Antenatal Relaxation Group for Anxiety and Depression Management

Study Overview
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Brief Summary
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Approximately 20% of pregnant women experience depression. Untreated depression during pregnancy is linked to decreased prenatal care, difficulties in the pregnancy, poorer outcomes for the baby, and developmental, language, and behaviour problems in the older child. While medication can often offer relief, pregnant women suffering with depression are often reluctant to take medications that may affect the unborn baby. There is little research about the effectiveness of other treatments such as support groups. The investigators project will provide relaxation groups for pregnant women with anxiety and depression. The group will provide a chance to get support from other pregnant women. Two health care specialists will provide information about anxiety and depression. They will also teach the skills for women to manage their symptoms. Women will be asked to complete a few questionnaires to evaluate their symptoms before, during, and after they join the group. They will also be asked to evaluate how the group met their needs.

Detailed Description
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Pregnant women between 15-28 weeks, who speak english are invited to join an 8 week group to relieve anxiety and depression. We have collected sociodemographic data, as well as social support, life events. Outcome measures are a decrease in anxiety and depression-as measured by the Edinburgh Postnatal Depression Scale, the Cambridge Worry Scale, and the STAI-Trait Scale.

Official Title
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Antenatal Depression Group Research Project: The Effectiveness of Mindfulness-based Relaxation and Interpersonal Therapy to Relieve Anxiety and Depression Symptoms in Pregnant Women.

Conditions
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Anxiety, Depression

Intervention / Treatment
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* Behavioral: mindful meditation
* Behavioral: interpersonal therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 15 to 28 weeks pregnant and English speaking Exclusion Criteria: Non-English speaking

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: mindfulness-based therapy<br>mindfulness-based meditation | Behavioral: mindful meditation<br>* interpersonal and psycho-educational<br>|
| Experimental: interpersonal therapy<br>psycho-educational | Behavioral: interpersonal therapy<br>* psycho-educational<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Depression as measured by Edinburgh Postnatal Depression Scale and anxiety as measured by the State-Trait Anxiety Inventory and the Cambridge Worry Scale |  | Participants will be asked to complete the questionnaires before the group commences, at 4 weeks, at the end of the group, and 6 weeks postpartum. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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anxiety, depression, pregnancy, antenatal, prenatal, mindfulness-based therapy, interpersonal therapy, support groups