Smartphone-assisted online brief cognitive behavioral therapy to treat maternal depression: findings of a randomized controlled trial

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFATORI, Daniel
dc.contributor.authorZUCCOLO, Pedro
dc.contributor.authorXAVIER, Mariana O.
dc.contributor.authorMATIJASEVICH, Alicia
dc.contributor.authorPOLANCZYK, Guilherme V.
dc.date.accessioned2023-04-14T18:00:47Z
dc.date.available2023-04-14T18:00:47Z
dc.date.issued2023
dc.description.abstractObjective: To test the efficacy of smartphone-assisted online brief cognitive behavioral therapy (b-CBT) to treat maternal depression compared to online brief CBT plus an active control app.Methods: A randomized controlled trial was conducted. Assessments were performed at baseline (T0), midpoint (T1, week 4-5), post-treatment (T2, week 8), and follow-up (T3, 2-month postnatal follow-up) by blinded interviewers. The primary outcome was depression measured by the Edinburgh Postnatal Depression Scale (EPDS) at T2. We also assessed anxiety, stress, sleep quality, well-being, physical activity, treatment response, and offspring child behavior problems. Results: Eighty-one participants were randomized to the intervention (n=37) or active control (n=44) groups. Seventy-one participants completed the post-treatment assessment or reported primary outcome data. No differences were found between the intervention and active control groups regarding maternal depression or other mental health outcomes. Overall, we found large within-group effect sizes, with 80% of the total sample responding to treatment. Conclusions: Our data showed no difference between the groups, suggesting that adding apps to psychotherapy treatment may not enhance treatment effects on prenatal depression. A within-groups analysis showed that most participants with depression responded to treatment; however, future studies are needed to confirm whether this effect is related to factors other than the intervention.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.description.indexScielo
dc.description.sponsorshipSaving Brains program from Grand Challenges Canada [SB-POC-1810-20573]
dc.identifier.citationBRAZILIAN JOURNAL OF PSYCHIATRY, v.45, n.1, p.50-53, 2023
dc.identifier.doi10.47626/1516-4446-2022-2679
dc.identifier.eissn1809-452X
dc.identifier.issn1516-4446
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/53053
dc.language.isoeng
dc.publisherASSOC BRASILEIRA PSIQUIATRIAeng
dc.relation.ispartofBrazilian Journal of Psychiatry
dc.rightsopenAccesseng
dc.rights.holderCopyright ASSOC BRASILEIRA PSIQUIATRIAeng
dc.subjectMaternal depressioneng
dc.subjectclinical trialeng
dc.subjectcognitive-behavior therapyeng
dc.subjectdigital interventioneng
dc.subjectsmartphone appeng
dc.subject.wosPsychiatryeng
dc.titleSmartphone-assisted online brief cognitive behavioral therapy to treat maternal depression: findings of a randomized controlled trialeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalXAVIER, Mariana O.:Univ Fed Pelotas UFPel, Dept Med Social, Programa Posgraduacao Epidemiol, Sao Paulo, SP, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcDANIEL GRACA FATORI DE SA
hcfmusp.contributor.author-fmusphcPEDRO FONSECA ZUCCOLO
hcfmusp.contributor.author-fmusphcALICIA MATIJASEVICH MANITTO
hcfmusp.contributor.author-fmusphcGUILHERME VANONI POLANCZYK
hcfmusp.description.beginpage50
hcfmusp.description.endpage53
hcfmusp.description.issue1
hcfmusp.description.volume45
hcfmusp.origemWOS
hcfmusp.origem.pubmed36049141
hcfmusp.origem.scieloSCIELO:S1516-44462023000100050
hcfmusp.origem.scopus2-s2.0-85150226181
hcfmusp.origem.wosWOS:000948966200001
hcfmusp.publisher.citySAO PAULOeng
hcfmusp.publisher.countryBRAZILeng
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hcfmusp.scopus.lastupdate2024-06-09
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