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Q Are clinic-based psychological sessions (counselling or cognitive behavioural therapy) more effective than routine care for women with postnatal depression?
Randomised controlled trial.
Single (outcome assessors blinded).
Follow up period:
Forty seven maternal and child health centres, northern metropolitan Melbourne and rural eastern Victoria, Australia.
192 women (mean age 30 years) attending postnatal consultations 6–8 weeks after giving birth and diagnosed with minor or major depression (DSM-IV). Exclusions: non-English speaking; unable to give informed consent; other psychiatric disorder or major medical problem; already involved in a psychological programme; <37 or >42 weeks of pregnancy; birth weight of baby <2.5 kg; birth defect; or needing immediate help with crisis management.
Group cognitive behavioural therapy (CBT; n = 46): nine weekly 1.5 hour sessions plus three partner sessions facilitated by a …
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