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Title: A randomized controlled trial of psychological interventions for postnatal depression.
Austin Authors: Milgrom, Jeannette ;Negri, Lisa M;Gemmill, Alan W ;McNeil, Margaret;Martin, Paul R
Affiliation: Department of Psychology, School of Behavioural Science, University of Melbourne, Australia
Issue Date: 1-Nov-2005
Publication information: The British Journal of Clinical Psychology / the British Psychological Society; 44(Pt 4): 529-42
Abstract: First, to establish the efficacy of psychological interventions versus routine primary care for the management of postnatal depression (PND). Secondly, to provide a direct comparison of cognitive-behavioural therapy (CBT) versus counselling and, finally, to compare the relative value of group and individual delivery formats.The study involved 192 depressed women drawn from a large community screening programme in Melbourne, Australia and allocated to cognitive behaviour therapy, counselling, or routine primary care. Baseline and post-intervention measures of depression and anxiety were collected in the form of validated self-report inventories.Women were screened in the community and diagnosis of depression confirmed with a standardized psychiatric interview. Interventions were of 12 weeks duration, including three partner sessions, and adhered to a structured manual.Psychological intervention per se was superior to routine care in terms of reductions in both depression and anxiety following intervention.For those women with PND, psychological intervention is a better option than routine care, leading to clinically significant reduction of symptoms. Counselling may be as effective as group cognitive behaviour therapy. The benefits of psychological intervention may be maximized by being delivered on a one-to-one basis.
Gov't Doc #: 16368032
DOI: 10.1348/014466505X34200
ORCID: 0000-0002-4082-4595
Journal: The British journal of clinical psychology / the British Psychological Society
Type: Journal Article
Subjects: Adult
Cognitive Therapy.methods
Depression, Postpartum.diagnosis.psychology.therapy
Primary Health Care
Psychotherapy, Group
Treatment Outcome
Appears in Collections:Journal articles

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