{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T03:40:55Z","timestamp":1790394055512,"version":"4.1.0"},"reference-count":53,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T00:00:00Z","timestamp":1693440000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100008914","name":"Ontario Brain Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008914","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Postpartum depression (PPD) affects up to one in five mothers and birthing parents, yet just 10% receive evidence\u2010based care. This randomized controlled trial aimed to determine if a synchronous online 9\u2010week group cognitive\u2010behavioral therapy (CBT) intervention delivered by mothers who have recovered from postpartum depression (i.e., peers) could effectively improve PPD and its comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009183) in this study lived in Ontario, Canada, were \u226518\u2009years\u2010old, had an infant &lt;12\u2009months, were fluent in English, and scored \u226510 on the Edinburgh Postnatal Depression Scale (EPDS). They were randomized to experimental (received intervention plus treatment as usual (TAU)) or waitlist control (TAU plus the intervention after a 9\u2010week wait) groups. Depression, anxiety, social support, mother\u2010infant bonding, and infant temperament were assessed at baseline and 9\u2009weeks later. Outcomes were assessed in the experimental group 3\u2009months post\u2010intervention to assess stability.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Statistically significant reductions were observed in EPDS (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20095.99;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001;\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20091.32) and Generalized Anxiety Disorder Questionnaire\u20107 scores (\n                      <jats:italic>B<\/jats:italic>\n                      \u2009=\u20095.94;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001;\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20091.22), improvements that remained stable 3\u2009months post\u2010intervention in the experimental group. Maternal social support (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02;\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.40), infant\u2010focused anxiety (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02;\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.54), and infant negative emotionality (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01;\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u20090.23) also improved post\u2010intervention and remained stable 3\u2009months later.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Online peer\u2010delivered group CBT for PPD can effectively treat PPD and anxiety, and improve social support, infant\u2010focused anxiety, and negative emotionality in infants. This intervention could provide the means to increase access to treatment for those experiencing PPD and improve outcomes for mothers, birthing parents, and families.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acps.13611","type":"journal-article","created":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T03:20:10Z","timestamp":1693452010000},"page":"422-432","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Online peer\u2010delivered group cognitive\u2010behavioral therapy for postpartum depression: A randomized controlled trial"],"prefix":"10.1111","volume":"150","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0979-907X","authenticated-orcid":false,"given":"Donya","family":"Merza","sequence":"first","affiliation":[{"name":"Neuroscience Graduate Program McMaster University  Hamilton Ontario 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