Evaluating the Applicability of Cognitive Behavioral Therapy and Positive Psychotherapy in Treating Physical, Psychological and Social Aspects among Postpartum Women with Depression in China
| dc.contributor.author | ZHENG SHIYU | |
| dc.date.accessioned | 2026-08-12T03:10:29Z | |
| dc.date.issued | 2025 | |
| dc.description | Postpartum Depression (PPD) poses a significant public health challenge for women, affecting a large number annually. This study aims to evaluate the applicability of Cognitive Behavioural Therapy (CBT) and Positive Psychotherapy (PPT) for postpartum depressed women in China in physical (insomnia, fatigue), psychological (hope, rumination thinking) and social (perceived social support) aspects. Following an ethical review, purposive sampling was conducted to collect 260 samples from Guiyang Maternal and Child Health Hospital, Bijie Maternal and Child Health Hospital, and Qingzhen Maternal and Child Health Hospital. Participants included mothers experiencing depression within 0-8 weeks postpartum. Inclusion criteria included possession of at least a middle school diploma, a diagnosis of postpartum depression (indicated by a Beck Depression Inventory score above 13), voluntary participation, adherence to group rules, and non-usage of psychotropic medications. Exclusion criteria comprised suicidal ideation, a professional background in psychology or counselling, prior experience with similar treatments, serious illness, and disability. The study used the Quasi-Experimental design (Pretest-Posttest Control Group Design) to measure the difference between the experimental and control groups. Experiment 1 was designed to evaluate the applicability of CBT in physical (insomnia, fatigue), psychological (hope, rumination thinking) and social (perceived social support) aspects. Experiment 2 aimed to evaluate the applicability of PPT in physical (insomnia, fatigue), psychological (hope, rumination thinking) and social (perceived social support) aspects. The study process followed the sequence of participant screening, pretest, treatment, and posttest. The treatment modules were CBT and PPT. Instruments included the Chinese version of the Beck Depression Inventory (BDI-II-C) and the Integrative Dimensions Questionnaire (IDQ), which encompassed iv various parts: the Chinese versions of the Insomnia Severity Index (ISI-C), Fatigue Scale (FS-14-C), Herth Hope Index (HHI-C), Rumination Response Scale (RRS-C), and Multidimensional Scale of Perceived Social Support (MSPSS-C). The intervention plans are divided into CBT module and PPT module, and each module contains three treatments, once a week. Each session takes 2.5 hours to complete a specific theme. All modules and instruments were examined in the pilot study with good reliability, fidelity and validity. Research data underwent cleaning, normality tests, homogeneity of variance tests, descriptive statistics, and inferential statistics. The results indicated: a) CBT improved insomnia, fatigue, ruminative thinking, and perceived social support but was ineffective for hope; PPT was effective in improving fatigue, ruminative thinking, hope, and perceived social support but was ineffective for insomnia. b) CBT was more effective than PPT in reducing rumination, while PPT was superior in increasing perceived social support. In conclusion, CBT and PPT have distinct advantages in addressing insomnia, fatigue, hope, rumination thinking and perceived social support. The counsellor should select the applicable treatment model to address the physical, psychological and social difficulties. This study contributes to the integration and development of CBT and PPT theories within Chinese culture and offers a credible reference for health workers and psychological practitioners in providing targeted interventions for postpartum depressed women. Future studies could evaluate the long-term treatment results of these variables, incorporating additional treatment models and variables for broader research insights. | |
| dc.identifier.uri | https://scholarhub.unimas.my/handle/123456789/1475 | |
| dc.language.iso | English | |
| dc.publisher | UNIVERSITI MALAYSIA SARAWAK | |
| dc.relation.ispartofseries | Faculty of Cognitive Sciences and Human Development | |
| dc.subject | Cognitive behavioral Therapy, Positive Psychotherapy, Postpartum Depression, Applicability, Insomnia, Fatigue, Hope, Ruminative Thinking, Perceived Social Support | |
| dc.title | Evaluating the Applicability of Cognitive Behavioral Therapy and Positive Psychotherapy in Treating Physical, Psychological and Social Aspects among Postpartum Women with Depression in China | |
| dc.type | PhD |