Transdiagnostic Internet Cognitive-behavior Therapy for Mixed Anxiety and Depressive Symptoms in Postnatal Women

What this study is about

This research project aims to examine the acceptability and efficacy of a French-Canadian adaptation of a postnatal anxiety and depression program. The main question it aims to answer is: \[1\] When the adapted postnatal Internet-delivered cognitive behavioral therapy (iCBT) is added to treatment as usual (TAU) in community-based care for women with anxiety and depressive symptoms, is the iCBT+TAU condition more effective to reduce symptoms than TAU alone? Participants will: postnatal iCBT group -\> Answer questionnaires before, after (week 6) and 4 weeks after the intervention (week 10); do the 6-week non-guided iCBT program for anxiety and depressive symptoms during the postnatal period. Waitlist, TAU group -\> Answer questionnaires at enrolment, at week 6 and week 10. Participants will have access to the intervention after they complete their last questionnaires.

Who can join (things the study team will check)

✅ You may be able to join if…

• 18 years and older
• Being within 12 months postpartum
• Fluent in spoken and written French
• Self-reported clinical score ≥10 for anxiety and/or depressive symptoms based on the Generalised Anxiety Disorder-7 (GAD-7) and the Edinburgh Postnatal Depression Scale 10-item scale (EPDS)
• Access to a computer/tablet and internet connection
• Agreement to share primary provider contact information

🚫 You may not be able to join if…

• Self-reported diagnosis of schizophrenia or bipolar disorder
• Current substance abuse or dependence
• Current use of benzodiazepines
• Beginning psychological therapy (< 4 weeks ago) or medication (< 8 weeks ago) for depression/anxiety
• Severe depression (EPDS score ≥ 23) or active suicidal intentions (EPDS question 10 = 3, yes quite often)

Where this trial is running

• Centre intégré de santé et services sociaux de la Montérégie-Ouest, Châteauguay, Quebec, Canada
• Centre intégré de santé et services sociaux de la Montérégie-Est, Greenfield Park, Quebec, Canada
• Centre intégré de santé et services sociaux de la Montérégie-Centre, Longueuil, Quebec, Canada
• Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Quebec, Canada

Who to contact

Pasquale Roberge, PhD · 819 821-8000 · Pasquale.Roberge@USherbrooke.ca

It's completely normal to call and ask questions before deciding anything. Mention the study ID: NCT06778096.