A randomised, controlled pilot study of cognitive analytic therapy (CAT) for stressed pregnant women with underlying anxiety and depression in a routine health service setting.

A randomised, controlled pilot study of cognitive analytic therapy (CAT) for stressed pregnant women with underlying anxiety and depression in a routine health service setting. Clin Psychol Psychother. 2020 Sep 30;: Authors: Hamilton J, Saxon D, Best E, Glover V, Walters SJ, Kerr IB Abstract A pilot study of cognitive analytic therapy (CAT) plus treatment as usual (TAU), versus TAU in stressed pregnant women with anxiety and depression was undertaken as an essential preliminary to any definitive, randomised controlled trial (RCT). The trial was pragmatic, multicentre, parallel, randomised, controlled, and unblinded. Participants were pregnant woman screened using the Hospital Anxiety and Depression Scale (HADS). Treatment was standard 16 session CAT. Main outcome measures: Spielberger State/Trait Anxiety Inventory (STAI) (primary outcome measure) at 24 weeks post-randomisation, therefore one month post-therapy for the CAT group; HADS; CORE-OM, EPDS; SF36, and a brief 'experience of therapy' questionnaire, completed at baseline, and on average at 12, 24, 40 and 82 weeks post-randomisation. 39 patients (CAT + TAU n=20: TAU =19) were randomised with mean baseline STAI-STATE scores of 50.8 (SD 11.4) and 51.1 (13.3) respectively. 16 patients had missing primary outcome data leaving 23 (n=11, n=12) patients for analysis. The mean STAI-STATE score was 38.5 (SD 13.8) and 45.7 (16.8) in the CAT and TAU groups respectively at 24 weeks post-ran...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research