Towards parenthood: An antenatal intervention to reduce depression, anxiety and parenting difficulties
Abstract
Background There have been few antenatal interventions aimed at preparing women for the transition to parenthood and previous attempts to intervene antenatally to prevent postnatal depression and anxiety have had limited impact.Methods We evaluated the effectiveness of an antenatal intervention which targeted risk factors for poor postnatal adjustment, with the dual aim of reducing both postnatal symptoms of depression/anxiety and parenting difficulties (a nine-unit self-guided workbook with weekly telephone support). Based on an initial feasibility study (n=200) which confirmed a low level of help-seeking among distressed women during pregnancy, an additional community networking component was developed aimed at increasing social support and access to health professionals to facilitate treatment of current antenatal depression/anxiety, if present. In the evaluation of a second version of the intervention, pregnant women (n=143) were randomly allocated to receive either the intervention or routine care.Results Following the antenatal intervention there were significantly fewer cases scoring above threshold for mild-to-severe depression/anxiety symptoms postnatally compared to routine care, along with a trend towards reduced parenting stress. The community networking component appeared helpful and women with higher baseline depression scores showed higher levels of help-seeking in both intervention and routine care groups.Limitations It was not possible to evaluate the efficacy of individual program components separately.Conclusions The findings provide support for the effectiveness of the Towards Parenthood intervention both as a preparation for parenthood program and in reducing symptoms of postnatal depression/anxiety.
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Psychological interventions that aim to improve mental resilience through self-help training might offer a less stigmatizing and more fruitful approach during pregnancy.
“Psychological interventions that aim to improve mental resilience through self-help training might offer a less stigmatizing and more fruitful approach during pregnancy [25].”
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“Psychological interventions that aim to improve mental resilience through self-help training might offer a less stigmatizing and more fruitful approach during pregnancy [25].”
BackgroundNorazman, C. W., & Lee, L. K. (2024) · Women s Health · doi:10.1177/17455057241275587 · Cited by 28 · see citing works
- Authors
- Milgrom, J., Schembri, C., Ericksen, J., Ross, J., & Gemmill, A. W.
- Affiliations
- The University of Melbourne (AU)
- Austin Health (AU)
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2011-05
- Volume
- 130
- Issue
- 3
- Pages
- 385-394
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2001338367
- Cited by
- 175
- References
- 62
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 6 · 2023: 7 · 2022: 16 · 2021: 18 · 2020: 15 · 2019: 15 · 2018: 13 · 2017: 11 · 2016: 12 · 2015: 13 · 2014: 12 · 2013: 20 · 2012: 3
- FWCI
- 7.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- beyondblue Victorian Centre of Excellence in Depression and Related Disorders
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- antenatal depression, prenatal anxiety, postpartum depression, postpartum anxiety, parenting challenges, parental stress, transition to parenthood, telephone support, community networking, help-seeking, social support, pregnant women
- MeSH terms
- Adaptation, Psychological, Adult, Anxiety, Depression, Female, Humans, Life Change Events, Patient Education as Topic, Pregnancy, Prenatal Care, Risk Factors, Social Support, Parenting, Treatment Outcome, Depression, Postpartum
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