Early Childhood Nurse-Delivered Cognitive Behavioural Counselling for Post-Natal Depression
- 1 September 2001
- journal article
- research article
- Published by SAGE Publications in Australasian Psychiatry
- Vol. 9 (3), 255-259
- https://doi.org/10.1046/j.1440-1665.2001.00330.x
Abstract
Objective: The aims were (1) to establish whether Early Childhood Nurses (ECNs) can be trained in a modified Cognitive Behavioural Therapy (CBT) for Post-natal Depression (PND), and (2) to compare the outcome of women treated with this therapy with ‘ideal standard care’ using non-specific counselling by ECNs with no additional training. Method: Five ECNs were trained in CBT and supervised weekly. Women were screened post-natally using the Edinburgh PND Scale (EPDS) and diagnostically assessed by a research registrar. Women with DSM-IV major or minor depression (n=37) were then randomized into either ‘ideal standard care’ (n=20) or CBT (n=17) for six weekly sessions. Two stages of follow-up were undertaken: research registrar interview immediately post-treatment and a postal follow-up at six months. Results: The training package was evaluated both by ECN completed questionnaires and analysis of taped therapy sessions. These evaluations indicated that ECNs could deliver modified CBT. There was a very high rate of recovery at initial follow-up with 70-80% recovered (EPDS < 10) in both groups. Six month follow-up showed a trend towards CBT being more effective in the longer term. Conclusions: ECNs can effectively provide a modified CBT intervention in the treatment of PND. For the majority of this sample with mild-moderate depression, perceived support from their ECN (forming an integral part of both the baseline assessment interview and control condition) appeared to be as effective as modified CBT.Keywords
This publication has 9 references indexed in Scilit:
- A controlled study of fluoxetine and cognitive-behavioural counselling in the treatment of postnatal depressionBMJ, 1997
- Counselling of postnatal depression: A controlled study on a population based Swedish sampleJournal of Affective Disorders, 1996
- A component analysis of cognitive-behavioral treatment for depression.Journal of Consulting and Clinical Psychology, 1996
- Prevalence of Postnatal Psychiatric Morbidity in Mothers and FathersThe British Journal of Psychiatry, 1994
- Postnatal depression and infant development.BMJ, 1991
- Counselling in a general practice setting: controlled study of health visitor intervention in treatment of postnatal depression.BMJ, 1989
- Detection of Postnatal DepressionThe British Journal of Psychiatry, 1987
- A Prospective Study of Emotional Disorders in Childbearing WomenThe British Journal of Psychiatry, 1984
- A New Depression Scale Designed to be Sensitive to ChangeThe British Journal of Psychiatry, 1979