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Evidence-Based Mental Health 2009;12:45; doi:10.1136/ebmh.12.2.45
Copyright © 2009 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.

THERAPEUTICS

CBT improves maternal perinatal depression in rural Pakistan

The first 150 words of the full text of this article appear below.

QUESTION

Question:

Does a community health worker delivered cognitive behavioural therapy (CBT) based intervention improve the health of perinatally depressed women and their newborn infants in rural Pakistan?

Patients:

903 married women, aged 16–45 years, in their third trimester of pregnancy and diagnosed with DSM-IV perinatal major depression (CBT based intervention, 463; control, 440). Exclusions for mothers: serious medical condition; pregnancy related illness; disability; psychosis; and serious illness, death or moved residence during the study. Exclusions for infants: born prematurely or with congenital defect; aborted or stillborn; died within first year of birth; and given up for adoption.

Setting:

40 Union Councils (administrative units) in Gujar Khan and Kallar Syedan, rural Pakistan. Recruitment: April 2005 to March 2006.

Intervention:

CBT based intervention or enhanced routine care (control). Both groups received visits from local female health visitors every week during the last month of pregnancy, three times in the month after birth and then once a . . . [Full text of this article]

Gregory E Simon

Group Health Center for Health Studies, Seattle, Washington, USA


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