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Group cognitive-behavioral therapy for perinatal anxiety: predictors of completion and response
Current Psychology ( IF 2.5 ) Pub Date : 2023-05-13 , DOI: 10.1007/s12144-023-04723-w
Laura Kinsman , Elena Bilevicius , Amanda L. Shamblaw , Gillian Alcolado , Patricia Furer

Perinatal anxiety is a prevalent mental health issue associated with deleterious effects; however, factors that affect treatment outcomes have yet to be identified. We examined predictors of treatment completion and moderators of treatment outcome among individuals receiving six weeks of group Cognitive-Behavioral Therapy for Perinatal Anxiety (CBT-PA) via retrospective chart review. Among 98 women (Mean age = 32.36, SD = 4.79; 87% postpartum), pregnancy (versus postpartum), comorbid depression, and greater pre-treatment anxiety symptoms, as measured by the Perinatal Anxiety Screening Scale, were predictive of treatment attrition. Among treatment completers, older maternal age was associated with greater number of sessions completed. Overall, anxiety symptom scores significantly reduced from pre- to post-treatment. Obsessive-compulsive symptoms, comorbid depression, and two or more comorbid diagnoses at pre-treatment were each significantly associated with higher overall anxiety scores across both time points. Further, women with versus without health anxiety at pre-treatment showed a greater reduction in anxiety from pre- to post-treatment. These results are important for informing clinicians of factors that may enhance overall treatment completion and effectiveness for perinatal populations.



中文翻译:

围产期焦虑的团体认知行为疗法:完成和反应的预测因子

围产期焦虑是一种普遍存在的心理健康问题,会产生有害影响;然而,尚未确定影响治疗结果的因素。我们通过回顾性图表审查,检查了接受六周围产期焦虑团体认知行为疗法 (CBT-PA) 的个体的治疗完成预测因子和治疗结果调节因子。在 98 名女性中(平均年龄 = 32.36,SD = 4.79;87% 产后)、妊娠(相对于产后)、共病抑郁症和更严重的治疗前焦虑症状(根据围产期焦虑筛查量表测量)可预测治疗损耗。在治疗完成者中,产妇年龄较大与完成的治疗次数较多有关。总体而言,焦虑症状评分从治疗前到治疗后显着降低。在两个时间点,强迫症状、共病抑郁症和两种或多种共病诊断在治疗前均与较高的总体焦虑评分显着相关。此外,在治疗前有健康焦虑的女性与没有健康焦虑的女性相比,从治疗前到治疗后,焦虑的减轻程度更大。

更新日期:2023-05-14
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