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临床试验/NCT03088319
NCT03088319已完成不适用

Chronic Stress Protection for Post-natal Depression Prevention: An Exploratory Study

Institut de Recherche Biomedicale des Armees1 个研究点 分布在 1 个国家目标入组 100 人开始时间: 2017年4月11日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
100
试验地点
1
主要终点
post natal depression

研究概览

简要总结

The risk of emergence of a post natal depression is based on an interaction between a maternal psychic vulnerability and a chronic environmental context of stress. The PND appears as a relevant model for studying the mechanisms of chronic stress and vulnerability to psychological pathologies.

This study aim to follow a cohort of pregnant women to determine the predictive psychobiological factors of the emergence of postnatal depression

详细描述

The prevalence of postnatal depression is high in civilian settings (20%). In mechanistic terms, the risk of emergence of a post natal depression is based on an interaction between a maternal psychic vulnerability and a chronic environmental context of stress. The post natal depression appears as a relevant model for studying the mechanisms of chronic stress and vulnerability to psychological pathologies.

  • On the one hand, the repetition of stressors during pregnancy corresponds to a natural chronic stress model of several months and thus allows to study the biological cost of responses to repeated stresses, and the adaptive mechanisms leading to From functional drift to psychic dysfunction.
  • On the other hand, isolated vulnerability factors characterize a mirroring psychological profile of a Mindfulness type of functioning. Mindfulness or full consciousness has been described as a state of consciousness which results from intentionally, at the present moment, without judging the experience that unfolds moment by moment. This psychological resource has been associated with resilient or even resilient psychic functioning.

This study aim to follow a cohort of pregnant women from the first trimester of pregnancies to 2 months after the delivery to determine the predictive psychobiological factors of the emergence of postnatal depression

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 40 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • Physiological pregnancy
  • Follow-up of pregnancy in a participating maternity
  • Female over 18 years
  • Affiliated to a social security scheme

排除标准

  • Multiple pregnancy
  • Psychiatric, neurological, or endocrine or autoimmune diseases
  • Hormonal or psychotropic treatments

结局指标

主要结局

post natal depression

时间窗: baseline at three 3 months of pregnancy and two months after labour delivery

change in Edimbourg Post-Partum Depression scale at two months after labour delivery

次要结局

  • allostatic load as a composite index including blood GABA, BDNF and 8iso-Prostaglandins and capillary cortisol + heart rate variability index(baseline at three 3 months of pregnancy and two months after labour delivery)

研究者

发起方
Institut de Recherche Biomedicale des Armees
申办方类型
Other Gov
责任方
Principal Investigator
主要研究者

Marion Trousselard

senior researcher

Institut de Recherche Biomedicale des Armees

研究点 (1)

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