A Clinical Trial of In-Home CBT for Depressed Mothers in Home Visitation

Ammerman, Robert T.; Putnam, Frank W.; Altaye, Mekibib; Stevens, Jack; Teeters, Angelique R.; Van Ginkel, Judith B.

doi:10.1016/j.beth.2013.01.002

Cited by 123Maternal Mental Health During Pregnancy and PostpartumDigital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

A Clinical Trial of In-Home CBT for Depressed Mothers in Home Visitation

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Ammerman, Robert T., Putnam, Frank W., Altaye, Mekibib, Stevens, Jack, Teeters, Angelique R., Van Ginkel, Judith B.·2013·Behavior Therapy

DOI 10.1016/j.beth.2013.01.002PMC PMC3693767

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Abstract

Despite negative outcomes for depressed mothers and their children, no treatment specifically designed to address maternal depression in the context of home visitation has emerged. In-Home Cognitive Behavioral Therapy (IH-CBT) is an adapted treatment that is delivered in the home, focuses on the needs of new mothers, and leverages ongoing home visiting to optimize engagement and outcomes. This study examined the efficacy of IH-CBT using a randomized clinical trial. Subjects were 93 new mothers in a home visiting program. Mothers with major depressive disorder identified at 3months postpartum were randomized into IH-CBT and ongoing home visitation (n=47) or standard home visitation (SHV; n=46) in which they received home visitation alone and could obtain treatment in the community. Depression was measured at pre- and posttreatment, and 3-month follow-up using interviews, clinician ratings, and self-report. Mothers receiving IH-CBT showed improvements in all indicators of depression relative to the SHV condition and these gains were maintained at follow-up. For example, 70.7% of mothers receiving IH-CBT were no longer depressed at posttreatment in terms of meeting criteria for major depressive disorder compared to 30.2% in the SHV group. These findings suggest that IH-CBT is an efficacious treatment for depressed mothers in home visitation programs.

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Home visits have been shown to be effective means of delivering social and psychological support for postpartum women.
“Home visits have been shown to be effective means of delivering social and psychological support for postpartum women (Ammerman et al. 2013; Leis et al. 2009)”
From Perinatal Dyadic Psychotherapy for postpartum depression: a randomized controlled pilot trial (2015) · cites this paper as Ammerman et al. 2013
The Discussion reports that in-home CBT delivered alongside home visitation improved depression outcomes for new mothers, supporting the home as a setting for psychological treatment. It does not establish that home visits alone effectively deliver psychological support: the paper says home visitation alone provides little to no benefit for maternal depressive symptoms. The claim also generalizes beyond the study’s depressed mothers receiving an adapted treatment. (LLM, conf=0.87)
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An Open Trial of In-Home CBT for Depressed Mothers in Home Visitation
Ammerman, R. T., Putnam, F. W., Stevens, J. H., Bosse, N. R., Short, J. A., Bodley, A. L., & Ginkel, J. B. V. (2010) · Maternal and Child Health Journal · doi:10.1007/s10995-010-0691-7 · Cited by 48 · see citing works
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In-Home Cognitive Behavior Therapy for a Depressed Mother in a Home Visitation Program
Ammerman, R. T., Bodley, A. L., Putnam, F. W., Lopez, W. L., Holleb, L. J., Stevens, J., & Van Ginkel, J. B. (2007) · Clinical Case Studies · doi:10.1177/1534650106286533 · Cited by 28 · see citing works
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Treatment of depressed mothers in home visiting: Impact on psychological distress and social functioning
Ammerman, R. T., Putnam, F. W., Altaye, M., Teeters, A. R., Stevens, J. H., & Ginkel, J. B. V. (2013) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2013.03.003 · Cited by 59 · see citing works
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Predictors of Treatment Response in Depressed Mothers Receiving In-Home Cognitive-Behavioral Therapy and Concurrent Home Visiting
Ammerman, R. T., Peugh, J., Putnam, F. W., & Ginkel, J. B. V. (2012) · Behavior Modification · doi:10.1177/0145445512447120 · Cited by 22 · see citing works
Self-citation
Treatment of Maternal Depression With In-Home Cognitive Behavioral Therapy Augmented by a Parenting Enhancement: A Case Report
Messer, E. P., Ammerman, R. T., Teeters, A. R., Bodley, A. L., HOWARD, J. M., Ginkel, J. B. V., & Putnam, F. W. (2017) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2017.10.002 · Cited by 3 · see citing works
Self-citation

Authors: Ammerman, R. T., Putnam, F. W., Altaye, M., Stevens, J., Teeters, A. R., & Van Ginkel, J. B.
Affiliations: Cincinnati Children's Hospital Medical Center (US)
Nationwide Children's Hospital (US)
ORCID: Ammerman, Robert T.
Altaye, Mekibib
Stevens, Jack
Venue: Behavior Therapy
Publisher: Elsevier BV
Published: 2013-09
Volume: 44
Issue: 3
Pages: 359-372
ISSN: 0005-7894 (ISSN-L)
DOI: 10.1016/j.beth.2013.01.002
PMC: PMC3693767
OpenAlex: W2142480853
Cited by: 123
References: 48
Citations by year: 2026: 8 · 2025: 7 · 2024: 3 · 2023: 12 · 2022: 8 · 2021: 11 · 2020: 11 · 2019: 7 · 2018: 11 · 2017: 12 · 2016: 11 · 2015: 9 · 2014: 9 · 2013: 3 · 2012: 1
FWCI: 10.88
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Behavior Therapy (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
UNC Libraries
Funders: National Institutes of Health (UL1TR000077)
National Institute of Mental Health (R34MH073867, Grant R34MH073867)
National Center for Advancing Translational Sciences
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 › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: maternal depression, postpartum depression, home visits, postpartum women, major depressive disorder, treatment efficacy, treatment engagement
MeSH terms: Adolescent, Adult, Major Depressive Disorder, Female, House Calls, Humans, Mothers, Cognitive Behavioral Therapy, Treatment Outcome, Depression, Postpartum

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A Clinical Trial of In-Home CBT for Depressed Mothers in Home Visitation

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