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Randomized Controlled Trial
. 2013 Sep;44(3):359-72.
doi: 10.1016/j.beth.2013.01.002. Epub 2013 Feb 4.

A clinical trial of in-home CBT for depressed mothers in home visitation

Robert T Ammerman  1 , Frank W Putnam, Mekibib Altaye, Jack Stevens, Angelique R Teeters, Judith B Van Ginkel
Affiliations
Randomized Controlled Trial

A clinical trial of in-home CBT for depressed mothers in home visitation

Robert T Ammerman et al. Behav Ther. 2013 Sep.

Abstract

Despite negative outcomes for depressed mothers and their children, no treatment specifically designed to address maternal depression in the context of home visitation has emerged. In-Home Cognitive Behavioral Therapy (IH-CBT) is an adapted treatment that is delivered in the home, focuses on the needs of new mothers, and leverages ongoing home visiting to optimize engagement and outcomes. This study examined the efficacy of IH-CBT using a randomized clinical trial. Subjects were 93 new mothers in a home visiting program. Mothers with major depressive disorder identified at 3months postpartum were randomized into IH-CBT and ongoing home visitation (n=47) or standard home visitation (SHV; n=46) in which they received home visitation alone and could obtain treatment in the community. Depression was measured at pre- and posttreatment, and 3-month follow-up using interviews, clinician ratings, and self-report. Mothers receiving IH-CBT showed improvements in all indicators of depression relative to the SHV condition and these gains were maintained at follow-up. For example, 70.7% of mothers receiving IH-CBT were no longer depressed at posttreatment in terms of meeting criteria for major depressive disorder compared to 30.2% in the SHV group. These findings suggest that IH-CBT is an efficacious treatment for depressed mothers in home visitation programs.

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Figures

FIGURE 1
FIGURE 1
Flow of participants through study. Randomization was stratified by race, home visiting model, and therapist.
See this image and copyright information in PMC

References

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    1. Ammerman RT, Bodley AL, Putnam FW, Lopez WL, Holleb LJ, Stevens J, Van Ginkel JB. In-Home Cognitive Behavior Therapy for a depressed mother in a home visitation program. Clinical Case Studies. 2007;6(2):161–180. http://dx.doi.org/10.1177/1534650106286533. - DOI
    1. Ammerman RT, Putnam FW, Altaye M, Chen L, Holleb LJ, Stevens J, Van Ginkel JB. Changes in depressive symptoms in first time mothers in home visitation. Child Abuse & Neglect. 2009;33(3):127–138. http://dx.doi.org/10.1016/j.chiabu.2008.09.005. - DOI - PMC - PubMed
    1. Ammerman RT, Putnam FW, Bosse NR, Teeters AR, Van Ginkel JB. Maternal depression in home visitation: A systematic review. Aggression and Violent Behavior. 2010;15(3):191–200. http://dx.doi.org/10.1016/j.avb.2009.12.002. - DOI - PMC - PubMed

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