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E-health treatments for Dual Disorders on pregnancy

Published online by Cambridge University Press:  01 September 2022

R. Carmona Camacho ,
N. Lopez Carpintero ,
I. Caro-Cañizares ,
L. Albarracin García ,
E. Baca Garcia  and
M. Sanchez Alonso
R. Carmona Camacho*
Affiliation:
Hospital Fundación Jiménez Díaz, Psychiatry, Madrid, Spain
N. Lopez Carpintero
Affiliation:
Tajo University Hospital, Gynecology And Obstetrics, Aranjuez, Spain
I. Caro-Cañizares
Affiliation:
Universidad a Distancia de Madrid (UDIMA), Psychology, Collado Villalba, Spain
L. Albarracin García
Affiliation:
Hospital Fundación Jiménez Díaz, Psychiatry, Madrid, Spain
E. Baca Garcia
Affiliation:
Hospital Fundación Jiménez Díaz, Psychiatry, Madrid, Spain Universidad Autonoma MAdrid, Psychiatry, Madrid, Spain
M. Sanchez Alonso
Affiliation:
Hospital Fundación Jiménez Díaz, Psychiatry, Madrid, Spain
*
*Corresponding author.

Abstract

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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.

Keywords

perinatal mental healthdual disordersPerinatal care
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S92 - S93
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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