Based on baseline DASS21/EPDS | Based on ‘unsuitability’ for CBT (intervention group) |
---|---|
Women with ‘severe’ or ‘extremely severe’ psychological distress based on one or more of the following criteria: | Women in intervention group with three or more of the following criteria: |
1. Depression subscale ≥21 and/or | 1. ANRQ-R positive for childhood emotional neglect, childhood emotional abuse, or childhood sexual or physical abuse and/or |
2. Anxiety subscale ≥15 and/or | 2. ANRQ-R positive for multiple major stressors (for example, major financial issues, bereavement, or separation) |
3. Stress subscale ≥26 | 3. Current substance use or domestic violence |
4. EPDS positive Q10 (1, 2, or 3) | 4. EPDS positive Q10 or total EPDS score >15 |