Antenatal depression: Efficacy of a pre-post therapy study and repercussions in motor development of children during the first 18 months postpartum. Study: “Pregnancy care, healthy baby”
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Authors
Pinheiro, Ricardo Tavares
Souza, Luciano Dias de Mattos
Trettim, Jéssica Puchalski
Matos, Mariana Bonati de
Pinheiro, Karen Amaral Tavares
Cunha, Gabriela Kurz da
Rubin, Bárbara Borges
Scholl, Carolina Coelho
Stigger, Rafaelle Stark
Motta, Janaína Vieira dos Santos
Issue Date
2022-04
Type
Article
Language
en_US
Keywords
Antenatal Depression , Cognitive Behavior Therapy , Motivational Interview , Motor Development , Child Development , Pregnancy Care
Alternative Title
Abstract
Aims:
To evaluate the efficacy of brief psychotherapeutic interventions of cognitive behavioral therapy to treat antenatal depression and verify the association between interventions and motor development of infants at 3 and 18 months of age.
Methods:
Pre-post-intervention study nested a randomized clinical trial, both of which are extracts from a population-based cohort study of a southern Brazilian city. The major depressive episode was measured through Mini Plus, the severity of depressive symptoms by BDI-II and motor development using Bayley-III and AIMS. The follow-ups occurred during the gestational period (T2) and at 3 (T3) and 18 months (T4) after delivery.
Results:
Data were analyzed from 336 women in the control group (not intervened) and 108 from the group of depressed women who received intervention for antenatal depression. The effectiveness of the interventions for a major depressive episode was around 80% for both models in the two follow-up stages (3 and 18 months postpartum). In addition, the children whose mothers received intervention presented 3.7 (95% CI 0.7–6.6) points higher in Bayley-III at 3 months old when compared to the children in the control group (p = 0.01). There was no difference between the two psychotherapy models tested, both being equally effective (p > 0.05).
Conclusions:
We found that the brief psychotherapeutic interventions of cognitive behavioral therapy for gestational depression were effective in causing remission of the condition both in the short and long term, besides indirectly causing benefits also to the children, with regard to their motor development.
Description
Citation
Pinheiro, R. T., Souza, L. D. M., Trettim, J. P., de Matos, M. B., Pinheiro, K. A. T., da Cunha, G. K., Rubin, B. B., Scholl, C. C., Stigger, R. S., Motta, J. V. D. S., de Oliveira, S. S., Ghisleni, G., Nedel, F., & Quevedo, L. A. (2022). Antenatal depression: Efficacy of a pre-post therapy study and repercussions in motor development of children during the first 18 months postpartum. Study: "Pregnancy care, healthy baby". Journal of psychiatric research, 148, 63–72. https://doi.org/10.1016/j.jpsychires.2022.01.061
Publisher
Journal of Psychiatric Research