Article Text

Download PDFPDF

CBT improves maternal perinatal depression in rural Pakistan

Statistics from Altmetric.com

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 month for 9 months. The intervention group health workers were trained …

View Full Text

Supplementary materials

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.