Mediation analyses of Internet-facilitated cognitive behavioral intervention for maternal depression

This study evaluated the putative mediating mechanisms of an Internet-facilitated cognitive-behavioral therapy (CBT) intervention for depression tailored to economically disadvantaged mothers of preschool-age children. The CBT mediators were tested across two previously published randomized controll...

Full description

Saved in:
Bibliographic Details
Published in:Cognitive behaviour therapy 2019-07, Vol.48 (4), p.337-352
Main Authors: Seeley, John R., Sheeber, Lisa B., Feil, Edward G., Leve, Craig, Davis, Betsy, Sorensen, Erik, Allan, Steve
Format: Article
Language:English
Subjects:
Adult
cognitive behavioral
Cognitive Behavioral Therapy
Cognitive therapy
Depression - therapy
Female
Humans
Internet
Maternal depression
mediation
Mental depression
Middle Aged
Models, Psychological
Mothers
Mothers - psychology
Motivational Interviewing
Postpartum depression
randomized controlled trial
Single-Blind Method
Therapy, Computer-Assisted
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This study evaluated the putative mediating mechanisms of an Internet-facilitated cognitive-behavioral therapy (CBT) intervention for depression tailored to economically disadvantaged mothers of preschool-age children. The CBT mediators were tested across two previously published randomized controlled trials which included the same measures of behavioral activation, negative thinking, and savoring of positive events. Trial 1 included 70 mothers with elevated depressive symptoms who were randomized to either the eight-session, Internet-facilitated intervention (Mom-Net) or to treatment as usual. Trial 2 included 266 mothers with elevated depressive symptoms who were randomized to either Mom-Net or to a motivational interviewing and referral to services condition. Simple mediation models tested each putative mediator independently followed by tests of multiple mediation that simultaneously included all three mediators in the model to assess the salient contributions of each mediator. The pattern of results for the mediating effects were systematically replicated across the two trials and suggest that behavioral activation and negative thinking are salient mediators of the Mom-Net intervention; significant mediating effects for savoring were obtained only in the simple mediation models and were not obtained in the multiple mediation models.
ISSN:1650-6073
1651-2316
DOI:10.1080/16506073.2018.1513554