A 7-year follow-up of antenatal depression treatment with cognitive behavioral therapy: A case report of maternal and child outcomes

There are few studies of cognitive behavioral therapy for women with antenatal depression including qualitative and quantitative data, and yet, individual cases can provide valuable information on personal experiences of treatment effectiveness and acceptability. The purpose of this case report is t...

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Main Authors: Laura S Bleker, Jeannette Milgrom, Alan W Gemmill, Tessa J Roseboom, Susanne R de Rooij
Format: Article
Language:English
Published: SAGE Publishing 2019-04-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X19841463
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spelling doaj-8511311aaff2450fb15a3cc7feac33a72020-11-25T03:00:38ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2019-04-01710.1177/2050313X19841463A 7-year follow-up of antenatal depression treatment with cognitive behavioral therapy: A case report of maternal and child outcomesLaura S Bleker0Jeannette Milgrom1Alan W Gemmill2Tessa J Roseboom3Susanne R de Rooij4Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam UMC, University of Amsterdam, Amsterdam, The NetherlandsMelbourne School of Psychological Sciences, The University of Melbourne, Melbourne, VIC, AustraliaParent-Infant Research Institute, Austin Health, Melbourne, VIC, AustraliaDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam UMC, University of Amsterdam, Amsterdam, The NetherlandsDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam UMC, University of Amsterdam, Amsterdam, The NetherlandsThere are few studies of cognitive behavioral therapy for women with antenatal depression including qualitative and quantitative data, and yet, individual cases can provide valuable information on personal experiences of treatment effectiveness and acceptability. The purpose of this case report is to explore the long-term qualitative outcomes following cognitive behavioral therapy for antenatal depression. A pregnant woman with a Diagnostic and Statistical Manual of Mental Disorders diagnosis of depression was allocated to receive seven sessions of cognitive behavioral therapy in a randomized controlled trial. We describe her experiences and mood during treatment, at 12 weeks, 9 months, 2 years, and 7 years postpartum, as well as markers of her child’s development. The woman’s mood symptoms were dramatically improved after treatment and remained in the mild to moderate range until 7 years postpartum. Her child showed overall age-appropriate development, with strengths highlighted in his nonverbal and problem-solving ability. Relative weaknesses were in the communication domain and his processing speed. This case report suggests that psychological treatment for depression during pregnancy can be both acceptable to women and potentially protective in the long term.https://doi.org/10.1177/2050313X19841463
collection DOAJ
language English
format Article
sources DOAJ
author Laura S Bleker
Jeannette Milgrom
Alan W Gemmill
Tessa J Roseboom
Susanne R de Rooij
spellingShingle Laura S Bleker
Jeannette Milgrom
Alan W Gemmill
Tessa J Roseboom
Susanne R de Rooij
A 7-year follow-up of antenatal depression treatment with cognitive behavioral therapy: A case report of maternal and child outcomes
SAGE Open Medical Case Reports
author_facet Laura S Bleker
Jeannette Milgrom
Alan W Gemmill
Tessa J Roseboom
Susanne R de Rooij
author_sort Laura S Bleker
title A 7-year follow-up of antenatal depression treatment with cognitive behavioral therapy: A case report of maternal and child outcomes
title_short A 7-year follow-up of antenatal depression treatment with cognitive behavioral therapy: A case report of maternal and child outcomes
title_full A 7-year follow-up of antenatal depression treatment with cognitive behavioral therapy: A case report of maternal and child outcomes
title_fullStr A 7-year follow-up of antenatal depression treatment with cognitive behavioral therapy: A case report of maternal and child outcomes
title_full_unstemmed A 7-year follow-up of antenatal depression treatment with cognitive behavioral therapy: A case report of maternal and child outcomes
title_sort 7-year follow-up of antenatal depression treatment with cognitive behavioral therapy: a case report of maternal and child outcomes
publisher SAGE Publishing
series SAGE Open Medical Case Reports
issn 2050-313X
publishDate 2019-04-01
description There are few studies of cognitive behavioral therapy for women with antenatal depression including qualitative and quantitative data, and yet, individual cases can provide valuable information on personal experiences of treatment effectiveness and acceptability. The purpose of this case report is to explore the long-term qualitative outcomes following cognitive behavioral therapy for antenatal depression. A pregnant woman with a Diagnostic and Statistical Manual of Mental Disorders diagnosis of depression was allocated to receive seven sessions of cognitive behavioral therapy in a randomized controlled trial. We describe her experiences and mood during treatment, at 12 weeks, 9 months, 2 years, and 7 years postpartum, as well as markers of her child’s development. The woman’s mood symptoms were dramatically improved after treatment and remained in the mild to moderate range until 7 years postpartum. Her child showed overall age-appropriate development, with strengths highlighted in his nonverbal and problem-solving ability. Relative weaknesses were in the communication domain and his processing speed. This case report suggests that psychological treatment for depression during pregnancy can be both acceptable to women and potentially protective in the long term.
url https://doi.org/10.1177/2050313X19841463
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