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Original Research
How does early cognitive behavioural therapy reduce postpartum depression?
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1
Department of Life, Health & Environmental Sciences, University of L’Aquila, L’Aquila (Italy)
Clin. Exp. Obstet. Gynecol. 2015, 42(1), 49–52;
https://doi.org/10.12891/ceog1904.2015
Published: 10 February 2015
Abstract
Postpartum depression (PPD) is a frequent mood disorder. Early identification of mothers at risk is crucial to successful prevention.Cognitive Behavioural Therapy (CBT) is an effective preventing therapy. Objectives of this study are to identify mothers at risk for PPDusing the Edinburgh Postnatal Depression Scale (EPDS) and evaluate the efficacy of CBT for the prevention of PPD in these mothers.Women were recruited during their second postpartum day. Two groups were selected: mothers with high risk (EPDS score ≥ 10) andmothers with low risk (EPDS score <10) of PPD. The first group underwent CBT. Follow up was carried out at 40 days, three, six, and12 months after childbirth. APGAR score, neonatal hospitalization, delayed breastfeeding, and cesarean section were significant obstetricrisk factors. Mothers at high risk of PPD presented a statistically valid improvement of EPDS score. Mothers with low risk of PPD didnot have CBT and showed a higher EPDS score than mother at high risk at 12 months. PPD prevention is possible through early identificationof mothers at risk and early cognitive behavioural therapy.
Keywords
Postpartum depression
Cognitive behavioural therapy
Prevention
Risk factors
Edinburgh Postnatal Depression Scale