Art Therapy in Obstetric Patients
- Conditions
- DepressionPregnancy Related
- Interventions
- Other: nothingOther: art therapy
- Registration Number
- NCT05503056
- Lead Sponsor
- Medstar Health Research Institute
- Brief Summary
This is a prospective study examining the potential impact art therapy has on postpartum depression and mother-baby bonding in women. Women who receive care at Washington Hospital Center's will be recruited for this study.
- Detailed Description
The purpose of this research study is to assess whether alternative mental health interventions positively impacts maternal-infant bonding and postpartum depression rates in women. Postpartum depression continues to be a prevalent concern for mothers and families in the United States, with current estimates demonstrating 10-20% of women being diagnosed within one year of birth. The risks of developing postpartum depression are not well known, with maternal anxiety and stress during pregnancy being one of the proposed predisposing factors. Women with high-risk pregnancies are particularly susceptible to higher levels of stress and depression, during their pregnancy thus leaving them at great risk for postnatal depression. Given this association, finding ways to alleviate stressors is important.
Music therapy is a known intervention linked with improved outcomes in women undergoing procedural interventions, including labor and delivery. Art therapy is also associated with improved outcomes, though outside of obstetrics. In elderly women with depression and those with breast cancer diagnoses, visual art therapy has been shown to be superior to other non-medicinal interventions in improving mood. Current data is both qualitative as well as quantitative, demonstrating positive impacts on patients.
While evidence exists to support the utilization of these alternative forms of therapy, they have not been adequately applied to pregnant and postpartum women outside of music therapy. With the understanding that other art forms are tied with improvement in anxiety, depression, and quality of life, the implementation in this special patient population is paramount. Investigating how a relatively benign intervention can possibly promote improvement in maternal mental health, thus allowing for better mother-baby bonding in the first year of life, is key in finding ways to support the growth and development of healthy families.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 100
- Participants will have to be eighteen years of age or older
- in the second trimester of pregnancy at time of recruitment
- speak and read English as their primary language
- have access to a reliable internet/wifi connection to participate in therapy sessions
- plan to deliver at Washington Hospital Center
- Women who do not meet those criteria
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Control nothing Engage in usual activities Intervention art therapy Engage in six art therapy sessions
- Primary Outcome Measures
Name Time Method utilization of behavioral health/psychology/psychiatry services during pregnancy and postpartum start, and end of intervention period; time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum chart review to see if patients utilized services "yes" vs. "no"
use of psychiatry medications during and after pregnancy start, and end of intervention period; time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum chart review to see if patients utilized services "yes" vs. "no"
changes in Edinburgh Postnatal Depression Scale scores start, and end of intervention period; time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum raw score on scale
change in maternal-infant bonding scores start, and end of intervention period; time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum raw score on scale
- Secondary Outcome Measures
Name Time Method gestational age at time of delivery delivery chart review
reason for delivery (iatrogenic vs spontaneous) delivery chart review
obstetrical complications (postpartum hemorrhage, OASIS, ICU admission) up to 3 months postpartum chart review
mode of delivery delivery chart review
birth weight delivery chart review
APGAR scores delivery chart review
NICU admissions delivery chart review
delivery complications (shoulder dystocia, low birth weight) delivery chart review
Trial Locations
- Locations (1)
Washington Hospital Center
🇺🇸Washington, District of Columbia, United States