The Effect of Cognitive Behavioral Therapy Program on Postpartum Depression among Primiparous Mothers
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Abstract
Postpartum depression is a significant problem in Thailand. Depressive symptoms if deteriorated, it can progress to be depressive disorders and postpartum psychosis. The purpose of this quasi - experimental research was to examine the effect of cognitive and behavioral therapy program on postpartum depression in primiparous mothers. The sample included twenty primiparous mothers who met the inclusion criteria. The participants were randomly assigned into the experimental (n= 10) and the control (n= 10) groups. The experimental group received group cognitive modification program for 6 sessions, two sessions per week and each session took about 60 to 90 minutes. Where as those in the control group received only routine nursing care. The Edinburgh Postnatal Depression (EPDS) were used to collect data at pre-post tests and one month follow-up. Descriptive statistics, repeated measures ANOVA and pairwise comparisons using Bonferroni’s method were employed to analyze the data
The results showed significant decrease for the mean scores of postpartum depression between the experimental and control group at post-test and 1 month follow-up (p < .001). In the experimental group, the mean scores of postpartum depression at pre-test, post-test and 1 month follow-up were significant different (p < .001)
From the results, it showed that cognitive and behavioral therapy program had significant effects on postpartum depression among primiparous mothers. Therefore, nurses and related health personnel could apply this program in order to reduce depression among postpartum mothers in other groups
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