226 Participants Needed

Online Cognitive Behavioural Therapy for Postpartum Depression

(postnataIiCBT Trial)

Recruiting at 4 trial locations
PR
AC
Overseen ByAlexandra Chapdelaine, PhD
Age: 18+
Sex: Female
Trial Phase: Academic
Sponsor: Université de Sherbrooke
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests an online therapy program for new mothers experiencing anxiety and depression after childbirth. The aim is to determine if adding this online therapy to regular care reduces symptoms more effectively than regular care alone. Participants in one group will engage in a 6-week self-guided online program, the Postnatal Anxiety and Depression iCBT program, while another group will receive regular care and access to the program later. Women within 12 months postpartum, who speak French, and have significant anxiety or depression symptoms may be suitable candidates. As an unphased trial, this study provides an opportunity to contribute to valuable research that could enhance mental health support for new mothers.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but it does exclude those who have started new medication for depression or anxiety within the last 8 weeks. It also excludes those currently using benzodiazepines.

What prior data suggests that this online cognitive behavioral therapy program is safe for postpartum women?

Research has shown that online cognitive behavioral therapy (iCBT) for postpartum depression is generally safe and well-tolerated. Studies have found that it can reduce anxiety and depression in new mothers without causing significant side effects. iCBT is considered low-risk because it is a non-invasive therapy that mainly involves talking and writing.

For instance, one study examined an iCBT program for new parents and found it effective and safe, with no reports of serious negative experiences. Most participants completed the program without any problems, indicating it was easy to manage and acceptable.

Overall, past participants in these studies have demonstrated that iCBT is a promising and safe option for treating postnatal anxiety and depression.12345

Why are researchers excited about this trial?

Researchers are excited about the online Cognitive Behavioural Therapy (iCBT) program for postpartum depression because it offers a flexible, self-directed approach that can be accessed from home. Unlike traditional face-to-face therapy, this program allows new mothers to engage with treatment at their own pace, fitting it into their busy schedules without needing to arrange childcare or travel. Additionally, the digital format can reach a wider audience, making mental health support more accessible to those who may not have easy access to in-person therapy. This innovative approach could significantly enhance the support available to new mothers experiencing postpartum depression.

What evidence suggests that this iCBT program is effective for postpartum depression?

Research has shown that online cognitive behavioral therapy (iCBT) effectively reduces symptoms of postpartum depression and anxiety. One study found that iCBT helped new mothers feel less depressed, offering important support after childbirth. Another study demonstrated that iCBT improved access to helpful mental health care for mothers. In this trial, participants in one arm will receive the postnatal anxiety and depression iCBT program alongside treatment-as-usual (TAU), providing extra support and potentially leading to better results. Overall, evidence suggests that iCBT is a promising tool for improving mental health after having a baby.12678

Who Is on the Research Team?

HV

Helen-Maria Vasiliadis, PhD

Principal Investigator

Université de Sherbrooke

PR

Pasquale Roberge, PhD

Principal Investigator

Université de Sherbrooke

Are You a Good Fit for This Trial?

This trial is for postnatal women experiencing mixed anxiety and depressive symptoms. Participants should be comfortable with French-Canadian language as the program is adapted to this variant. There are no specific inclusion or exclusion criteria provided, but typically participants would need access to the internet and have some level of comfort with using online tools.

Inclusion Criteria

I am fluent in both speaking and writing French.
Access to a computer/tablet and internet connection
Being within 12 months postpartum
See 2 more

Exclusion Criteria

I am currently taking benzodiazepines.
I started treatment for depression or anxiety less than 8 weeks ago.
Severe depression (EPDS score ≥ 23) or active suicidal intentions (EPDS question 10 = 3, yes quite often)
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants in the postnatal iCBT group complete a 6-week non-guided iCBT program for anxiety and depressive symptoms

6 weeks
Questionnaires at week 0, week 6

Follow-up

Participants are monitored for safety and effectiveness after treatment, with questionnaires at week 10

4 weeks
Questionnaires at week 10

Waitlist Control

Participants in the TAU group complete questionnaires and have delayed access to the iCBT program after the follow-up phase

10 weeks
Questionnaires at week 0, week 6, week 10

What Are the Treatments Tested in This Trial?

