Nusrat Husain1, Farah Zulqernain2, Lesley-Anne Carter3, Imran B Chaudhry4, Batool Fatima2, Tayyeba Kiran2, Nasim Chaudhry5, Shehla Naeem6, Farhat Jafri7, Farah Lunat8, Sami Ul Haq2, Meher Husain2, Chris Roberts3, Farooq Naeem9, Atif Rahman10. 1. Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, United Kingdom; Pakistan Institute of Living & Learning, Karachi, Pakistan; Lancashire Care NHS Foundation Trust, United Kingdom. Electronic address: nusrat.husain@manchester.ac.uk. 2. Pakistan Institute of Living & Learning, Karachi, Pakistan. 3. University of Manchester, United Kingdom. 4. Division of Psychology and Mental Health, School of Health Sciences, University of Manchester, United Kingdom; Pakistan Institute of Living & Learning, Karachi, Pakistan. 5. Pakistan Institute of Living & Learning, Karachi, Pakistan; Greater Manchester West Mental Health Trust, University of Manchester, United Kingdom. 6. Pakistan Institute of Living & Learning, Karachi, Pakistan; Institute of Nursing, Dow University of Health Sciences, Karachi, Pakistan. 7. Pakistan Institute of Living & Learning, Karachi, Pakistan; Karachi Medical and Dental College, Karachi, Pakistan. 8. Pakistan Institute of Living & Learning, Karachi, Pakistan; Lancashire Care NHS Foundation Trust, United Kingdom. 9. Department of Psychiatry, Queens University, Canada. 10. University of Liverpool, United Kingdom.
Abstract
BACKGROUND:Maternal depression is a major public health problem. This may affect a mother's ability to provide adequate care for the child. The objective of this study was to evaluate the effectiveness of the Learning through Play Plus program (LTP Plus) - a parenting program integrated with Cognitive Behaviour Therapy (CBT). METHODS: A total of 247 women with symptoms of depression in Karachi, Pakistan were assigned randomly to either LTP Plus or routine care (Clinical Trials Identifier: NCT00835016). Symptoms of maternal depression were measured using the Edinburgh Postnatal Depression Scale (EPDS) at 3 and 6 months after baseline. RESULTS: At 3 months, there was a significant reduction in the EPDS scores in the intervention group compared to the routine group (adjusted mean difference [AMD] -3.65, 95% CI -6.14 to -1.15, p <0.004). This effect was sustained at 6 months (AMD -2.62, 95% CI -4.43 to -0.81, p<0.005). These women also reported less parental distress and disability. There was also a significant improvement in maternal knowledge about child development at 6 months. CONCLUSION: There was a significant reduction in depression among women who received the group parenting program LTP Plus. This intervention has the potential to be scaled up and integrated with mother and child health programs. Crown
RCT Entities:
BACKGROUND:Maternal depression is a major public health problem. This may affect a mother's ability to provide adequate care for the child. The objective of this study was to evaluate the effectiveness of the Learning through Play Plus program (LTP Plus) - a parenting program integrated with Cognitive Behaviour Therapy (CBT). METHODS: A total of 247 women with symptoms of depression in Karachi, Pakistan were assigned randomly to either LTP Plus or routine care (Clinical Trials Identifier: NCT00835016). Symptoms of maternal depression were measured using the Edinburgh Postnatal Depression Scale (EPDS) at 3 and 6 months after baseline. RESULTS: At 3 months, there was a significant reduction in the EPDS scores in the intervention group compared to the routine group (adjusted mean difference [AMD] -3.65, 95% CI -6.14 to -1.15, p <0.004). This effect was sustained at 6 months (AMD -2.62, 95% CI -4.43 to -0.81, p<0.005). These women also reported less parental distress and disability. There was also a significant improvement in maternal knowledge about child development at 6 months. CONCLUSION: There was a significant reduction in depression among women who received the group parenting program LTP Plus. This intervention has the potential to be scaled up and integrated with mother and child health programs. Crown
Authors: Muhammad I Husain; Imran B Chaudhry; Ameer B Khoso; Ming W Wan; Tayyeba Kiran; Tinevimbo Shiri; Nasim Chaudhry; Nasir Mehmood; Syed F Jafri; Farooq Naeem; Nusrat Husain Journal: Children (Basel) Date: 2021-01-06
Authors: Shanon E McNab; Sean L Dryer; Laura Fitzgerald; Patricia Gomez; Anam M Bhatti; Edward Kenyi; Aleefia Somji; Neena Khadka; Suzanne Stalls Journal: BMC Pregnancy Childbirth Date: 2022-04-20 Impact factor: 3.105