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Annals of General Psychiatry
Published in: Annals of General Psychiatry 1/2021

Open Access 01-12-2021 | Affective Disorder | Primary research

Effects of a psychological nursing intervention on prevention of anxiety and depression in the postpartum period: a randomized controlled trial

Authors: Hongling Liu, Yang Yang

Published in: Annals of General Psychiatry | Issue 1/2021

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Abstract

Background

Anxiety and postpartum depression are the most common psychological problems in women after delivery. Cognitive behavior intervention has been reported to have an effect in the therapy of postpartum depression. This research aimed to investigate whether cognitive behavior intervention could prevent the pathogenesis of postpartum depression in primiparous women.

Methods

In this randomized controlled trial, primiparous women who were prone to postpartum depression were recruited. Participates in the control group received routine postpartum care and those in the intervention group received both routine postpartum care and cognitive behavior intervention. Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), Edinburgh Postpartum Depression Scale (EPDS) and Pittsburgh Sleep Quality Index (PSQI) were evaluated before and after the intervention.

Results

In the intervention group, the post-intervention scores of HAMA, HAMD, EPDS and PSQI were all significantly lower than the baseline scores (p = 0.034, p = 0.038, p = 0.004, p = 0.014, respectively). The proportion of participants with postpartum depression in the intervention group (11.5%) was significantly lower than the control group (24.3%) after the 6-week intervention. Participants in the intervention group were significantly more satisfied with the care than those in the control group (p = 0.032).

Conclusion

This research provided evidence that cognitive behavioral intervention in postpartum period could alleviate anxiety and depression in primiparous women, and inhibit the pathogenesis of postpartum depression.
Trial registry This clinical trial was registered in the Chinese Clinical Trial Registry (ChiCTR2000040076).
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Metadata
Title
Effects of a psychological nursing intervention on prevention of anxiety and depression in the postpartum period: a randomized controlled trial
Authors
Hongling Liu
Yang Yang
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Annals of General Psychiatry / Issue 1/2021
Electronic ISSN: 1744-859X
DOI
https://doi.org/10.1186/s12991-020-00320-4

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