Feasibility of a Psychoeducational Group Intervention to Improve Parental Reflective Functioning and Bonding in Prenatal Depression
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 21
- 试验地点
- 2
- 主要终点
- Change on Maternal Antenatal Attachment Scale (MAAS)
研究概览
简要总结
The goal of this clinical trial is to test a group for pregnant women with depression that aims to help them build a stronger relationship with their unborn baby. The main questions it aims to answer are:
- Is the group acceptable to pregnant women with depression?
- Is it possible to run this group with pregnant women with depression?
- Could the group potentially impact bonding, parental reflective functioning and mood?
Participants will be asked to:
- attend the group (which lasts 90mins)
- complete questionnaires before and after the group, and 1 month later
详细描述
Depression during pregnancy is a common mental health problem. Pregnant women with depression often continue to feel depressed after their baby is born, which can have several negative effects for both mother and child. For example, depressed mothers can find it harder to build a good relationship with their baby. Existing treatments for depression may not be sufficient to also improve the relationship between mother and baby. Depressed mothers may therefore need more specific help with connecting to their baby.
One promising new intervention is Baby CHAT. Baby CHAT is a single-session group that helps expectant parents learn about their unborn baby by viewing moving 4D ultrasound scans. It is believed that this will help parents to build a stronger relationship with their unborn baby. Baby CHAT has already been trialled with parents without any mental health problems, with promising results. This study aims to assess whether Baby CHAT is helpful for pregnant women with depression, collect data to inform future large-scale trials, and to develop the intervention from participants' feedback. The main research question asks: is Baby CHAT acceptable and feasible to deliver with pregnant women with depression?
Participants eligible to take part in the project will be people aged ≥18 years who are pregnant, between 20- and 34-weeks' gestation, and currently experiencing depressive symptoms. The project is taking place at an NHS site, with participants recruited from mental health and maternity services and online advertising. Participants will attend an online Baby CHAT group and complete online questionnaires at three time points (before and after Baby CHAT, and at one-month follow-up). The questionnaires will assess participants' relationship with their unborn baby, their ability to imagine their unborn baby as a separate person, and their level of depressive symptoms. The anticipated study end date is May 2023.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Currently pregnant
- •Aged ≥18 years
- •Between 20- and 34-weeks' gestation
- •Currently experiencing depressive symptoms as identified by the Edinburgh Postnatal Depression Scale (EPDS)
- •Resident in or accessing services in a London borough served by South London & Maudsley NHS Foundation Trust
排除标准
- •Experiencing severe depression or current severe co-morbid diagnoses e.g. psychosis
- •Endorse 'yes, quite often' or 'sometimes' on question 10 of the Edinburgh Postnatal Depression Scale (EPDS; in the past 7 days, 'the thought of harming myself has occurred to me') at screening
- •Unable to complete informed consent and the questionnaires in English
结局指标
主要结局
Change on Maternal Antenatal Attachment Scale (MAAS)
时间窗: Baseline, up to 48-hours post-intervention, 1-month follow-up
The Maternal Antenatal Attachment Scale (MAAS; Condon, 1993) is a self-report questionnaire for expectant mothers, designed to assess the maternal-foetal attachment during pregnancy. The scale consists of 19 items on a 5-point Likert scale assessing women's attitudes, feelings and behaviours towards their foetus. Higher total scores indicate stronger prenatal bonding i.e. a better outcome (range 19-95).
次要结局
- Change on Prenatal Parental Reflective Functioning Questionnaire (P-PRFQ)(Baseline, up to 48-hours post-intervention, 1-month follow-up)
- Change on Edinburgh Postnatal Depression Scale (EPDS)(Baseline, up to 48-hours post-intervention, 1-month follow-up)