The efficacy of cognitive behavior therapy for the treatment of perinatal anxiety symptoms: A preliminary meta-analysis

Maguire, PN; Clark, GI; Wootton, BM

The efficacy of cognitive behavior therapy for the treatment of perinatal anxiety symptoms: A preliminary meta-analysis

Maguire, PN Clark, GI Wootton, BM

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Publication Type:: Journal Article
Citation:: Journal of Anxiety Disorders, 2018, 60 pp. 26 - 34
Issue Date:: 2018-12-01

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Field	Value	Language
dc.contributor.author	Maguire, PN	en_US
dc.contributor.author	Clark, GI	en_US
dc.contributor.author	Wootton, BM https://orcid.org/0000-0001-9036-0699	en_US
dc.date.available	2020-12-01T18:03:32Z
dc.date.issued	2018-12-01	en_US
dc.identifier.citation	Journal of Anxiety Disorders, 2018, 60 pp. 26 - 34	en_US
dc.identifier.issn	0887-6185	en_US
dc.identifier.uri	http://hdl.handle.net/10453/130687
dc.description.abstract	© 2018 Elsevier Ltd Cognitive-behavior therapy (CBT) is considered the psychological treatment of choice for anxiety disorders in the general population. However the efficacy of CBT for anxiety that occurs during the perinatal period, defined as the period from conception to 12 months post birth, is less understood. Perinatal anxiety is a complex and multifaceted problem that can affect both the pregnant women and the unborn child, as well as the wider family unit. The aim of this study was to synthesize the current empirical status of CBT for perinatal anxiety using a meta-analytic approach. Relevant articles were identified through a search of electronic databases through to June 2018. The search terms used include ‘anxiety’ or ‘phobia’ AND ‘perinatal’ or ‘pregnan* or ‘postnatal’ or ‘postpartum’ AND ‘CBT’ or ‘cognitive behav* therapy’. Randomized and non-randomized studies were included within the meta-analysis. A total of 13 studies met the inclusion criteria and were included in the meta-analysis. The pooled between-group mean effect size was small at post treatment (k = 7; d = 0.49; 95% CI: 0.08–0.91) favoring the CBT treatments (Q1 = 30.13, p <.001). Heterogeneity was high (I2 = 80.09). The pooled within-group mean effect size was large across the treatment groups from pre-treatment to post-treatment when combining all of the studies (i.e., controlled and uncontrolled studies; k = 14; d = 0.90; 95% CI: 0.63–1.17). Heterogeneity was high (I2 = 88.55). Some preliminary and exploratory moderator analyses were also conducted to inform potential future research in this field.	en_US
dc.relation.ispartof	Journal of Anxiety Disorders	en_US
dc.relation.isbasedon	10.1016/j.janxdis.2018.10.002	en_US
dc.subject.classification	Clinical Psychology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Pregnancy Complications	en_US
dc.subject.mesh	Anxiety	en_US
dc.subject.mesh	Phobic Disorders	en_US
dc.subject.mesh	Perinatology	en_US
dc.subject.mesh	Postpartum Period	en_US
dc.subject.mesh	Pregnancy	en_US
dc.subject.mesh	Research Design	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Infant	en_US
dc.subject.mesh	Infant, Newborn	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Cognitive Behavioral Therapy	en_US
dc.title	The efficacy of cognitive behavior therapy for the treatment of perinatal anxiety symptoms: A preliminary meta-analysis	en_US
dc.type	Journal Article
utslib.citation.volume	60	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	60	en_US

Abstract:

© 2018 Elsevier Ltd Cognitive-behavior therapy (CBT) is considered the psychological treatment of choice for anxiety disorders in the general population. However the efficacy of CBT for anxiety that occurs during the perinatal period, defined as the period from conception to 12 months post birth, is less understood. Perinatal anxiety is a complex and multifaceted problem that can affect both the pregnant women and the unborn child, as well as the wider family unit. The aim of this study was to synthesize the current empirical status of CBT for perinatal anxiety using a meta-analytic approach. Relevant articles were identified through a search of electronic databases through to June 2018. The search terms used include ‘anxiety’ or ‘phobia’ AND ‘perinatal’ or ‘pregnan* or ‘postnatal’ or ‘postpartum’ AND ‘CBT’ or ‘cognitive behav* therapy’. Randomized and non-randomized studies were included within the meta-analysis. A total of 13 studies met the inclusion criteria and were included in the meta-analysis. The pooled between-group mean effect size was small at post treatment (k = 7; d = 0.49; 95% CI: 0.08–0.91) favoring the CBT treatments (Q1 = 30.13, p <.001). Heterogeneity was high (I2 = 80.09). The pooled within-group mean effect size was large across the treatment groups from pre-treatment to post-treatment when combining all of the studies (i.e., controlled and uncontrolled studies; k = 14; d = 0.90; 95% CI: 0.63–1.17). Heterogeneity was high (I2 = 88.55). Some preliminary and exploratory moderator analyses were also conducted to inform potential future research in this field.

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http://hdl.handle.net/10453/130687