Evidence map›Paper›PMID 33989925›Full record

ArticleJournal of affective disorders2021

Brief cognitive behavioral therapy in pregnant women at risk of postpartum depression: Pre-post therapy study in a city in southern Brazil.

Ricardo Tavares Pinheiro, Jéssica Puchalski Trettim, Mariana Bonati de Matos, Karen Amaral Tavares Pinheiro, Ricardo Azevedo da Silva, Clarissa Ribeiro Martins, Gabriela Kurz da Cunha, Fernanda Teixeira Coelho, Janaína Vieira Dos Santos Motta, Fábio Monteiro da Cunha Coelho and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 23 citations in OpenAlex.

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  4. Moderate to severe food insecurity from pregnancy to 18 months postpartum: a descriptive study, Pelotas, 2016-2020.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Ricardo Tavares PinheiroCatholic University of Pelotas, Brazil; PQ CNPq, Brazil. Electronic address: ricardop@terra.com.br.
Jéssica Puchalski TrettimCatholic University of Pelotas, Brazil.
Mariana Bonati de MatosCatholic University of Pelotas, Brazil.
Karen Amaral Tavares PinheiroFederal University of Rio Grande, Brazil.
Ricardo Azevedo da SilvaCatholic University of Pelotas, Brazil; PQ CNPq, Brazil.
Clarissa Ribeiro MartinsCatholic University of Pelotas, Brazil.
Gabriela Kurz da CunhaCatholic University of Pelotas, Brazil.
Fernanda Teixeira CoelhoCatholic University of Pelotas, Brazil.
Janaína Vieira Dos Santos MottaFederal University of Pelotas, Brazil.
Fábio Monteiro da Cunha CoelhoFederal University of Rio Grande, Brazil.
Gabriele GhisleniCatholic University of Pelotas, Brazil; PQ CNPq, Brazil.
Fernanda NedelCatholic University of Pelotas, Brazil.
Ana Paula ArdaisCatholic University of Pelotas, Brazil.
Rafaelle Stark StiggerCatholic University of Pelotas, Brazil.
Luciana de Avila QuevedoCatholic University of Pelotas, Brazil; PQ CNPq, Brazil.
Luciano Dias de Mattos SouzaCatholic University of Pelotas, Brazil; PQ CNPq, Brazil.
Universidade Católica de Pelotas · BRNational Council for Scientific and Technological Development · BRUniversidade Federal do Rio Grande · BRUniversidade Federal de Pelotas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostpartum depression (PPD) affects a high number of women, often the first manifestation of a mood disorder that will occur later in life, bringing serious consequences for the patient and her offspring. Depression today is the leading cause of disability worldwide. The aim of this study was to evaluate the effectiveness of a preventive cognitive behavioral therapy (CBT) for PPD.

methodsPre-post therapy study, as part of a population-based cohort study. Pregnant women without a diagnosis of depression participated, who were divided into two groups: risk of depression (CBT) and a control group (without therapy). The preventive therapy consisted of six sessions of CBT, administered weekly. The Outcome Questionnaire (OQ-45) was used in all sessions. The Mini International Neuropsychiatric Interview and Beck Depression Inventory-II were used on three occasions. The final statistical analyses were performed by Poisson regression.

resultsThe prevalence of PPD in the risk group was 5.5% and in the control group 2.2%, with no difference between the groups (PR 1.66 95% CI 0.44-6.18). The OQ-45 averages gradually reduced during the therapy sessions, indicating therapeutic progress. Schooling was an associated factor, both with the manifestation of PPD and with the greater effectiveness of the therapy. LIMITATIONS: Rate of 40.5% refusal to preventive treatment and absence of a group with similar characteristics in another therapy model.

conclusionsBrief cognitive behavioral therapy applied by mental health professionals with basic training was effective in preventing the manifestation of PPD.

Indexed as

Cognitive Behavioral TherapyDepression, PostpartumBrazilCohort StudiesFemaleHumansPregnancyPregnant PeopleCognitive behavior therapyPostpartum depressionPregnancyPrevention

Identifiers

PMID33989925
PMCPMC8220301
OpenAlexW3157988398

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.