Yongmei Hou1, Peicheng Hu2, Yongmei Zhang3, Qiaoyun Lu1, Dandan Wang1, Ling Yin1, Yaoqi Chen1, Xiaobo Zou4. 1. Department of Psychology, Guangdong Medical College, ZhanjiangGuangdong, China, Department of Psychology, Guangdong Medical College, Zhanjiang, Guangdong, China. 2. Department of Medical Psychology, Medical College of Peking University, Beijing, China, Department of Medical Psychology, Medical College of Peking University, Beijing, China. 3. Maternal and Child Health Hospital of Dongguan, DongguanGuangdong, China, Maternal and Child Health Hospital of Dongguan, Dongguan, Guangdong, China. 4. Department of Psychology, Affiliated Hospital of Guangdong Medical College, ZhanjiangGuangdong, China, Department of Psychology, Affiliated Hospital of Guangdong Medical College, Zhanjiang, Guangdong, China.
Abstract
OBJECTIVE: To explore the effect of cognitive behavioral therapy (CBT) in combination with systemic family therapy (SFT) on mild to moderate postpartum depression and sleep quality. METHODS:249 primiparous women with mild to moderate postpartum depression were recruited and randomly assigned to a control group (n=128), which received conventional postpartum care, or to a psychological intervention group (n=121), which received conventional postpartum care combined with psychological intervention. The Edinburgh Postnatal Depression Scale (EPDS) and Pittsburgh Sleep Quality Index (PSQI) were employed to evaluate depression and sleep quality, respectively. RESULTS:104 patients in the intervention group and 109 in the control group completed the study. After intervention, the EPDS score, PSQI score, sleep quality score, sleep latency score, sleep duration score, habitual sleep efficiency score, sleep disturbance score, and daytime dysfunction score were significantly lower in the intervention group than in the control group. The EPDS and PSQI scores of each group at different time points after intervention were markedly decreased compared with those before intervention, and the reduction in the intervention group was more evident than that in the control group. CONCLUSION:CBT in combination with SFT can improve depression and sleep quality in patients with mild to moderate postpartum depression.
RCT Entities:
OBJECTIVE: To explore the effect of cognitive behavioral therapy (CBT) in combination with systemic family therapy (SFT) on mild to moderate postpartum depression and sleep quality. METHODS: 249 primiparous women with mild to moderate postpartum depression were recruited and randomly assigned to a control group (n=128), which received conventional postpartum care, or to a psychological intervention group (n=121), which received conventional postpartum care combined with psychological intervention. The Edinburgh Postnatal Depression Scale (EPDS) and Pittsburgh Sleep Quality Index (PSQI) were employed to evaluate depression and sleep quality, respectively. RESULTS: 104 patients in the intervention group and 109 in the control group completed the study. After intervention, the EPDS score, PSQI score, sleep quality score, sleep latency score, sleep duration score, habitual sleep efficiency score, sleep disturbance score, and daytime dysfunction score were significantly lower in the intervention group than in the control group. The EPDS and PSQI scores of each group at different time points after intervention were markedly decreased compared with those before intervention, and the reduction in the intervention group was more evident than that in the control group. CONCLUSION: CBT in combination with SFT can improve depression and sleep quality in patients with mild to moderate postpartum depression.
Authors: Ali Fathi-Ashtiani; Ahmad Ahmadi; Bagher Ghobari-Bonab; Mohammed Parsa Azizi; Sayeh Moosavi Saheb-Alzamani Journal: Int J Prev Med Date: 2015-11-04
Authors: Brandon A Kohrt; Laura Asher; Anvita Bhardwaj; Mina Fazel; Mark J D Jordans; Byamah B Mutamba; Abhijit Nadkarni; Gloria A Pedersen; Daisy R Singla; Vikram Patel Journal: Int J Environ Res Public Health Date: 2018-06-16 Impact factor: 3.390