Browsing by Author "Cuijpers, Pim"

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    App-based intervention for reducing depressive symptoms in postpartum women: Protocol for a feasibility randomized controlled trial
    (2023) Franco Vivanco, Pamela Verónica; Olhaberry Huber, Marcia; Cuijpers, Pim; Kelders, Saskia; Muzard, Antonia
    Background: Chile has a high prevalence of postpartum depression and a significant treatment gap. Some barriers to postpartum depression care uncover the need for more easily accessible and lower-cost interventions. Chile's high utilization of digital technologies across all social strata and the increased use of pregnancy and parenting apps open the possibility of delivering interventions through mobile devices. Cognitive-behavioral internet-based interventions have proven to be effective in reducing symptoms of depression in high-income countries. However, in Chile, this is an underdeveloped field. This manuscript describes a randomized controlled trial protocol that will examine the feasibility and acceptability of a guided 8-week cognitive-behavioral app-based intervention for Chilean postpartum women with depressive symptoms. Method: A small-scale parallel 2-arms trial will be conducted. Postpartum women with minor or major depression will be randomized to the app-based intervention or waitlist. The primary outcomes are feasibility and acceptability variables, mainly; recruitment and eligibility rates, intervention and study adherence, and participants' intervention satisfaction, use, and engagement. Semi-structured interviews with a sub-sample will provide more information about the participants' experience with the intervention. Women's depression status will be assessed at pre-treatment, post-treatment, and 1-month follow-up. Other secondary outcomes will include participants' perceived social support, mother-infant bonding, and maternal satisfaction and self-efficacy. Discussion: This will be the first internet-based intervention aimed at reducing postpartum depression symptoms developed and studied in Chile. If the intervention and procedures prove feasible and acceptable, we plan to study its efficacy in a definitive controlled trial. If the intervention demonstrates to be effective, the aim is to implement it within the Chilean healthcare setting.
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    Guided web app intervention for reducing symptoms of depression in postpartum women: Results of a feasibility randomized controlled trial
    (2024) Franco, Pamela; Olhaberry, Marcia; Kelders, Saskia; Muzard, Antonia; Cuijpers, Pim
    Background: Chile faces a significant postpartum depression prevalence and treatment gap, necessitating accessible interventions. While cognitive-behavioral internet-based interventions have proven effective in highincome countries, this field is underdeveloped in Chile. Based on the country 's widespread use of digital technology, a guided 8-week cognitive-behavioral web app intervention named " Mam a, te entiendo " was developed. Objective: This study aimed to assess the acceptability and feasibility of " Mam a, te entiendo ", for reducing depressive symptomatology in postpartum women. Methods: Sixty-five postpartum women with minor or major depression were randomly assigned to either intervention or waitlist. Primary outcomes centered on study feasibility, intervention feasibility, and acceptability. Semi-structured interviews with a sub-sample enriched the understanding of participants ' experiences. Secondary outcomes included mental health variables assessed at baseline, post-intervention, and 1-month follow-up. Results: Chilean women displayed great interest in the intervention. 44.8 % of participants completed the intervention. Participants reported high satisfaction and engagement levels, with interviewees highlighting the value of the intervention 's content, exercises, and therapist 's feedback. However, preliminary efficacy analysis didn 't reveal a significant interaction between group and time for outcome measures. Discussion: This research represents a pioneering effort in Chile to evaluate an internet-based intervention for postpartum depression symptoms. The demonstrated feasibility and acceptability highlight the potential of integrating technology -driven approaches into mental health interventions. However, the intervention did not demonstrate superiority, as both groups exhibited similar positive progress in several outcomes. Therefore, the following research phase should involve a larger and more diverse sample to assess the intervention 's effectiveness, identify influencing factors, and determine the individuals who benefit the most.
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    Psychological treatment of perinatal depression: a meta-analysis
    (2023) Cuijpers, Pim; Franco, Pamela; Ciharova, Marketa; Miguel, Clara; Segre, Lisa; Quero, Soledad; Karyotaki, Eirini
    Background. Depression during pregnancy and after the birth of a child is highly prevalent and an important public health problem. Psychological interventions are the first-line treatment and, although a considerable number of randomized trials have been conducted, no recent comprehensive meta-analysis has evaluated treatment effects.