Effects of Perinatal Cognitive Behavioral Therapy on Delivery Mode, Fetal Outcome, and Postpartum Depression and Anxiety in Women

Guo, Xiuqin; Guo, Xiuling; Wang, Ruijun; Zhang, Yuan

doi:10.1155/2022/8304405

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…Как показали в своем исследовании X. Guo et al (2022), когнитивно-пове-денческая терапия может улучшить неблагоприятные физиологические и психологические реакции беременных женщин с перинатальным тревожным расстройством, повысить естественную скорость родов и послеоперационное восстановление, снизить риск неонатальной асфиксии и обеспечить безопасность матерей и младенцев в перинатальный период [12].…”

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The effect of obesity on cognitive function, anxiety and depression in pregnant patient during regional anesthesia

Chernykh¹,

Lahin²,

Щеголев³

2023

Vestn. anesteziol. reanimatol.

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Background. A number of studies have associated aggravation of cognitive impairment, anxiety and depression in pregnant women with anesthesia. In addition, obesity during pregnancy itself is associated with an increased risk of developing these complications.The objective was to study the effect of obesity on cognitive function, anxiety and depression in pregnant women during regional anesthesia.Materials and methods. The study included 70 pregnant women who were admitted for planned delivery. Patients were divided into two groups: obese pregnant women (BMI≥ 30) (n = 35) and pregnant women with normal weight (BMI < 30) (n = 35). All patients underwent surgery under spinal anesthesia. The indicators of cognitive function, anxiety, and depression were evaluated using specially selected tests before surgery and on the third day of the postoperative period.Results. The development of obesity during pregnancy was accompanied by an impairment of cognitive functions. After surgery, in the BMI≥ 30 group, cognitive function according to the MOS test decreased from 25.1 (25.9; 24.2) to 24.3 (25.2; 23.4) points (p = 0.004), and in the BMI < 30 group, there were no statistical differences – 26.3 (27.1; 25,5) and 25.6 (26.5; 24.7) points (p = 0.071). In addition, the baseline indicators of anxiety and depression in obese pregnant women were higher in comparison with pregnant women with normal weight (p < 0.001). Performing a cesarean section under spinal anesthesia in all patients led to a decrease in anxiety and an increase in depression in the BMI≥ 30 group from 7.2 (8.1; 6.7) to 6.9 (7.5; 6.3) points (p = 0.004), and in the BMI < 30 group – from 6.5 (6.8; 6.2) to 6.1 (6.5; 5.7) points (p = 0.038).Conclusion. The presence of obesity during pregnancy was revealed in combination with impairment of cognitive functions even before surgery, after delivery under spinal anesthesia, cognitive dysfunction increased.

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Section: наименование тестаunclassified

The effect of obesity on cognitive function, anxiety and depression in pregnant patient during regional anesthesia

Chernykh¹,

Lahin²,

Щеголев³

2023

Vestn. anesteziol. reanimatol.

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A Cost-Utility Analysis of Screening and Cognitive Behavioral Therapy compared to usual care for Perinatal Depression

Wang,

Shen,

Smith

2024

Preprint

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Background: Perinatal depression is common and the most prevalent cause of maternal mortality, implementing effective depression screening and therapy is a priority for public health internationally. Objective: The aim of this study is to estimate the cost-effectiveness of implementing a strategy of perinatal depression screening with Cognitive Behavioral Therapy (CBT) compared with the current Treatment as Usual alone (TAU) for individuals with perinatal depression. Methods: A decision tree model was constructed to estimate the potential cost and utility benefits for screening using the Whooley Questionnaire followed by referral to CBT compared to TAU alone in Hong Kong. The model used healthcare costs, in Hong Kong Dollars (HKD), and quality-adjusted life years (QALYs) to estimate economic and health utility outcomes. We used two states (remission, and depression) modeled over a single perinatal period, such as transfer probabilities, depression-specific quality of life, and cost data were retrieved from published studies. Deterministic and probabilistic sensitivity analyses were conducted to estimate the stability of the model. Results: The baseline analysis suggested Whooley combined with CBT or TAU yielded an additional 0.02 QALY compared to TAU alone but added 900.26 HKD to the cost of treatment per patient. Our deterministic sensitivity analysis indicates several variables that have the greatest impact on the model. Our probabilistic sensitivity analysis shows that Whooley combined with CBT or TAU is approximately 84% more cost-effective than TAU alone at a willingness-to-pay (WTP) threshold of 194,780 HKD. Conclusions: Whooley combined with CBT is estimated to be cost-effective in identifying and treating individuals with perinatal depression at an early stage compared to TAU alone. More research is required to assess the feasibility, cost-benefit, and clinical effectiveness of this strategy.

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Effects of Perinatal Cognitive Behavioral Therapy on Delivery Mode, Fetal Outcome, and Postpartum Depression and Anxiety in Women

Cited by 2 publications

References 22 publications

The effect of obesity on cognitive function, anxiety and depression in pregnant patient during regional anesthesia

The effect of obesity on cognitive function, anxiety and depression in pregnant patient during regional anesthesia

A Cost-Utility Analysis of Screening and Cognitive Behavioral Therapy compared to usual care for Perinatal Depression

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