Trial reportJournal of midwifery & women's health
Performance of a Culturally Tailored Cognitive-Behavioral Intervention Integrated in a Public Health Setting to Reduce Risk of Antepartum Depression: A Randomized Controlled Trial.
Trial report in Journal of midwifery & women's health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 11 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 11 syntheses or guidelines pooled it.
- Impact of interventions addressing perinatal mental health on loneliness and/or satisfaction with social support: systematic review.BMC psychiatry · 2026Pooled it
- Effects of Nonpharmacological Interventions on Stress, Anxiety, and Depression of Pregnant Women: A Systematic Review and Network Meta-Analysis.Worldviews on evidence-based nursing · 2025Pooled it
- A systematic review of community-based interventions to address perinatal mental health.Seminars in perinatology · 2024Pooled it
- Psychological treatment of perinatal depression: a meta-analysis.Psychological medicine · 2023Pooled it
- Pooled it
- Is collaborative care a key component for treating pregnant women with psychiatric symptoms (and additional psychosocial problems)? A systematic review.Archives of women's mental health · 2022Pooled it
- Psychological interventions for maternal depression among women of African and Caribbean origin: a systematic review.BMC women's health · 2021Pooled it
- Psychological interventions for depression and anxiety in pregnant Latina and Black women in the United States: A systematic review.Clinical psychology & psychotherapy · 2020Pooled it
- Treatment of depression, anxiety, and trauma-related disorders during the perinatal period: A systematic review.Clinical psychology review · 2018Pooled it
- Assessment and support during early labour for improving birth outcomes.The Cochrane database of systematic reviews · 2017Pooled it
- Can Social Work Interventions Improve Perinatal Mental Health Outcomes? A Systematic Review.Women's health issues : official publication of the Jacobs Institute of Women's HealthPooled it
- Effects of Two Group Prenatal Care Interventions on Mental Health: An RCT.American journal of preventive medicine · 2024Trial
- Role of Mediators in Reducing Antepartum Depressive Symptoms in Rural Low-Income Women Receiving a Culturally Tailored Cognitive Behavioral Intervention.Issues in mental health nursing · 2016Trial
- A Narrative Review of Implementing Nonpharmacological Interventions for Antenatal Depression in Low Resource Settings With Implications for Palestine.Depression and anxiety · 2026Review
- Cultural Adaptation and One-Year Follow-Up of the Mom-to-Mom Program Among Minority Arab Bedouin Women: Addressing Postpartum Depression.Journal of clinical medicine · 2025Article
- Managing pre and postpartum mental health issues of refugee women from fragile and conflict-affected countries: A systematic review.Public health in practice (Oxford, England) · 2025Review
- Lifestyle interventions addressing cardiometabolic health among Black American women of reproductive age in the U.S. : an integrative review.BMC pregnancy and childbirth · 2025Article
- Rural maternal health interventions: A scoping review and implications for best practices.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Mental health burden among females living with HIV and AIDS in sub-Saharan Africa: A systematic review.PLOS global public health · 2024Article
- Optimizing cognitive and behavioral approaches for perinatal depression: A systematic review and meta-regression analysis.Global mental health (Cambridge, England) · 2023Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionCognitive-behavioral group interventions have been shown to improve depressive symptoms in adult populations. This article details the feasibility and efficacy of a 6-week, culturally tailored, cognitive-behavioral intervention offered to rural, minority, low-income women at risk for antepartum depression.
methodsA total of 146 pregnant women were stratified by high risk for antepartum depression (Edinburgh Postnatal Depression Scale [EPDS] score of 10 or higher) or by low-moderate risk (EPDS score of 4-9) and randomized to a cognitive-behavioral intervention or treatment as usual. Differences in mean change of EPDS and Beck Depression Inventory (BDI)-II scores for low-moderate and high-risk women in the cognitive-behavioral intervention and treatment as usual for the full sample were assessed from baseline (T1), posttreatment (T2), and one-month follow-up (T3), and for African American women in the subsample.
resultsBoth the cognitive-behavioral intervention and treatment-as-usual groups had significant reductions in the EPDS scores from T1 to T2 and T1 to T3. In women at high risk for depression (n = 62), there was no significant treatment effect from T1 to T2 or T3 for the EPDS. However, in low-moderate risk women, there was a significantly greater mean change in the BDI-II scores from significant decrease in the BDI-II scores from T1 to T2 (4.92 vs 0.59, P = .018) and T1 to T3 (5.67 vs 1.51, P = .04). Also, the cognitive-behavioral intervention significantly reduced EPDS scores for African American women at high risk (n = 43) from T1 to T2 (5.59 vs 2.18, P = .02) and from T1 to T3 (6.32 vs 3.14, P = .04). DISCUSSION: A cognitive-behavioral intervention integrated within prenatal clinics is feasible in this sample, although attrition rates were high. Compared to treatment as usual, the cognitive-behavioral intervention reduced depressive symptoms for African American women at high risk for antepartum depression and for the full sample of women at low-moderate risk for antepartum depression. These promising findings need to be replicated in a larger controlled clinical trial that incorporates methods to maintain greater participant engagement.
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