Frits Vlaanderen, Lapo Mughini-Gras, Chantal Bourgonje, Joke van der Giessen
Attitudes towards zoonotic disease risk vary across sociodemographic, communication and health-related factors: A general population survey on literacy about zoonoses in the Netherlands
One health (Amsterdam, Netherlands)
although individuallevel treatments exist pregnant postpartum women depression family conflict significant factor contribute development severity perinatal depressive symptoms yet lack research family therapy perinatal women moderate severe depressive symptoms family conflict research needed feasibility acceptability safety tolerability family therapies perinatal depression delivered using health insurance portability accountability actcompliant videoconferencing technology vct paper describes feasibility acceptability safety tolerability vctbased family therapeutic intervention resilience enhancement skills training rest perinatal women moderate severe depressive symptoms moderate high conflict family members paper includes data ongoing randomized trial compares experimental family therapeutic intervention rest standard care vctbased problemsolving individual therapy treatment moderate severe depressive symptoms perinatal women moderate high family conflict interventions delivered masterslevel therapists using vct total 83 perinatal women adult family members n166 individuals recruited participation study feasibility defined therapist adherence 80 rest session content assessed audiorecorded sessions 2 expert raters acceptability defined 80 families completing rest including completion 80 homework assignments family report satisfaction rest completion rest assessed review therapist session notes satisfaction assessed participant completion webbased questionnaire beck depression inventorysecond edition administered perinatal women research assistants blind study group assignment assess safety defined reduction depressive symptoms treatment phase family environment scalefamily conflict subscale administered therapists participants treatment phase assess tolerability defined reduction family conflict treatment phase average therapists achieved 90 adherence rest session content families started rest 84 3238 completed rest average completed 89 89 homework assignments families reported satisfaction rest results showed rest safe perinatal women moderate severe depressive symptoms none discontinued due worsened depressive symptoms results showed rest well tolerated families families discontinued due sustained family conflict results show rest feasible acceptable safe tolerable families findings guide interpretation rests preliminary effectiveness upon completion outcome data collection clinicaltrialsgov nct04741776 httpsclinicaltrialsgovct2shownct04741776