Does Enhancing Maternal Peer Interactions Decrease Rates of Postpartum Depression?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 33
- 试验地点
- 1
- 主要终点
- Development of postpartum depression
研究概览
简要总结
The long-term goal of this study is to validate a simple and inexpensive intervention to reduce the incidence and impact of Postpartum Depression (PPD). The central hypothesis is that enhancing social support of new mothers specifically via an organized peer get-together will decrease rates of postpartum depression. The rationale for the proposed research is that even though PPD is common and risk factors for developing PPD are known, simple and inexpensive interventions to prevent PPD need to be studied. Postpartum mothers will be recruited for the study and randomized into control versus intervention group. The intervention group will be placed in a peer discussion group. Incidence of PPD will be tracked.
详细描述
According to a 2014 Cochrane Review, postpartum depression (PPD) is present in 13% of new mothers by twelve weeks postpartum. Infant feeding, sleep routines, growth, and socioemotional and cognitive development can be adversely affected by maternal PPD. These negative effects can last into childhood. Previous studies have shown that strong social support is protective against PPD. The 2014 Cochrane Review on this topic comments that simple, inexpensive interventions to decrease rates of PPD are needed and that interventions led by lay-people and done in groups may be helpful to decrease rates of PPD. More recent studies focus on interventions for mothers already showing symptoms of postpartum depression, not on preventing these symptoms from developing.
The proposed work is important, because it capitalizes on recommendations for future research from the 2014 Cochrane Review on Psychosocial and Psychological Interventions for Preventing Postpartum Depression. The proposed work is also innovative, because it involves a preventive intervention from lay-people in a group setting, with new moms benefiting from each other. At the completion of this project, it is our expectation that mothers in the intervention group will have sustained decreased rates of PPD.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Women who deliver at the Hershey Medical Center
- •Postpartum women within first week after delivery
- •Women who are 18 years of age or older
排除标准
- •Postpartum women who delivered newborn before 35 0/7 gestational age.
- •Postpartum women whose newborn required any length of stay in the newborn intensive care unit.
- •Postpartum women who do not speak English.
- •Postpartum women who are less than 18 years old.
- •Postpartum women who are unable to provide consent.
- •Postpartum women who were on antidepressant or antianxiety medication or undergoing therapy for depression or anxiety during pregnancy or during postpartum hospitalization.
研究组 & 干预措施
Control group
Participants will be recruited and asked to complete Edinburgh Postnatal Depression Scale (EPDS) at specific timepoints postpartum.
Intervention group
Participants will be recruited, asked to complete Edinburgh Postnatal Depression Scale at specific timepoints postpartum, and attend a peer discussion group.
干预措施: Peer discussion group (Behavioral)
结局指标
主要结局
Development of postpartum depression
时间窗: 6 months postpartum
Edinburg Postnatal Depression Scale. Score 0-30. Score \> or = 10 considered greater risk of depression.
Risk of development of postpartum depression
时间窗: 4-8 weeks postpartum
Edinburg Postnatal Depression Scale. Score 0-30. Score \> or = 10 considered greater risk of depression.
Development of postpartum depression
时间窗: 12 weeks postpartum
Edinburg Postnatal Depression Scale. Score 0-30. Score \> or = 10 considered greater risk of depression.
次要结局
未报告次要终点
研究者
Brittany Massare
Principal Investigator
Milton S. Hershey Medical Center