Conclusion
depression, anxiety disorders, anxiety, depression/anxiety
This pilot RCT examined changes in the degree of anxiety and depression in pregnant women at risk for anxiety disorders following implementation of an intervention program using CBT. Implementation of the intervention by midwives reduced changes in anxiety and depression/anxiety in the intervention group. Self-efficacy for CBT responses increased significantly in the intervention group before and after the intervention and persisted until 1 month after delivery. In addition, a different trend was observed among first-time mothers, suggesting that the intervention may be particularly effective for these mothers. In further RCTs, the sample size could be set based on the data obtained in this study, and the intervention program should include additional sessions in the postpartum period.