Optimising psychological treatment for Anxiety DisordErs in Pregnancy (ADEPT): study protocol for a feasibility trial of time-intensive CBT versus weekly CBT.
Optimising psychological treatment for Anxiety DisordErs in Pregnancy (ADEPT): study protocol for a feasibility trial of time-intensive CBT versus weekly CBT.
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DOI：
10.1186/s40814-021-00838-8
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发表时间：
2021-04-30
影响因子：
1.7
通讯作者：
Howard LM
中科院分区：
文献类型：
--
作者：
Challacombe FL;Potts L;Carter B;Lawrence V;Husbands A;Howard LM
中度至重度焦虑症，如强迫症 (OCD)、创伤后应激障碍 (PTSD)、社交恐惧症和惊恐障碍很常见，影响大约 11-16% 的怀孕妇女。焦虑症的心理治疗，主要是认知行为疗法（CBT），有大量的证据基础，最近发现时间密集型疗法与每周治疗一样有效。然而，尚未在怀孕妇女中进行试验，因此可能需要较短的干预时间。 ADEPT 研究是一项具有两个平行干预组的可行性随机对照试验。将比较怀孕期间进行的时间密集型一对一 CBT 和标准每周一对一 CBT。将评估可行性结果，包括参与率和随访率，以及使用定性方法的干预措施的可接受性。该研究将提供初步数据，为针对怀孕期间焦虑进行时间密集型干预的全面随机对照试验的设计提供信息。这将包括有关患有焦虑症的孕妇接受时间密集型干预措施的信息。 10.1186/ISRCTN81203286 预计于 2019 年 6 月 27 日注册。
Moderate to severe anxiety disorders such as obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), social phobia and panic disorder are common, and affect approximately 11–16% of women in pregnancy. Psychological treatments for anxiety disorders, primarily cognitive behaviour therapy (CBT), have a substantial evidence base and recently time-intensive versions have been found as effective as weekly treatments. However, this has not been trialled in women who are pregnant, where a shorter intervention may be desirable. The ADEPT study is a feasibility randomised controlled trial with two parallel intervention groups. Time-intensive one-to-one CBT and standard weekly one-to-one CBT delivered during pregnancy will be compared. Feasibility outcomes including participation and follow-up rates will be assessed, alongside the acceptability of the interventions using qualitative methods. The study will provide preliminary data to inform the design of a full-scale randomised controlled trial of a time-intensive intervention for anxiety during pregnancy. This will include information on the acceptability of time-intensive interventions for pregnant women with anxiety disorders. 10.1186/ISRCTN81203286 prospectively registered 27/6/2019.
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