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Official websites use. Share sensitive information only on official, secure websites. Published Online: September 8, Correction: This article was corrected on September 29, , to fix a denominator and the corresponding percentage in the third paragraph of the Results section. Corresponding Author: Ryan J. Author Contributions: Dr Van Lieshout and Mr Savoy had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
Data Sharing Statement: See Supplement 3. In women with postpartum depression PPD , can an online 1-day cognitive behavioral therapy CBT βbased workshop plus treatment as usual improve PPD and its comorbidities compared with treatment as usual alone?
In this randomized clinical trial of mothers, online 1-day CBT-based workshops led to clinically and statistically significant improvements in PPD and anxiety, as well as improvements in social support, the mother-infant relationship, and positive affect in infants. These findings suggest that online 1-day CBT-based workshops provide the scope to treat large numbers of women with PPD effectively and efficiently, increasing access and supporting stepped care approaches.
To determine whether an online 1-day cognitive behavioral therapy CBT βbased workshop added to treatment as usual improves PPD, anxiety, social support, mother-infant relationship quality, and infant temperament more than treatment as usual alone. Women with Edinburgh Postnatal Depression Scale EPDS scores of at least 10 who were 18 years or older and had an infant younger than 12 months were eligible. Participants all identified as women with a mean SD age of Postpartum depression PPD may affect 1 in 5 mothers, 1 , 2 but as many as 1 in 3 are affected when elevated levels of depressive symptoms but not major depressive disorder are included.
Although treatment can reduce adverse effects, 16 timely, accessible interventions are essential to optimizing outcomes. Nonetheless, only scalable treatments can affect PPD at the population level. Brief eg, 1-day interventions contain the core content of more comprehensive evidence-based interventions but are easier to disseminate beyond traditional treatment settings.