Cited by 73Maternal Mental Health During Pregnancy and PostpartumDigital Mental Health InterventionsPersonality Disorders and Psychopathology

Effect of Online 1-Day Cognitive Behavioral Therapy–Based Workshops Plus Usual Care vs Usual Care Alone for Postpartum Depression: A Randomized Clinical Trial

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Van Lieshout, Ryan J., Layton, Haley, Savoy, Calan D., Brown, June S. L., Ferro, Mark A., Streiner, David L., Bieling, Peter J., Feller, Andrea +1 more·2021·JAMA Psychiatry

Abstract

Importance Postpartum depression (PPD) affects as many as 20% of mothers, yet just 1 in 10 of these women receives evidence-based treatment. The COVID-19 pandemic has increased PPD risk, reduced treatment access, and shifted preferences toward virtual care. Objective To determine whether an online 1-day cognitive behavioral therapy (CBT)-based workshop added to treatment as usual improves PPD, anxiety, social support, mother-infant relationship quality, and infant temperament more than treatment as usual alone. Design, setting, and participants This randomized clinical trial included 403 women with PPD who were recruited across Ontario, Canada, during the COVID-19 pandemic (April 20 to October 4, 2020). Women with Edinburgh Postnatal Depression Scale (EPDS) scores of at least 10 who were 18 years or older and had an infant younger than 12 months were eligible. Interventions Women were randomly assigned to receive a live, interactive online 1-day CBT-based workshop delivered by a registered psychotherapist, psychiatrist, or clinical psychology graduate student in addition to treatment as usual (n = 202) or to receive treatment as usual and wait-listed to receive the workshop 12 weeks later (n = 201). Main outcomes and measures The primary outcome was change in PPD (EPDS scores) in experimental and wait list control groups 12 weeks after baseline. Secondary outcomes included maternal anxiety (7-item Generalized Anxiety Disorder Questionnaire [GAD-7]), social support (Social Pro…

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Crossref · 10.1001/jamapsychiatry.2021.2488

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Authors
Van Lieshout, R. J., Layton, H., Savoy, C. D., Brown, J. S. L., Ferro, M. A., Streiner, D. L., Bieling, P. J., Feller, A., & Hanna, S.
Affiliations
  • Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada
  • McMaster University (CA)
  • King's College London (GB)
  • University of Waterloo (CA)
  • Regional Municipality of Niagara (CA)
Venue
JAMA Psychiatry
Published
2021-11-01
Volume
78
Issue
11
Pages
1200
ISSN
2168-622X (ISSN-L)
OpenAlex
W3198611110
Cited by
73
References
61
Citations by year
2026: 13 · 2025: 16 · 2024: 13 · 2023: 17 · 2022: 14
FWCI
9.53
Type
journal article
Language
en
Open access
Locations
  • JAMA Psychiatry (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
postpartum depression, cognitive behavioral therapy, online workshops, brief psychotherapy, maternal anxiety, social support, mother-infant relationship, infant temperament, COVID-19 pandemic, virtual care, treatment access
MeSH terms
Internet-Based Intervention, COVID-19, Adult, Anxiety Disorders, Female, Humans, Infant, Mother-Child Relations, Object Attachment, Ontario, Psychiatric Status Rating Scales, Psychotherapy, Brief, Social Support, Temperament, Cognitive Behavioral Therapy, Outcome Assessment, Health Care, Infant Behavior, Depression, Postpartum

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