Interventions

  • Postnatal anxiety and depression iCBT program
Trial Overview The study tests a French-Canadian version of an internet-delivered cognitive behavioral therapy (iCBT) program designed for postnatal women with anxiety and depression. It compares the effectiveness of iCBT plus usual care versus usual care alone over a period of 10 weeks, including follow-up assessments.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: The postnatal anxiety and depression iCBTprogram + TAUExperimental Treatment1 Intervention
Group II: Treatment-as-usualActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Université de Sherbrooke

Lead Sponsor

Trials
317
Recruited
79,300+

Centre intégré de santé et services sociaux de la Montérégie-Centre

Collaborator

Trials
1
Recruited
230+

Centre intégré de santé et services sociaux de la Montérégie-Ouest

Collaborator

Trials
1
Recruited
230+

Centre intégré de santé et services sociaux de la Montérégie-Est

Collaborator

Trials
1
Recruited
230+

Champlain Local Health Integration Network

Collaborator

Trials
2
Recruited
340+

Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke

Collaborator

Trials
1
Recruited
230+

Canadian Institutes of Health Research (CIHR)

Collaborator

Trials
1,417
Recruited
26,550,000+

Published Research Related to This Trial

A case study of a first-time mother with postpartum depression showed that therapist-assisted internet-delivered cognitive behavior therapy (ICBT) led to significant symptom reduction over 12 weeks, indicating its potential efficacy for treating PPD.
The participant reported high treatment satisfaction and a strong therapeutic alliance with her therapist, suggesting that this approach could be a valuable option for clinicians working with women experiencing PPD.
Internet therapy for postpartum depression: a case illustration of emailed therapeutic assistance.Pugh, NE., Hadjistavropoulos, HD., Fuchs, CM.[2022]
A one-day online workshop utilizing cognitive behavioral therapy significantly improved symptoms of postpartum depression and anxiety, as well as enhancing social support and the mother-infant relationship.
This approach offers an efficient way to increase access to treatment for postpartum depression, suggesting it could be a valuable addition to standard care.
One-Day Workshop Beneficial for Postpartum Depression.Rosenberg, K.[2022]

Citations

1.samhsa.govsamhsa.gov/
Home | SAMHSA - Substance Abuse and Mental Health ...SAMHSA leads efforts to advance behavioral health across the U.S., offering resources for mental health, substance use, and community well-being.
The Effects of Online Cognitive Behavioral Therapy on ...Background/Objectives: Postpartum depression seriously affects the safety and health of mothers and children. Online cognitive behavioral therapy is ...
Online cognitive behaviour therapy for maternal antenatal ...Online cognitive behavioural therapy (iCBT) can provide scalable access to psychological interventions to improve perinatal depression and anxiety.
Effectiveness of cognitive behavioural therapy-based ...Although existing evidence suggests cognitive behavioral therapy (CBT) based interventions are effective for perinatal depression, less is known ...
Internet-Based Cognitive Behavioral Therapy for ...Methods: Participants were screened for antenatal depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS) and randomly ...
Transdiagnostic Internet-Delivered Cognitive Behavioral ...Background: Postpartum depression (PPD) and postpartum anxiety (PPA) are often comorbid and are associated with significant personal and ...
Internet-Delivered Cognitive Behaviour Therapy for ...This study evaluates the effectiveness of the Wellbeing Course for New and Expecting Parents (WCNEP), an internet-delivered cognitive behavioral therapy ...
Transdiagnostic internet cognitive behavioural therapy for ...Nearly 20% of women will be confronted with anxiety or depressive disorders during the perinatal period and this may lead to adverse ...
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Terms of Service·Privacy Policy·Cookies·Security