Randomized controlled trial to prevent postpartum depression in mothers on public assistance.

Journal: Journal of affective disorders

Volume: 189

Issue: 

Year of Publication: 2016

Affiliated Institutions:  Women and Infants Hospital, Providence, RI , United States; Department of Psychiatry and Mental Health, University of Cape Town, Observatory, Cape Town, South Africa. Electronic address: czlotnick@butler.org. Butler Hospital, Brown University, Blackstone Blvd, Providence, RI , United States. Bradley Hospital, Brown University, Veterans Memorial Parkway, East Providence, RI , United States. Decision Sciences Institute, Pacific Institute for Research and Evaluation, Pawtucket, RI , United States.

Abstract summary 

Postpartum depression (PPD) is a significant and common public health problem for women.To examine the efficacy of an intervention based on the principles of interpersonal therapy (IPT) in reducing the risk of PPD in pregnant women.Randomized controlled trial of 205 pregnant women who were 18 years old or older, on public assistance, and at risk for PPD. Participants (mean age=23; 38% Hispanic and 23% Black) were randomized to either the IPT group intervention (n=104) or the treatment as usual control (TAU) program (n=101).At 6 months, the overall depression rate in the intervention group (16%) was lower than the control group (31%) and the effect of the intervention was statistically significant at p<0.05.It is unknown if findings will generalize to a more heterogeneous sample of women than the current study, such as women from a range of socio-economic and cultural backgrounds, or marital status. There was a differential amount of contact between TAU and intervention conditions.An IPT based intervention during the prenatal period has the potential to reduce cases of PPD within 6 months postpartum in at risk mothers on public assistance.

Authors & Co-authors:  Zlotnick Caron C Tzilos Golfo G Miller Ivan I Seifer Ronald R Stout Robert R

Study Outcome 

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Statistics
Citations :  Abrams LS, Dornig K, Curran L. Barriers to service use for postpartum depression symptoms among low-income ethnic minority mothers in the United States. Qual Health Res. 2009;19:535–551.
Authors :  5
Identifiers
Doi : 10.1016/j.jad.2015.09.059
SSN : 1573-2517
Study Population
Women,Mothers
Mesh Terms
Adolescent
Other Terms
Depression;Interpersonal therapy;Intervention;Postpartum;Pregnancy
Study Design
Randomized Control Trial,Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Netherlands