Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11160
Title: Towards parenthood: an antenatal intervention to reduce depression, anxiety and parenting difficulties.
Authors: Milgrom, Jeannette;Schembri, Charlene;Ericksen, Jennifer;Ross, Jessica;Gemmill, Alan W
Affiliation: jeannette.milgrom@austin.org.au
Psychological Sciences, University of Melbourne, Australia
Issue Date: 26-Nov-2010
Citation: Journal of Affective Disorders 2010; 130(3): 385-94
Abstract: 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.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.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.It was not possible to evaluate the efficacy of individual program components separately.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.
Internal ID Number: 21112641
URI: http://ahro.austin.org.au/austinjspui/handle/1/11160
DOI: 10.1016/j.jad.2010.10.045
URL: http://www.ncbi.nlm.nih.gov/pubmed/21112641
Type: Journal Article
Subjects: Adaptation, Psychological
Adult
Anxiety.prevention & control.psychology
Depression.prevention & control.psychology
Depression, Postpartum.prevention & control.psychology
Female
Humans
Intervention Studies
Life Change Events
Parenting.psychology
Patient Education as Topic
Pregnancy
Prenatal Care.psychology
Risk Factors
Social Support
Treatment Outcome
Appears in Collections:Journal articles

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