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Lessons learned from a pilot randomized controlled trial of dyadic interpersonal psychotherapy for perinatal depression in a low-income population
- Source :
- J Affect Disord
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Background Perinatal depression is a public health burden impacting mothers and their offspring. This study extended brief-Interpersonal Psychotherapy delivered during pregnancy by incorporating a postpartum attachment based dyadic-component to maintain mother's treatment gains and enhance the mother-infant relationship (called IPT-Dyad). The current report presents data from a pilot randomized controlled trial comparing IPT-Dyad to Enhanced Treatment as Usual (ETAU). Methods Women, ages 18 and older, between 12–30 weeks gestation meeting criteria for a depressive disorder were eligible. Participants were randomized to either IPT-Dyad (n = 21) or ETAU (n = 21). Maternal and infant outcomes were assessed through one-year postpartum. Results Participants were primarily African American (77%), single (80%), with low-incomes. Attrition was high in both groups (IPT-Dyad 30%; ETAU 40%). Depression scores improved from baseline in both groups and remained improved over the 12 month follow-up. There were no between group differences on measures of parenting stress, mother-infant interactions, and infant socioemotional functioning. Limitations The small sample size of this study was further reduced by attrition, despite efforts to maintain engagement. Reliance on self-report outcome measures is also a limitation. Conclusions IPT-Dyad may be a promising intervention for perinatal depression with potential benefit for mothers and babies. Treatment engagement and management of psychosocial needs were persistent challenges throughout the postpartum period. Further refinement of intervention content and schedule to better meet the needs and values of under-resourced mothers is needed. Earlier screening; better integration of care within OB settings; and delivering care in conjunction with social service resources may also improve outcomes.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Pilot Projects
Article
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Pregnancy
law
medicine
Humans
Psychiatry
Poverty
Depression (differential diagnoses)
Interpersonal Psychotherapy
Depressive Disorder
Socioemotional selectivity theory
Depression
business.industry
Public health
Infant
030227 psychiatry
Psychotherapy
Psychiatry and Mental health
Clinical Psychology
Treatment Outcome
Interpersonal psychotherapy
Female
business
Psychosocial
030217 neurology & neurosurgery
Perinatal Depression
Postpartum period
Subjects
Details
- ISSN :
- 01650327
- Volume :
- 271
- Database :
- OpenAIRE
- Journal :
- Journal of Affective Disorders
- Accession number :
- edsair.doi.dedup.....c4ad01095ed8ba04512c040d1dfb04fd