Modifying CBT for Perinatal Depression: What Do Women Want?

Autor/inn/en	O'Mahen, Heather; Fedock, Gina; Henshaw, Erin; Himle, Joseph A.; Forman, Jane; Flynn, Heather A.
Titel	Modifying CBT for Perinatal Depression: What Do Women Want?
Quelle	In: Cognitive and Behavioral Practice, 19 (2012) 2, S.359-371 (13 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1077-7229
DOI	10.1016/j.cbpra.2011.05.005
Schlagwörter	Evidence; Mothers; Pregnancy; Depression (Psychology); Cognitive Restructuring; Behavior Modification; Females; Socioeconomic Status; Semi Structured Interviews; Psychological Patterns; Therapy; Self Concept; Interpersonal Relationship; Social Support Groups; Perinatal Influences + Suchen Sie Ihr Suchwort? Evidenz; Mother; Mutter; Schwangerschaft; Behaviour modification; Verhaltensänderung; Weibliches Geschlecht; Socio-economic status; Sozioökonomischer Status; Therapie; Selbstkonzept; Interpersonal relation; Interpersonal relations; Interpersonelle Beziehung; Zwischenmenschliche Beziehung; Social support; Soziale Unterstützung; Perinatalperiode
Abstract	The evidence for the efficacy of CBT for depression during the perinatal period is mixed. This was a qualitative study that aimed to understand the perinatal-specific needs of depressed women in an effort to inform treatment modifications that may increase the relevance and acceptability of CBT during this period. Stratified purposeful sampling resulted in 23 participants selected by pregnancy, socioeconomic, and depression status. Participants completed semistructured interviews exploring their experiences of pregnancy and the postpartum period and its relationship to mood, and perspectives on ideal treatment content. Thematic analysis revealed a number of perinatal-specific themes that were relevant to CBT in three key domains: self, motherhood, and interpersonal. Mothers particularly struggled with: internalization of "motherhood myths," self-sacrifice, and managing social support during this period. Shifts in women's themes across the perinatal period, and between racial and socioeconomic groups are discussed as are implications for modification of CBT to improve relevance for perinatal depression. (Contains 4 tables and 1 figure.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10