Early Diagnosis of PPD Through Self-portraits

Completed

• Conditions: Postpartum Depression
• Interventions: Diagnostic Test: draw a person (DAP); Diagnostic Test: Edinburgh Postnatal Depression Scale (EPDS); Diagnostic Test: Beck Depression Inventory- II (BDI-II); Diagnostic Test: Traumatic Events Questionnaire (TEQ)

• Registration Number: NCT03791021
• Lead Sponsor: Sheba Medical Center

Brief Summary

the target of the research is development of a predictive tool for early identification of women which are at higher risk for development of postpartum depression.

the evaluating tools include self portraits and questionnaire during the third trimester of pregnancy.

The suggested research aims to evaluate if and how it would be possible to predict the potential for postpartum mood swing disorders in pregnant women while in the third trimester. The later to prevent the mother from enduring such a detrimental experience, which influences the child development, the family as well as the mother's intimate relationship.

The aim is to identify indicators to predict such potential, using questionnaires and self-portraits during pregnancy, to allow early intervention and treatment. Early diagnosis and quick treatment of pregnant women or post-partum mothers will allow them a higher level of functioning and may even prevent eventually infant neurological and developmental delays and hardships.

Detailed Description

the target of the research is to evaluate a method based on self portraits and targeted questionnaire done in the third trimester and three months later in order to identify pregnant women in higher risk to develop PPD.

the minimal number of objectives participating in the research would be 100 pregnant women during the third trimester of pregnancy.

the Draw A Person (DAP) test was described by Machover in 1949. it is still considered a reliable and well recognized test for evaluation of mental stress and disorders (Gilory, 2012).

in the research approximately 100 pregnant women in the third trimester would be asked to draw a self portrait in two different time points (during the third trimester and three to six months postpartum). in addition to the self portraits the participants would be asked to fill a set of questionnaires to evaluate the degree of depression, self esteem, personal history of traumatic events, and demographic data.

the self portraits would be evaluated by three judges. the reliability between judges would be tested using KAPPA test.

Study Timeline

• Study First Submitted: 2018-12-29
• Study First Submitted QC: 2018-12-29
• Study Start: 2019-01-01
• Study First Posted: 2019-01-02
• Status Verified: 2020-06
• Primary Completion: 2020-06-01
• Study Completion: 2020-06-01
• Last Update Submitted: 2020-06-07
• Last Update Posted: 2020-06-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 100

Inclusion Criteria

• third trimester pregnant women

Exclusion Criteria

• pregnant women with established diagnosis of mental disorders
• still birth or intra uterine disorders

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
third trimester pregnant women	Beck Depression Inventory- II (BDI-II)	the group of participants in this research would include approximately 100 subjects in the third trimester of their pregnancy. the participants would be collected in the central area of Israel from various socioeconomic groups. each participant would be asked to make draw a person (DAP) test, and answer a number of questionnaires including Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory II (BDI-II), and Traumatic Events Questionnaire (TEQ).
third trimester pregnant women	draw a person (DAP)	the group of participants in this research would include approximately 100 subjects in the third trimester of their pregnancy. the participants would be collected in the central area of Israel from various socioeconomic groups. each participant would be asked to make draw a person (DAP) test, and answer a number of questionnaires including Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory II (BDI-II), and Traumatic Events Questionnaire (TEQ).
third trimester pregnant women	Edinburgh Postnatal Depression Scale (EPDS)	the group of participants in this research would include approximately 100 subjects in the third trimester of their pregnancy. the participants would be collected in the central area of Israel from various socioeconomic groups. each participant would be asked to make draw a person (DAP) test, and answer a number of questionnaires including Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory II (BDI-II), and Traumatic Events Questionnaire (TEQ).
third trimester pregnant women	Traumatic Events Questionnaire (TEQ)	the group of participants in this research would include approximately 100 subjects in the third trimester of their pregnancy. the participants would be collected in the central area of Israel from various socioeconomic groups. each participant would be asked to make draw a person (DAP) test, and answer a number of questionnaires including Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory II (BDI-II), and Traumatic Events Questionnaire (TEQ).

Primary Outcome Measures

Name	Time	Method
development of a reliable projective tool for prediction of PPD	one year	ratification of a projective tool using self portrait tests to identify patient at risk for developing PPD

Trial Locations

Locations (1)

Aya Mohr Sasson; 🇮🇱 Ramat -Gan, Please Select, Israel