The effects of a group cognitive behavioral therapy program using video communication for pregnant women with depressed mood in Korea: a pilot study

Abstract

Purpose: This study presents the development of a group video communication-based cognitive behavioral therapy (CBT) program for depressed pregnant women. It also provides the results of a preliminary test of its effects on their depression, automatic thoughts, and dysfunctional attitudes. Methods: In this quasi-experimental single-group pre- and posttest design study, 13 pregnant women participated in a 4-week, eight-session group CBT program, based on Beck’s cognitive theory and using video communications from November 23, 2020 to January 30, 2021. Pregnant women between 14 and 32 weeks who were members of an online maternity and parenting community and residing in the cities of Changwon and Gimhae, Korea, were invited to voluntarily participate. Trained nurses led CBT sessions of 3–4 participants per group via video communication. Participants were assessed pre- and postintervention with self-report questionnaires for measurement of depression, automatic thought, and dysfunctional attitude after normality test according to the Shapiro-Wilk test of the variables, the data were analyzed using paired t-test and Pearson correlation coefficients.Results: Depression (t=7.90, p<.001), automatic thoughts (t=4.89, p<.001), and dysfunctional attitudes (t=2.42, p=.032) significantly decreased after the 4-week online program. There were statistically significant correlations among the three variables.Conclusion: This program was found to be effective in reducing depression, automatic thoughts, and dysfunctional attitudes. Above findings suggest that a group CBT program using video communication can be an effective therapeutic modality that helps pregnant women at risk for depression remain free from negative emotions related to depression.

The experiences of depressed pregnant women participating in a cognitive behavioral therapy program via video communication: an exploratory qualitative study

“…강박장애 환자들은 반복적으로 떠오르는 부정적인 생각들이 자신의 비합리적 신념에서 기인했으며, 강박증이 자신의 병의 증상임을 알게 되었다[ 16 ]. 도박중독자들은 도박 충동 시 일어나는 생각을 깨달았으며, 도박이 가족에게 행복을 가져다 준다는 생각이 오류였음을 깨닫게 되었다[ 18 ]. 우울과 자살 위험이 높은 여대생들은 꼬리표 붙이기, 절대주의적 사고, 문제 해결, 당위적 사고 등 자신의 인지오류의 유형을 확인할 수 있었다[ 24 ].…”

“…총 8회의 화상 CBT 프로그램 참여를 통해 우울, 자동적 사고 및 역기능적 태도의 점수가 유의하게 감소한 것을 확인할 수 있었다[ 18 ]. 본 연구는 화상 CBT 프로그램 종료 1개월 시점에서 프로그램에 참여했던 13명에게 유선으로 연구의 목적, 방법 등을 설명하고, 참여 의사를 밝힌 6명에게 동의서를 받은 뒤 자료 수집을 위한 심층면담을 실시하였다.…”

“…우울 수준이 높은 임신 여성에게 적용한 화상 CBT 선행연구 [18] 에서 참여자의 부정적 감정과 사고가 유의한 감소를 보였으나, 이 는 양적연구의 계량화된 값이므로 총체적인 상황에서의 변화를 이 해하기가 어려웠다. 이에 본 연구는 우울한 임신 여성들이 화상 CBT 프로그램에 참여한 경험을 인지 변화의 측면에서 심층적으로 탐색함으로써, 화상 CBT의 효과를 이해하고 우울한 임신 여성을 관리하기 위한 중재방안을 마련하는 기초자료를 제공하고자 한다.…”

Development of cognitive behavioral module for out-of-wedlock pregnancy's depression and cognitive distortion

“…Nevertheless, this study is considered adequate because its main purpose is as a pilot study that serves to assess the validity and reliability of the MKT module as the success of previous studies involving less than 20 respondents. Among such studies are a pilot study on the effects of a cognitive group of behavioral therapy programs for pregnant women with depressed mood in Korea [59] and a study on physiotherapy-associated cognitive-behavioral therapy for patients with hemophilia [60].…”