Effect of Tele-consultation in Addition With Psychiatric Follow-up During COVID-19 in Women Who Have Medical History of Post-partum Depression
- Conditions
- Post Partum Depression
- Registration Number
- NCT04516668
- Lead Sponsor
- Assistance Publique - Hôpitaux de Paris
- Brief Summary
Women who were able to benefit from psychiatric follow-up during the quarantine by tele-consultation have a lower risk of anxious and depressive symptoms than those who did not receive follow-up.
- Detailed Description
The pandemic of COVID-19 (coronavirus desease 19) led to a strict quarantine from 15 March 2020 to 11 May 2020. Maternal depression is a current pathology , especially in the post-partum (more than 15%). The quarantine could lead to anxious and/or depressive symptoms and difficulties in parents-children bonding.
Women who have experenced post-partum period have more chance to developp subsequent depression.
Among women who have experienced post-partum depression, those who were able to benefit from psychiatric follow-up during the quarantine by tele-consultation have a lower risk of anxious and depressive symptoms than those who did not receive follow-up.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 250
Women above 18 years old
Who have experienced a post-partum depression between 2013 and late of 2019
Who have benefit a psychiatry post-partum follow-up (hospitalizations in psychiatry post-partum unity and/or medical consultation) by Bicêtre psychiatry service
Who have a child less than 7 years old (preschool age)
Speaking and reading in french
And their partner (above 18 years old)
In the main analyze, only women with a indication of following psychiatric follow-up by tele-consultation (with a psychiatric follow-up at the begenning of the quarantine, who have not been follow-up by psychiatrist in hospitalization or in face to face consultation) will be analyzed
People with chronic psychotic disorder (Diagnostic and Statistical Manual of Mental Disorders:DSM-5 criteria)
People with mental handicap
People who are not able to give their consent
People subject to protection measure
People refusing to participate in the study
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Evaluation of Hospital anxiety and depression scale (HAD) 15 minutes To compare depression and anxiety HAD score of women who have a medical history ofpost-partum depression according to a follow-up or not during the quarantine by tele-consultation
Score less than or egal to 7 = no case Score between 8 and 10 = uncertain case Score higher than or equal to 11 = confirmed case
- Secondary Outcome Measures
Name Time Method Evaluation of HAD score in fathers 15 minutes Anxiety and depression of fathers will be assessed with HAD scale
Evaluation of EPDS in fathers 15 minutes EPDS will be assessed in fathers who have a child of less than 2 years old
Evaluation of Edinburgh Postpartum Depression Scale (EPDS) 15 minutes To compare the result of EPDS in women who have a child of less 2 years old according to a follow-up or not by tele-consultation during the quarantine
Risk and protection factors 15 minutes Description of risk factors and protection factors setting up by the family during this quarantine period
Study of the relationship between maternals and paternals symptoms 15 minutes The aim is to show that maternals anxious and depressive symptoms would be correlated to paternals positively symptoms
Study of difficuties in child during the quarantine 15 minutes Look for a correlation between the difficulties in child during the quarantine describe by parents and anxiety and depression symptoms in parents The difficulties in child will be illustrated with the rate of children with difficulties describe by the parents