Display options
Cite
Singla DR, Hossain S, Ravitz P, et al. Adapting behavioral activation for perinatal depression and anxiety in response to the COVID-19 pandemic and racial injustice. J Affect Disord. 2021;299:180-187doi: 10.1016/j.jad.2021.12.006.
Singla, D. R., Hossain, S., Ravitz, P., Schiller, C. E., Andrejek, N., Kim, J., La Porte, L., Meltzer-Brody, S. E., Silver, R., Vigod, S. N., Jung, J. W., & Dimidjian, S. (2021). Adapting behavioral activation for perinatal depression and anxiety in response to the COVID-19 pandemic and racial injustice. Journal of affective disorders, 299180-187. https://doi.org/10.1016/j.jad.2021.12.006
Singla, Daisy R, et al. "Adapting behavioral activation for perinatal depression and anxiety in response to the COVID-19 pandemic and racial injustice." Journal of affective disorders vol. 299 (2021): 180-187. doi: https://doi.org/10.1016/j.jad.2021.12.006
Singla DR, Hossain S, Ravitz P, Schiller CE, Andrejek N, Kim J, La Porte L, Meltzer-Brody SE, Silver R, Vigod SN, Jung JW, Dimidjian S. Adapting behavioral activation for perinatal depression and anxiety in response to the COVID-19 pandemic and racial injustice. J Affect Disord. 2021 Dec 05;299:180-187. doi: 10.1016/j.jad.2021.12.006. Epub 2021 Dec 05. PMID: 34875282; PMCID: PMC8645290.
Copy Download .nbib Format: NLM
Share it on

J Affect Disord. 2021 Dec 05;299:180-187. doi: 10.1016/j.jad.2021.12.006. Epub 2021 Dec 05.

Adapting behavioral activation for perinatal depression and anxiety in response to the COVID-19 pandemic and racial injustice.

Journal of affective disorders

Daisy R Singla, Sabrina Hossain, Paula Ravitz, Crystal E Schiller, Nicole Andrejek, Jo Kim, Laura La Porte, Samantha E Meltzer-Brody, Richard Silver, Simone N Vigod, James W Jung, Sona Dimidjian

Affiliations

  1. Campbell Family Mental Health Research Institute, Center of Addiction and Mental Health, Toronto, Canada; Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada; Lunenfeld Tanenbaum Research Institute, Toronto, Canada. Electronic address: [email protected].
  2. Lunenfeld Tanenbaum Research Institute, Toronto, Canada.
  3. Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada; Lunenfeld Tanenbaum Research Institute, Toronto, Canada; Department of Psychiatry, Sinai Health, Toronto, Canada.
  4. Department of Psychiatry, School of Medicine, University of North Carolina, Chapel Hill, United States.
  5. Department of Obstetrics and Gynecology, NorthShore University HealthSystem, Chicago, IL, United States.
  6. Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada; Department of Psychiatry, Women's College Hospital, Toronto, Canada.
  7. Department of Psychology, University of Calgary, Calgary, Canada.
  8. Renee Crown Wellness Institute and Department of Psychology and Neuroscience, University of Colorado, Boulder, United States.

PMID: 34875282 PMCID: PMC8645290 DOI: 10.1016/j.jad.2021.12.006

Abstract

BACKGROUND: We examined the implementation of a brief, behavioural activation (BA) model, via telemedicine, for perinatal populations during a confluence of significant global events in 2020. We conducted a rigorous qualitative study to identify relevant barriers and facilitators from the perspectives of both perinatal participants and treatment providers. We also present two case studies where BA was used and adapted to provide patient-centered care.

METHODS: Within the ongoing SUMMIT non-inferiority randomized controlled trial in Canada and USA, we interviewed a random selection of perinatal participants (n = 23) and all treatment providers (n = 28). A content analysis framework was developed to identify relevant barriers and facilitators and frequencies were calculated for each emergent theme within and across respondent groups.

RESULTS: Key facilitators reported by participants receiving BA were that BA helped with support and social connection (73.9%), creative problem solving (26.1%) and attending to pandemic-related symptoms (21.7%). Key facilitators endorsed by providers delivering BA were the use of telemedicine (35.7%) and loosening of government restrictions (21.4%). Both participant groups reported similar barriers to BA during the pandemic such as a lack of privacy and limited activities due to pandemic restrictions. However, providers were more likely to endorse pandemic-related life stressors as a barrier to treatment delivery compared to participants (64.3% vs. 34.8%). Both participant groups experienced explicit discussion of race and the racial justice movements during sessions as beneficial and reported harms of not doing so to the therapeutic alliance.

CONCLUSIONS: BA offers a person-centered model to facilitate social connection through creative problem-solving for women with perinatal depressive and anxiety symptoms within the context of the COVID-19 pandemic. Explicit discussion of race and racial injustice during sessions is an important and helpful aspect in psychological treatments.

Copyright © 2021. Published by Elsevier B.V.

Keywords: Behavioral activation; COVID-19; Ethnicity; Perinatal depression; Psychotherapy; Race

Publication Types