications and directions for future research are discussed.

Individual Versus Group Cognitive-Behavioral Therapy for Partner-Violent Men: A Preliminary Randomized Trial

2017 ◽  
Vol 35 (15-16) ◽  
pp. 2846-2868 ◽  
Author(s):  
Christopher M. Murphy ◽  
Christopher I. Eckhardt ◽  
Judith M. Clifford ◽  
Adam D. LaMotte ◽  
Laura A. Meis
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Skills Training ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Medium Effect ◽  
Individual Treatment ◽  
Small Scale ◽  
Relationship Functioning ◽  
Significant Difference

A randomized clinical trial tested the hypothesis that a flexible, case formulation–based, individual treatment approach integrating motivational interviewing strategies with cognitive-behavioral therapy (ICBT) is more efficacious than a standardized group cognitive-behavioral approach (GCBT) for perpetrators of intimate partner violence (IPV). Forty-two men presenting for services at a community domestic violence agency were randomized to receive 20 sessions of ICBT or a 20-week group cognitive-behavioral therapy (CBT) program. Participants and their relationship partners completed assessments of relationship abuse and relationship functioning at baseline and quarterly follow-ups for 1 year. Treatment uptake and session attendance were significantly higher in ICBT than GCBT. However, contrary to the study hypothesis, GCBT produced consistently equivalent or greater benefits than ICBT. Participant self-reports revealed significant reductions in abusive behavior and injuries across conditions with no differential benefits between conditions. Victim partner reports revealed more favorable outcomes for group treatment, including a statistically significant difference in psychological aggression, and differences exceeding a medium effect size for physical assault, emotional abuse, and partner relationship adjustment. In response to hypothetical relationship scenarios, GCBT was associated with greater reductions than ICBT (exceeding a medium effect) in articulated cognitive distortions and aggressive intentions. Treatment competence ratings suggest that flexible, individualized administration of CBT creates challenges in session agenda setting, homework implementation, and formal aspects of relationship skills training. Although caution is needed in generalizing findings from this small-scale trial, the results suggest that the mutual support and positive social influence available in group intervention may be particularly helpful for IPV perpetrators.

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