Program overview
SESSION
The program was based on the theory of CBT, which encompasses the idea of reducing stress in one’s life, work, and relationships by understanding one’s habits of thinking and behavior and adjusting one’s cognitive and behavioral patterns [The interventionist had studied CBT for approximately two years at an institution specializing in CBT. The intervention was conducted in a series of simulated sessions and supervised by an expert. During the course of the intervention period, the quality of the intervention was ensured through simulated sessions and supervision.The program comprised three individual 30-minute sessions during the pregnancy period. The sessions covered psychoeducation and CBT, using pamphlets and in Japanese. Follow-up emails were sent 2 weeks after completion of the program and at 1, 2, and 3 weeks after delivery. The sessions were conducted remotely because of COVID-19 measures. The session topics are detailed below.Session 1: The Structure of EmotionsThis session explained mental health in the perinatal period, the structure of emotions, and how to solve problems using CBT.Session 2: Baby’s Crying and BreastfeedingThis session focused on a four-frame cartoon related to a baby crying and breastfeeding, which was discussed using CBT.Session 3: Relationships during childcareThe final session included four-panel cartoons related to husbands, coworkers, and older children that were discussed using CBT.Follow-up emailsThe purpose of these emails was to remind participants to incorporate the skills learned during the CBT program into their daily lives. No reply was required.