Perinatal Interpersonal Psychotherapy Group for Distressed Women

Not Applicable

Completed

• Conditions: Depression, Postpartum; Social Adjustment
• Interventions: Other: interpersonal group psychotherapy

• Registration Number: NCT06431672
• Lead Sponsor: Chung Shan Medical University

Brief Summary

This is the first perinatal interpersonal psychotherapy group (P-IPTG) implemented for distressed women from pregnancy to postpartum. The feasibility and effects of P-IPTG are explored.

Detailed Description

This is the first perinatal interpersonal psychotherapy group (P-IPTG) implemented for distressed women from pregnancy to postpartum. The feasibility and effects of P-IPTG are explored. The third-trimester women were recruited as intervention and control group participants by a quasi-experimental design.

Study Timeline

• Study Start: 2018-03-15
• Primary Completion: 2020-12-31
• Study Completion: 2020-12-31
• Status Verified: 2024-05
• Study First Submitted: 2024-05-22
• Study First Submitted QC: 2024-05-27
• Last Update Submitted: 2024-05-27
• Study First Posted: 2024-05-28
• Last Update Posted: 2024-05-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 258

Inclusion Criteria

• women in the third trimester of pregnancy, at least 20 years old, able to read and write in Chinese, and "depressed, anxious, or wishing to improve family relationships."

Exclusion Criteria

• women with schizophrenia, substance use, or suicide risk.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
intervention group	interpersonal group psychotherapy	The intervention was an eight-session P-IPTG, which consisted of four sessions in pregnancy and four in postpartum. All participants replied to the measures at four waves from baseline to one year postpartum. The outcome variables were within-group and between-group changes in depression, social support, dyadic adjustment, interpersonal relationship satisfaction, and mother-infant bonding.

Primary Outcome Measures

Name	Time	Method
Dyadic Adjustment Scale	the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum	The Dyadic Adjustment Scale (DAS, Spanier, 1976) assessed women's perceived quality of either married or unmarried couple relationship. The scale consists of 32 items, primarily scored in a 6-point scale (27 items). It measures four factors: dyadic consensus, dyadic satisfaction, dyadic cohesion, and affectionate expression. Higher scores indicate better dyadic adjustment in respective aspects.
Social Network Interaction System Questionnaire (SNISQ, Lay & Liu, 1996)	the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum	The Social Network Interaction System Questionnaire (SNISQ, Lay \& Liu, 1996) was used to evaluate perceptions of social support from partners, original families, and in-laws. The SNISQ consists of nine Likert-type items with 1 to 4 points, with higher scores indicating better- perceived support from specific individuals.
Mother-Infant Bonding Inventory (Shieh et al., 2015)	the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum	The Mother-Infant Bonding Inventory (MIBI, Shieh et al., 2015) assessed mothers' thoughts, feelings, and commitment toward their infants. The MIBI consists of 25 items scored on 1 to 6 points. Its four factors are proximity, parental adjustment, commitment, and confidence of reciprocity. Higher scores indicate good mother-infant bonding in specific aspects.
Edinburgh Postnatal Depression Scale	the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum	The Edinburgh Postnatal Depression Scale (EPDS, Cox et al., 1987) was used to assess depressive symptoms. It consists of ten Likert-type items with 0 to 3 points, with higher scores indicating more depressive symptoms over the past week. Following the previous study (Su et al., 2007), we used higher than 12 to define participants with significant depressive tendencies.
Satisfaction with Interpersonal Relationships Scale (Chan et al., 2002)	the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum	Chan et al. (2002) used the Satisfaction with Interpersonal Relationships Scale (SWIRS,) to assess women's satisfaction with their relationships with partners and mothers-in-law over the past few weeks. We expanded the scale to include ratings of relationships with fathers, mothers, and fathers-in-law, resulting in five items. The SWIRS is a Likert-type item with 1 to 7 points, with higher scores indicating greater satisfaction with the relationship.

Trial Locations

Locations (1)

Chung Shan Medical University; 🇨🇳 Taichung, Taiwan