Treatment of Anxiety in Pregnancy Study
NCT05064254 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 69
Last updated 2026-04-17
Summary
Anxiety Disorders or Depressive Disorders with anxiety, affect about 3/5 pregnancies. It is known that if left untreated, these disorders are associated with poor delivery outcomes, ongoing mental illness, and negative effects on the child. The COVID-19 pandemic has created heightened anxiety in many people especially the most vulnerable. As a result, the investigators have seen that pregnant women report even higher rates of anxiety than in the past. Talk therapy is recommended but is underused in part because it takes a long time to learn and use. The COVID crisis has added another layer of complexity in that in-person treatment is not routinely available. The investigator team has adapted a talk therapy treatment, "Mindful adaptive practice in pregnancy (MAPP)" where women are taught skills to reduce anxiety. This treatment is done virtually over the internet in a synchronous group format. The overall objective of this study is to assess the feasibility, acceptability, and adherence to the clinical trial protocol evaluating MAPP on anxiety symptoms among pregnant women. This synchronous virtual treatment is novel and has the potential to change clinical practice as it will effectively reduce anxiety, takes a short time to learn and women will have access to it regardless of living in rural or remote areas. The results of this study will guide the development of a larger multi-site randomized controlled trial (RCT).
Conditions
- Anxiety
- Pregnancy
Interventions
- OTHER
-
Treatment as usual (TAU)
TAU may include self-help methods, physician visit, provision of resources etc.
- OTHER
-
Mindful Adaptive Practice in Pregnancy Therapy
MAP teaches: a) recognition of personal maladaptive/ distressing patterns driving anxiety; b) how to relate differently; and c) cultivation of more adaptive ways of dealing with anxiety and learning how to effectively control it rapidly which allows re-engagement with life in more flexible ways.
Sponsors & Collaborators
-
Sunnybrook Research Institute
collaborator OTHER -
Women's College Hospital
collaborator OTHER -
Sunnybrook Health Sciences Centre
lead OTHER
Principal Investigators
-
Sophie Grigoriadis, MD, PhD · Sunnybrook Health Sciences Center
-
Steven Selchen, MD, FRCPC · Sunnybrook Health Sciences Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-11-17
- Primary Completion
- 2022-07-01
- Completion
- 2022-09-30
Countries
- Canada
Study Locations
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