The Feasibility and Effects of Perinatal Interpersonal Psychotherapy Group for Distressed Women
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 258
- Locations
- 1
- Primary Endpoint
- Dyadic Adjustment Scale
Study Overview
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 Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 20 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
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.
Arms & Interventions
intervention group
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.
Intervention: interpersonal group psychotherapy (Other)
control group
The participants of control group reply questionnaires for four times.
Outcomes
Primary Outcomes
Dyadic Adjustment Scale
Time Frame: 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)
Time Frame: 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)
Time Frame: 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
Time Frame: 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)
Time Frame: 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.
Secondary Outcomes
No secondary outcomes reported
Investigators
Peyling Shieh
Associate professor
Chung Shan Medical University