Of the 176 high scorers, 36% completed the intervention, which lasted between three and six months, depending on each woman's needs. The rest declined referral for various reasons, such as no time, cost concerns, the stigma of receiving a psychiatric diagnosis, or because they did not believe they had postpartum depression despite psychoeducation. Two women left Singapore. With clinical intervention, 87% of the women showed at least a 20% improvement in symptomatology on the EPDS, with 78% (32 women) dropping to below the cutoff score of 13. Eighty-three percent had a reduction in Global Assessment of Functioning scores, indicating improvement in function and symptoms, and reduction in the Euroqol Health Index scores, indicating improved health-related quality of life. A number of women who had no change in or increased scores on the outcome measures faced social problems that contributed to their ongoing distress, particularly ongoing marital conflicts and lack of social support.