Archives of Women's Mental Health

, Volume 21, Issue 1, pp 65–73 | Cite as

Influence of adjuvant detached mindfulness and stress management training compared to pharmacologic treatment in primiparae with postpartum depression

  • Mohammad Ahmadpanah
  • Marzieh Nazaribadie
  • Elham Aghaei
  • Ali Ghaleiha
  • Azade Bakhtiari
  • Mohammad Haghighi
  • Dena Sadeghi Bahmani
  • Amineh Akhondi
  • Hafez Bajoghli
  • Leila Jahangard
  • Edith Holsboer-Trachsler
  • Serge BrandEmail author
Original Article


Ten to 15% of mothers experience postpartum depression (PPD). If untreated, PPD may negatively affect mothers’ and infants’ mental health in the long term. Accordingly, effective treatments are required. In the present study, we investigated the effect of detached mindfulness (DM) and stress management training (SMT) as adjuvants, compared to pharmacologic treatment only, on symptoms of depression in women with PPD. Forty-five primiparae (mean age: M = 24.5 years) with diagnosed PPD and treated with an SSRI (citalopram; CIT) took part in the study. At baseline, they completed questionnaires covering socio-demographic data and symptoms of depression. Experts rated also symptoms of depression. Next, participants were randomly assigned to one of the following study conditions: adjuvant detached mindfulness (CIT+DM); adjuvant stress management training (CIT+SMT); control condition (CIT). Self- and experts’ ratings were completed at the end of the study 8 weeks later, and again at 8 weeks follow-up. Symptoms of depression decreased significantly over time, but more so in the CIT+DM and CIT+SMT group, compared to the control condition. The pattern of results remained stable at follow-up. In primiparae with PPD and treated with a standard SSRI, adjuvant psychotherapeutic interventions led to significant and longer-lasting improvements.


Detached mindfulness Stress management training Postpartum depression Standard SSRI treatment 


Compliance with ethical standards


The entire study was performed without external funding.

Conflict of interest

All authors declare that they have no conflicts of interest.

Ethical approval

All procedures performed in the present study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag GmbH Austria 2017

Authors and Affiliations

  • Mohammad Ahmadpanah
    • 1
  • Marzieh Nazaribadie
    • 1
  • Elham Aghaei
    • 2
  • Ali Ghaleiha
    • 1
  • Azade Bakhtiari
    • 3
  • Mohammad Haghighi
    • 1
  • Dena Sadeghi Bahmani
    • 4
  • Amineh Akhondi
    • 5
  • Hafez Bajoghli
    • 6
  • Leila Jahangard
    • 1
  • Edith Holsboer-Trachsler
    • 4
  • Serge Brand
    • 4
    • 7
    • 8
    Email author return OK on get
  1. 1.Research Center for Behavioral Disorders and Substance AbuseHamadan University of Medial SciencesHamadanIran
  2. 2.Department of Psychology, School of Human SciencesShahed UniversityTehranIran
  3. 3.Department of Psychology and Educational SciencesUniversity of IsfahanIsfahanIran
  4. 4.University of Basel, Psychiatric Clinics (UPK), Center for Affective, Stress and Sleep Disorders (ZASS)BaselSwitzerland
  5. 5.Hamadan Educational Organization, Ministry of EducationHamadanIran
  6. 6.Iranian National Center for Addiction Studies (INCAS)Tehran University of Medical SciencesTehranIran
  7. 7.University of Basel, Department of Sport, Exercise, and Health; Division of Sport and Psychosocial HealthBaselSwitzerland
  8. 8.Kermanshah University of Medical Sciences (KUMS), Psychiatry DepartmentKermanshahIran

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