Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Treating postnatal depressive symptoms in primary care: a randomised controlled trial of GP management, with and without adjunctive counselling | Milgrom et al. BMC Psychiatry 2011 11 95 http 1471-244X 11 95 BMC Psychiatry RESEARCH ARTICLE Open Access Treating postnatal depressive symptoms in primary care a randomised controlled trial of GP management with and without adjunctive counselling 2 2 2 2 34 Jeannette Milgrom Christopher J Holt Alan W Gemmill Jennifer Ericksen Bronwyn Leigh Anne Buist and Charlene Schembri2 Abstract Background Postnatal depression PND is under-diagnosed and most women do not access effective help. We aimed to evaluate comparative management of PND following screening with the Edinburgh Postnatal Depression Scale using three best-practice care pathways by comparing management by general practitioners GPs alone compared to adjunctive counselling based on cognitive behavioural therapy CBT delivered by postnatal nurses or psychologists. Methods This was a parallel three-group randomised controlled trial conducted in a primary care setting general practices and maternal child health centres and a psychology clinic. A total of 3 531 postnatal women were screened for symptoms of depression 333 scored above cut-off on the screening tool and 169 were referred to the study. Sixty-eight of these women were randomised between the three treatment groups. Results Mean scores on the Beck Depression Inventory BDI-II at entry were in the moderate-to-severe range. There was significant variation in the post-study frequency of scores exceeding the threshold indicative of mild-to-severe depressive symptoms such that more women receiving only GP management remained above the cut-off score after treatment p .028 . However all three treatment conditions were accompanied by significant reductions in depressive symptoms and mean post-study BDI-II scores were similar between groups. Compliance was high in all three groups. Women rated the treatments as highly effective. Rates of both referral to the study 51 and subsequent treatment uptake 40 were low. Conclusions Data from this .
