E-health treatments for Dual Disorders on pregnancy
Introduction Dual pathology during pregnancy, described as the co-occurrence of substance use and mental health problems, is one of the leading preventable causes of maternal and perinatal mortality and morbidity; however, effective and accessible treatments are lacking. Objectives As part of the...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822002723/type/journal_article |
| _version_ | 1797616817771905024 |
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| author | R. Carmona Camacho N. Lopez Carpintero I. Caro-Cañizares L. Albarracin García E. Baca Garcia M. Sanchez Alonso |
| author_facet | R. Carmona Camacho N. Lopez Carpintero I. Caro-Cañizares L. Albarracin García E. Baca Garcia M. Sanchez Alonso |
| author_sort | R. Carmona Camacho |
| collection | DOAJ |
| description |
Introduction
Dual pathology during pregnancy, described as the co-occurrence of substance use and mental health problems, is one of the leading preventable causes of maternal and perinatal mortality and morbidity; however, effective and accessible treatments are lacking.
Objectives
As part of the WOMAP(Woman Mental Health and Addictions on Pregnancy) initiative, our study aimed to evaluate the effectiveness of an e-health-based psychotherapeutic program compared to enhanced usual care.
Methods
This effectiveness clinical trial was conducted between 2016-2020 in 5 hospitals in the Madrid (Spain) metropolitan area. 2014 pregnant women under 26 weeks of pregnancy were screened. Eligible participants(n=120) were those who screened positive for co-occurring symptoms (AC-OK screener) and were not receiving specialized behavioral treatment. Participants were assessed in depth at baseline, 2,4,8 and 12 months(PHQ-9;GAD-7;PCL-5;AUDIT;DAST;Fagerström) and randomized to the usual care control group(n=38) or to two groups of a 10-session pregnancy-adapted psychotherapeutic program, one delivered by App/internet(n=41) and one by telephone(n=41). Intent-to-treat analyses assessed effectiveness.
Results
Statistically significant effects of the intervention were found for mental health symptoms in the telephone group as compared to the control and App/internet groups, with an improvement effect starting earlier (2 months) and lasting longer (figures 1-3). Regarding substance use, due to the lack of other substances consumption, only smoking and alcohol cessation rates were analyzed. Patients in the App/internet and telephone groups discontinued significantly more, earlier and for a longer period compared to the control group(figures 4-5).
Conclusions
E-health psychotherapeutic programs could benefit pregnant women with dual disorders. An App/internet implementation could only be useful if focused solely on substances.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:46:46Z |
| format | Article |
| id | doaj.art-e1345866ea524f17ab68aa9a27738166 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:46:46Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-e1345866ea524f17ab68aa9a277381662023-11-17T05:07:35ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S92S9310.1192/j.eurpsy.2022.272E-health treatments for Dual Disorders on pregnancyR. Carmona Camacho0N. Lopez Carpintero1I. Caro-Cañizares2L. Albarracin García3E. Baca Garcia4M. Sanchez Alonso5Hospital Fundación Jiménez Díaz, Psychiatry, Madrid, SpainTajo University Hospital, Gynecology And Obstetrics, Aranjuez, SpainUniversidad a Distancia de Madrid (UDIMA), Psychology, Collado Villalba, SpainHospital Fundación Jiménez Díaz, Psychiatry, Madrid, SpainHospital Fundación Jiménez Díaz, Psychiatry, Madrid, Spain Universidad Autonoma MAdrid, Psychiatry, Madrid, SpainHospital Fundación Jiménez Díaz, Psychiatry, Madrid, Spain Introduction Dual pathology during pregnancy, described as the co-occurrence of substance use and mental health problems, is one of the leading preventable causes of maternal and perinatal mortality and morbidity; however, effective and accessible treatments are lacking. Objectives As part of the WOMAP(Woman Mental Health and Addictions on Pregnancy) initiative, our study aimed to evaluate the effectiveness of an e-health-based psychotherapeutic program compared to enhanced usual care. Methods This effectiveness clinical trial was conducted between 2016-2020 in 5 hospitals in the Madrid (Spain) metropolitan area. 2014 pregnant women under 26 weeks of pregnancy were screened. Eligible participants(n=120) were those who screened positive for co-occurring symptoms (AC-OK screener) and were not receiving specialized behavioral treatment. Participants were assessed in depth at baseline, 2,4,8 and 12 months(PHQ-9;GAD-7;PCL-5;AUDIT;DAST;Fagerström) and randomized to the usual care control group(n=38) or to two groups of a 10-session pregnancy-adapted psychotherapeutic program, one delivered by App/internet(n=41) and one by telephone(n=41). Intent-to-treat analyses assessed effectiveness. Results Statistically significant effects of the intervention were found for mental health symptoms in the telephone group as compared to the control and App/internet groups, with an improvement effect starting earlier (2 months) and lasting longer (figures 1-3). Regarding substance use, due to the lack of other substances consumption, only smoking and alcohol cessation rates were analyzed. Patients in the App/internet and telephone groups discontinued significantly more, earlier and for a longer period compared to the control group(figures 4-5). Conclusions E-health psychotherapeutic programs could benefit pregnant women with dual disorders. An App/internet implementation could only be useful if focused solely on substances. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822002723/type/journal_articleperinatal mental healthdual disordersPerinatal care |
| spellingShingle | R. Carmona Camacho N. Lopez Carpintero I. Caro-Cañizares L. Albarracin García E. Baca Garcia M. Sanchez Alonso E-health treatments for Dual Disorders on pregnancy European Psychiatry perinatal mental health dual disorders Perinatal care |
| title | E-health treatments for Dual Disorders on pregnancy |
| title_full | E-health treatments for Dual Disorders on pregnancy |
| title_fullStr | E-health treatments for Dual Disorders on pregnancy |
| title_full_unstemmed | E-health treatments for Dual Disorders on pregnancy |
| title_short | E-health treatments for Dual Disorders on pregnancy |
| title_sort | e health treatments for dual disorders on pregnancy |
| topic | perinatal mental health dual disorders Perinatal care |
| url | https://www.cambridge.org/core/product/identifier/S0924933822002723/type/journal_article |
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