Internet therapy for postpartum depression: a case illustration of emailed therapeutic assistance
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Postpartum depression (PPD) afflicts up to 15 % of Canadian women following childbirth. Minimal research has focused on therapist-assisted internet-delivered cognitive behavior therapy (ICBT) for PPD. The purpose of this paper was to illustrate this novel treatment approach that was offered to a woman afflicted with PPD. A first-time mother participated in therapist-assisted ICBT for PPD. She completed the seven-module intervention in 12 weeks, sent seven emails to her therapist, and received 13 therapeutic emails. Therapeutic exchanges are presented. Treatment progress, therapeutic alliance, and treatment satisfaction were assessed. Symptom reduction was observed on all measures at post-treatment. Treatment satisfaction and a strong therapeutic alliance were also reported. The case will expand clinician understanding in therapist-assisted ICBT for PPD and may serve to stimulate clinician interest. Future research directions stemming from this case are presented.
KeywordsInternet-delivered cognitive behavior therapy Postpartum depression Therapist assistance Case study
The authors acknowledge the client for participating in the program and Marcie Nugent and Max Ivanov for their involvement in the development and management of the Online Therapy Unit for Service Education and Research, University of Regina. We also acknowledge Swinburne University’s National eTherapy Centre in Australia for licensing their existing therapist-assisted ICBT program that was utilized in this case study. This work was supported by funding provided by the Canadian Institutes of Health Research (reference number 101526) and Saskatchewan Health Research Foundation.
Conflict of interest
The authors declare that they have no conflict of interest.
The views expressed in the submitted article are that of the authors’ and not an official position of the institution or funders.
- Abidin RR (ed) (1995) Parenting stress index: professional manual, 3rd edn. Psychological Assessment Resources, Odessa, FLGoogle Scholar
- American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th ed., text rev. Washington, DC: AuthorGoogle Scholar
- Bassler M, Potratz B, Krauthauser H (1995) Der helping alliance questionnaire (HAQ) von Luborsky. [The helping alliance questionnaire (HAQ) by Luborsky]. Psychotherapeutics 40:23–32Google Scholar
- Cuijpers P, Donker T, van Straten A, Andersson G (2010) Is guided self-help as effective as face-to-face psychotherapy for depression and anxiety disorders? A systematic review and meta-analysis of comparative outcome studies. Psychol Med 40:1943–1957. doi: 10.1017/S0033291710000772 PubMedCrossRefGoogle Scholar
- Kendall-Tackett KA (ed) (2010) Depression in new mothers: causes, consequences, and treatment alternatives, 2nd edn. Routledge, Milton Park, Abingdon UKGoogle Scholar
- Klein B, Richards, JC (2001) A brief internet-based treatment for panic disorder. Behav Cog Psychother 27:113–117Google Scholar
- Luborsky L, Barber JP, Siqueland L et al (1996) The revised helping alliance questionnaire (HAq-II). Am J Psychother 5:260–271Google Scholar
- Milgrom J, Martin PR, Nergi L (1999) Treating postnatal depression: a psychological approach for health care practitioners, 2nd edn. Wiley, West Sussex, EnglandGoogle Scholar
- Roccaforte WH, Burke WJ, Bayer BL, Wenge SP (1992) Validation of a telephone version of the mini-mental state examination. J Am Geriatr 40:697–702Google Scholar
- Ruwaard J, Broeksteeg J, Schrieken B, Emmelkamp P, Lange A (2010) Web-based therapist-assisted cognitive behavioral treatment of panic symptoms: a randomized controlled trial with a three-year follow up. J Anxiety Disord 24:387–396. doi: 10.1016/j.janxdis.2010.01.010
- Sheeber LB, Seeley JR, Feil EG, Davis B, Kosty DB, Lewinsohn PM, Sorensen E (2012) Development and pilot evaluation of an internet-facilitated cognitive–behavioral intervention for maternal depression. J Consult Clin Psychol 80:739–749. doi: 10.1037/a0028820 PubMedCentralPubMedCrossRefGoogle Scholar
- Sheehan DV, Lecrubier Y, Sheehan KH et al (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59:34–57Google Scholar