Volume 19 Issue 4
Apr.  2021
Turn off MathJax
Article Contents
WANG Yong-xin, CHEN Xiu-feng, JIANG Jian-lan, WU Min, GAN Quan, LI Ming-wei. Evaluation of the effect of online classroom based on cognitive behavioral therapy on preventing postpartum depression[J]. Chinese Journal of General Practice, 2021, 19(4): 684-688. doi: 10.16766/j.cnki.issn.1674-4152.001893
Citation: WANG Yong-xin, CHEN Xiu-feng, JIANG Jian-lan, WU Min, GAN Quan, LI Ming-wei. Evaluation of the effect of online classroom based on cognitive behavioral therapy on preventing postpartum depression[J]. Chinese Journal of General Practice, 2021, 19(4): 684-688. doi: 10.16766/j.cnki.issn.1674-4152.001893

Evaluation of the effect of online classroom based on cognitive behavioral therapy on preventing postpartum depression

doi: 10.16766/j.cnki.issn.1674-4152.001893
Funds:

 1804h08020289

 SK2019A0087

 Byycx1947

  • Received Date: 2020-07-26
    Available Online: 2022-02-16
  •   Objective  To explore the effect of online classroom based on cognitive behavioral therapy on preventing postpartum depression.  Methods  Eighty pregnant women undergoing obstetric outpatient check-ups from June 2019 to January 2020 were collected. According to the random number table, they were divided into observation group and control group with 40 cases each. The control group adopted routine prenatal check-ups, routine obstetric care and post-natal follow-up. An online classroom based on cognitive behavioral therapy were performed on the cognitive behavior of pregnant women. Before the intervention and 42 days postpartum, the general status questionnaire, Edinburgh postpartum depression scale, anxiety self-rating scale, and stress perception scale were used for questionnaire surveys, and the Parenting Competency Scale was used for questionnaire surveys on 42 days postpartum.  Results  Before the intervention, there was no significant difference in depression, anxiety, and stress scores between the two groups (all P>0.05); at 42 days postpartum, the depression score of the observation group (6.85±3.83) was significantly lower than that of the control group (9.13±4.91), the difference was statistically significant (P < 0.05); in the anxiety state, the score of the observation group (28.88±9.63) was significantly lower than that of the control group (36.12±9.18), and the difference was statistically significant (P < 0.05). On the stress score, the stress score of the observation group (20.20±7.43) was significantly lower than that of the control group (25.12±10.54), the difference was statistically significant (P < 0.05); the parenting competency score of the observation group was 81.20±9.35, and it was significantly higher than the control group (75.33±10.65), and the difference was statistically significant (t=-2.622, P=0.011).  Conclusion  Online classes based on cognitive behavioral therapy can effectively improve maternal parenting competence, reduce parenting pressure, relieve anxiety, and prevent the postpartum depression.

     

  • loading
  • [1]
    GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016[J]. Lancet, 2017, 390(10100): 1211-1259. doi: 10.1016/S0140-6736(17)32154-2
    [2]
    曹娟, 王兰云, 刘林, 等. 综合护理干预对高危妊娠孕妇产后抑郁的效果研究[J]. 中华全科医学, 2019, 17(11): 1948-1950, 1972. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201911043.htm
    [3]
    王永欣, 陈秀凤, 蔡福临. 音乐疗法作用于产后抑郁症患者的系统评价与Meta分析[J]. 右江民族医学院学报, 2020, 42(4): 488-493, 499. doi: 10.3969/j.issn.1001-5817.2020.04.020
    [4]
    王兰兰, 韩布新, 钟雪梅, 等. 产后抑郁的心理护理研究进展[J]. 护士进修杂志, 2020, 35(13): 1189-1192. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX202013008.htm
    [5]
    BORZA L. Cognitive-behavioral therapy for generalized anxiety[J]. Dialogues Clin Neurosci, 2017, 19(2): 203-208. doi: 10.31887/DCNS.2017.19.2/lborza
    [6]
    SZTEIN D M, KORANSKY C E, FEGAN L, et al. Efficacy of cognitive behavioural therapy delivered over the internet for depressive symptoms: a systematic review and meta-analysis[J]. J Telemed Telecare, 2018, 24(8): 527-539. doi: 10.1177/1357633X17717402
    [7]
    杨小羽, 何荣霞. 产后抑郁的危害及相关影响因素的研究进展[J]. 西北国防医学杂志, 2019, 40(2): 128-132. https://www.cnki.com.cn/Article/CJFDTOTAL-XBGY201902016.htm
    [8]
    COX J L, HOLDEN J M, SAGOVSKY R. Detection of postnatal depression. development of the 10-item Edinburgh Postnatal Depression Scale[J]. Br J Psychiatry, 1987, 150(6): 782-786. doi: 10.1192/bjp.150.6.782
    [9]
    LEE D T, YIP S K, CHIU H F, et al. Detecting postnatal depression in Chinese women. validation of the Chinese version of the Edinburgh Postnatal Depression Scale[J]. Br J Psychiatry, 1998, 172(5): 433-437. doi: 10.1192/bjp.172.5.433
    [10]
    杨廷忠, 黄汉腾. 社会转型中城市居民心理压力的流行病学检查[J]. 中华流行病学杂志, 2003, 24(9): 760-764. doi: 10.3760/j.issn:0254-6450.2003.09.004
    [11]
    ZUNG W W. A rating instrument for anxiety disorders[J]. Psychosomatics, 1971, 12(6): 371-379. doi: 10.1016/S0033-3182(71)71479-0
    [12]
    杨晓, 高玲玲, 张振香, 等. 中文版育儿胜任感量表在产妇中应用的信效度检验[J]. 中华护理杂志, 2014, 49(7): 881-885. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201407033.htm
    [13]
    GREER J A, JACOBS J, PENSAK N, et al. Randomized trial of a tailored cognitive-behavioral therapy mobile application for anxiety in patients with incurable cancer[J]. Oncologist, 2019, 24(8): 1111-1120. doi: 10.1634/theoncologist.2018-0536
    [14]
    MILGROM J, SKOUTERIS H, WOROTNIUK T, et al. The association between ante- and postnatal depressive symptoms and obesity in both mother and child: a systematic review of the literature[J]. Womens Health Issues, 2012, 22(3): e319-28. doi: 10.1016/j.whi.2011.12.001
    [15]
    NURBAETI I, DEOISRES W, HENGUDOMSUB P. Association between psychosocial factors and postpartum depression in South Jakarta, Indonesia[J]. Sex Reprod Healthc, 2019, 20: 72-76. doi: 10.1016/j.srhc.2019.02.004
    [16]
    章翀. 产妇产后早期情绪状态、社会支持与母婴连结的关系研究[D]. 武汉: 武汉轻工大学, 2019.
    [17]
    赖婉君. 产妇育儿胜任感现状及与产后抑郁的相关性研究[J]. 护理实践与研究, 2018, 15(10): 18-19. https://www.cnki.com.cn/Article/CJFDTOTAL-HLSJ201810008.htm
    [18]
    王蓉. 基于ITHBC的微信干预对产褥期妇女健康商数和育儿胜任感的影响研究[D]. 衡阳: 南华大学, 2018.
    [19]
    JANNATI N, MAZHARI S, AHMADIAN L, et al. Effectiveness of an app-based cognitive behavioral therapy program for postpartum depression in primary care: a randomized controlled trial[J]. Int J Med Inform, 2020, 141. DOI: 10.1016/j.ijmedinf.2020.104145.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (252) PDF downloads(4) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return