Reviewer’s report  
 
Title: Culturally -adapted cognitive behavioural therapy based intervent ion for maternal 
depression: A mixed -methods feasibility study.  
 
Version: 1 Date: 21 Sep 2018  
 
Reviewer: Pauline Slade  
 
Reviewer's report:  
 
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The authors have  addressed comments well in the response but they don't always feature in the 
revised manuscript. For example the issue of maternal or postnatal depression is still confused. 
The key search terms included is  postnatal depression and this is a focus  in the introduction and 
indeed the intake assessment is the EPDS which is specifically for perinatal period -whilst the 
title and sample concern maternal depression.  I do think it needs to be made clearer that the 
participants do not fulfil cr iteria for postnatal depression and some justification as to why the 
EPDS was used in a non perinatal sample.  
 
 In terms of the adaptations from the qualitative work the authors say these are included on pages 
10-15 but I could not find these and perhaps t hey should be summarised.  
 
On the issues of people completing on the basis of 4 sessions this is explained in response but  
the explanation not included. I would suggest it is in the limitations or a justification in the 
method section  
 
Are the methods appropriate and well described?  
If not, please specify what is required in your  comments to the authors.  
 
Yes 
 
Does the work include the necessary controls?  
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No 
 
Are the conclusions drawn adequately supported by the data shown?  
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Yes 
 
Are you able to assess any statistics in the manuscript or would you recommend an 
additional statistical review?  
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assessment in your comments to the editors.  
 
Not relevant to thi s manuscript  
 
Quality of written English  
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Acceptable  
 
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