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Counselling and cognitive behavioural therapy reduce anxiety and depression in women with postnatal depression

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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?

METHODS

Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:

Concealed.

Embedded ImageBlinding:

Single (outcome assessors blinded).

Embedded ImageFollow up period:

Twelve weeks.

Embedded ImageSetting:

Forty seven maternal and child health centres, northern metropolitan Melbourne and rural eastern Victoria, Australia.

Embedded ImagePatients:

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 …

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