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Postnatal depression in British mothers of African and Caribbean origin: a randomised controlled trial of learning through play plus culturally adapted cognitive behaviour therapy compared with psychoeducation

dc.contributor.authorDung Ezekiel Jidong
dc.contributor.authorTarela Juliet Ike
dc.contributor.authorMaisha Murshed
dc.contributor.authorChristopher Francis
dc.contributor.authorShadrack Bitrus Mwankon
dc.contributor.authorJohn Ezekiel Jidong
dc.contributor.authorJuliet Yop Pwajok
dc.contributor.authorPam Patrick Nyam
dc.contributor.authorNusrat Husain
dc.contributor.authorNusrat Husain
dc.contributor.otherDivision of Psychology and Mental Health, The University of Manchester, Manchester, United Kingdom
dc.contributor.otherSchool of Social Science, Humanity and Law (SSSHL), Department of Humanities and Social Sciences, Teesside University, Middlesbrough, United Kingdom
dc.contributor.otherNottingham Trent University, Nottingham, United Kingdom
dc.contributor.otherNottingham Trent University, Nottingham, United Kingdom
dc.contributor.otherNottingham Trent University, Nottingham, United Kingdom
dc.contributor.otherDepartment of Sociology, Coal City University, Enugu, Nigeria
dc.contributor.otherDepartment of Psychology, University of Jos, Jos, Nigeria
dc.contributor.otherNottingham Trent University, Nottingham, United Kingdom
dc.contributor.otherDivision of Psychology and Mental Health, The University of Manchester, Manchester, United Kingdom
dc.contributor.otherMersey Care National Health Service (NHS) Foundation Trust, Liverpool, United Kingdom
dc.date.accessioned2025-10-09T05:33:02Z
dc.date.available2025-10-09T05:33:02Z
dc.date.issued01-03-2024
dc.identifier.urihttps://www.frontiersin.org/articles/10.3389/fpsyt.2024.1383990/full
dc.identifier.urihttp://digilib.fisipol.ugm.ac.id/repo/handle/15717717/41156
dc.description.abstractBackgroundOne in every three women worldwide experiences postnatal depression after childbirth, with long-term negative consequences on their children. The mainstream mental healthcare provision for British mothers of African/Caribbean origin is mostly unsuccessful due to a lack of culturally appropriate care.MethodsThe study adopts a mixed-methods randomised controlled trial (RCT) design. A 12-session (60 minutes each) of online Learning Through Play plus Culturally adapted Cognitive Behaviour Therapy (LTP+CaCBT) intervention was employed for treating postnatal depression in comparison with psychoeducation (PE). Participants aged 19–53 were screened for depression using the Patient Health Questionnaire (PHQ-9). N=130 participants who scored >5 on PHQ-9 were randomised into LTP+CaCBT (n=65) or PE (n=65) groups. N=12 focus groups (LTP+CaCBT, n=6; PE, n=6) and n=15 individual interviews (LTP+CaCBT, n=8; PE, n=7) were conducted, transcribed verbatim and analysed.ResultsSatisfaction with intervention (LTP+CaCBT, 72.9%; PE, 65.2%); retention rates (LTP+CaCBT, 91%; PE, 71%); reduction in postnatal depression was higher in LTP+CaCBT on PHQ-9 Md=1.00 with z= -4.046; compared to PE, Md=1.00 with z= -1.504. Both groups showed reduced levels of anxiety on GAD-7 with no significant difference. Emerging themes from the qualitative findings showed increased positive moods, reduced worries about parenting difficulties and the facilitative role of remote intervention.ConclusionsLTP+CaCBT intervention is culturally appropriate and acceptable and reduces postnatal depression in British mothers of African/Caribbean origin. A fully powered RCT is recommended to evaluate the clinical and cost-effectiveness of LTP+CaCBT, including the child’s outcomes compared with routine treatment as usual.Clinical trial registrationwww.ClinicalTrials.gov, identifier NCT04820920.
dc.language.isoEN
dc.publisherFrontiers Media S.A.
dc.subject.lccPsychiatry
dc.titlePostnatal depression in British mothers of African and Caribbean origin: a randomised controlled trial of learning through play plus culturally adapted cognitive behaviour therapy compared with psychoeducation
dc.typeArticle
dc.description.keywordspostnatal depression (PND)
dc.description.keywordsBritish African Caribbean women
dc.description.keywordscognitive behaviour therapy (CBT)
dc.description.keywordslearning through play
dc.description.keywordscultural adaptation
dc.description.keywordsUK
dc.description.doi10.3389/fpsyt.2024.1383990
dc.title.journalFrontiers in Psychiatry
dc.identifier.e-issn1664-0640
dc.identifier.oaioai:doaj.org/journal:afa7d0879d1544af98d2aff434a2fd14


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