Evidence map›Paper›PMID 35060398›Full record

Trial reportCanadian journal of psychiatry. Revue canadienne de psychiatrie2022

Public Health Nurse-delivered Group Cognitive Behavioural Therapy for Postpartum Depression: A Randomized Controlled Trial.

Ryan J Van Lieshout, Haley Layton, Calan D Savoy, Erika Haber, Andrea Feller, Anne Biscaro, Peter J Bieling, Mark A Ferro

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 5 pooled it
4.6field-weighted citation impact, top 5% 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.

NCT03039530 nacompletednot on this map

Impact of Public Health Nurse Delivered Group CBT for Postpartum Depression on Women and Their Children: A Randomized Controlled Trial

TypeinterventionalSponsorMcMaster UniversityRan2017 to 2021Enrolled141ConditionsDepression, PostpartumArmsGroup Cognitive Behavioral Therapy, Postnatal Care As Usual
NCT06597448 naactive not recruitingnot on this mapstarted 2024, after this paper: background citation

Public Health Nurse-Peer Co-Delivered Group Cognitive Behavioral Therapy for Postpartum Depression: A Randomized Controlled Trial

TypeinterventionalSponsorMcMaster UniversityRan2024 to 2028Enrolled170ConditionsPostpartum DepressionArmsCognitive Behavioral Therapy for Postpartum Depression (PPD)
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 5 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Ryan J Van LieshoutDepartment of Psychiatry and Behavioural Neurosciences, 3710McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0001-7244-0222
Haley LaytonHealth Research Methodology Graduate Program, 3710McMaster University, Hamilton, Ontario, Canada.
Calan D SavoyDepartment of Psychiatry and Behavioural Neurosciences, 3710McMaster University, Hamilton, Ontario, Canada.
Erika HaberDepartment of Psychiatry and Behavioural Neurosciences, 3710McMaster University, Hamilton, Ontario, Canada.
Andrea FellerPublic Health and Emergency Services, 152633Regional Municipality of Niagara, Thorold, Ontario, Canada.
Anne BiscaroFamily Health Division, Niagara Region Public Health and Emergency Services, Thorold, Ontario, Canada.
Peter J BielingDepartment of Psychiatry and Behavioural Neurosciences, 3710McMaster University, Hamilton, Ontario, Canada.
Mark A FerroSchool of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.ORCID 0000-0002-0979-3233
McMaster University · CARegional Municipality of Niagara · CAUniversity of Waterloo · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine the effectiveness of group cognitive behavioural therapy (CBT) for postpartum depression (PPD) delivered by public health nurses with little to no previous psychiatric training at improving depression, worry, social support and the mother-infant relationship.

methodsMothers (n = 141) living in Ontario, Canada with Edinburgh Postnatal Depression Scale Scores ≥10 and an infant <12 months of age were randomized to receive nine weekly 2-h sessions of in-person group CBT for PPD delivered by two public health nurses plus treatment as usual (TAU; experimental group) or TAU alone (control group). Primary outcomes were change in EPDS score and current major depressive disorder (Mini International Neuropsychiatric Interview) assessed immediately post-treatment (T2). Secondary outcomes included maternal worry, social support, and quality of the mother-infant relationship. All outcomes were assessed again six months post-treatment (T3).

resultsParticipants in the experimental group had statistically significantly greater reductions in PPD symptoms immediately post-treatment (T2) (B = -5.35, p < 0.01), were more likely to manifest a clinically significant improvement in EPDS scores (≥4 points; OR = 3.44, 95%CI: 1.49-7.94), and no longer have symptoms consistent with current MDD (OR = 5.31, 95% CI: 1.78-15.83). Six months post-treatment (T3), experimental group participants had higher odds of clinically significant PPD improvement (OR = 5.10, 95%CI: 1.89-13.78), while 25% of the experimental group and 70% of remaining control group participants reported current MDD (

conclusionsPublic health nurses with little to no previous psychiatric training can be trained to deliver effective group CBT for PPD to improve depression, worry, and the mother-infant relationship. Task shifting PPD treatment with group CBT to public health nurses could improve treatment uptake and lead to better outcomes for mothers, families, and the healthcare system.(Trial Registration NCT03039530).

Indexed as

Cognitive Behavioral TherapyDepression, PostpartumMajor Depressive DisorderNurses, Public HealthFemaleHumansInfantOntarioanxietycognitive behavioural therapydepressionmental disordersnursespostpartumpublic health

Identifiers

PMID35060398
PMCPMC9152236
OpenAlexW4206405216

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.