An Open Trial of Web-Based Mindfulness-Based Cognitive Therapy for Perinatal Women at Risk for Depressive Relapse
Section snippets
Participants and Procedures
The study protocol was approved by the Institutional Review Boards at University of Colorado Boulder, Kaiser Permanente Colorado, and HealthPartners Institute for Education and Research in Minnesota. All participants provided written informed consent. Participants were recruited from the Boulder community from April 2013 to December 2013 via online resources (e.g., local listservs, Craigslist), and flyers posted at local medical settings or retail stores catering to pregnant women. Participants
Participant Enrollment and Flow
Rates of enrollment and participant flow are presented in a CONSORT diagram in Figure 1. Detailed here are specific reasons that women declined participation or were ineligible. Of the 123 women who completed a phone screen, reasons for ineligibility were no history of major depression (n = 28), currently depressed (n = 10), technical barriers (n = 2), serious mental illness (n = 1), and miscarriage before intake (n = 1). Reasons for decline at phone screen included the time commitment (n = 8), dealing
Discussion
The current study examined the feasibility and preliminary outcomes of MMB among pregnant women at risk for depressive relapse. Results provide support for MMB as a feasible and acceptable option for perinatal women, which may be associated with the prevention of depressive relapse. Women at risk for depressive relapse sustained minimal to mild depressive symptom severity over the course of the intervention.
The majority of participants (57.76%) in the current study completed the MMB program,
References (39)
- et al.
Web-based mindfulness-based cognitive therapy for reducing residual depressive symptoms: An open trial and quasi-experimental comparison to propensity score matched controls
Behaviour Research and Therapy
(2014) - et al.
Preferences and attitudes toward approaches to depression relapse/recurrence prevention among pregnant women
Behaviour Research and Therapy
(2014) - et al.
Assessment of client/patient satisfaction: Development of a general scale
Evaluation and Program Planning
(1979) - et al.
Web recruitment and internet use and preferences reported by women with postpartum depression after pregnancy complications
Archives of Psychiatric Nursing
(2013) - et al.
The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: A systematic review and meta-analysis
Clinical Psychology Review
(2011) - et al.
Computer-based psychological treatments for depression: A systematic review and meta-analysis
Clinical Psychology Review
(2012) A systematic review of the efficacy of cognitive behavioral therapy for treating and preventing perinatal depression
Journal of Affective Disorders
(2015)- et al.
Effects of perinatal mental disorders on the fetus and child
Lancet
(2014) - et al.
The psychiatric diagnostic Screening questionnaire: Development, reliability and validity
Comprehensive Psychiatry
(2001) - et al.
Participants’ experiences of mindfulness-based cognitive therapy: "It changed me in just about every way possible."
Behavioural and Cognitive Psychotherapy
(2009)
Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: A qualitative study
Journal of Medical Internet Research
Detection of postnatal depression: Development of the 10-item Edinburgh postnatal depression scale
British Journal of Psychiatry
Web-based intervention for postpartum depression: Formative research and design of the MomMoodBooster program
JMIR Research Protocols
MomMoodBooster web-based intervention for postpartum depression: Feasibility trial results
Journal of Medical Internet Research
Psychosocial and psychological interventions for preventing postpartum depression
Cochrane Database of Systematic Reviews
An open trial of mindfulness-based cognitive therapy for the prevention of perinatal depressive relapse/recurrence
Archives of Women’s Mental Health
Telephone coaching to support adherence toiInternet interventions (TeleCoach)
Mindful pregnancy and childbirth: Effects of a mindfulness-based intervention on women's psychological distress and well-being in the perinatal period
Archives of Women’s Mental Health
Mindful mood balance: A case report of web-based treatment of residual depressive symptoms
Permanente Journal
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Jennifer N. Felder is now at University of California, San Francisco. We acknowledge funding by a University of Colorado Boulder Beverly Sears Graduate Student Grant (PI: Felder). We would also like to acknowledge the important work of study team members including Brittany Weeks, Kaitlyn Haak, Alison Conner, Chelsea Neely-Holt, Ellen Arkfeld, Marcia Hayes, Dani Rein, and Elisabeth Seburg. This article is based on Jennifer N. Felder’s doctoral dissertation at University of Colorado Boulder.