Mental illness in the postpartum period (0-2 yrs postpartum) F53.1 F53.8 F53.9 F32.2 F32.3 F33.2 F33.3
Conditions
Interventions
Group 1: Intervention Group (fathers are included in the treatment)
The intervention group includes participation in a weekly program (6 sessions of 60-75 minutes each), accompanying the mothers' tre
Sponsors
Universitätsklinikum HeidelbergInstitut für Psychosoziale Prävention
Eligibility
Sex/Gender
Female
Age
18 Years to 49 Years
Inclusion criteria
Inclusion criteria: Mothers: - Mental disorder according to ICD-10 - Indication for mother-child treatment according to OPS 9-643 (determined by the ward physician/psychologist) - Birth of a child no longer than 24 months ago - Sufficient German language skills - Written informed consent (DvH, ICH-GCP), including consent to audio recording of scientific interviews and video recording of mother-child interactions. Fathers: - Birth of a child no more than 24 months ago. - Admission of the partner with the common child for inpatient mother-child treatment - Sufficient German language skills - Written informed consent (DvH, ICH-GCP), including consent to audio recording of scientific interviews and video recording of mother-child interactions. Children: Inclusion criteria: - Joint admission with mother for inpatient mother-child treatment. - Not older than 24 months - No acute stress or illness at the time of videodiagnostic recording
Exclusion criteria
Exclusion criteria: Mothers: - Organic brain disease or relevant severe somatic disease affecting cerebral function. - Previous or current indication for primary addiction treatment for alcohol or illicit drug disorders. - Inability to understand the content and significance of the study and to give informed consent in writing. - Massively increased aggressiveness or current behavior dangerous to others at the time of inclusion. - Acute self-harm/suicidality at inclusion. Fathers: - Inability to understand content and significance of study and give informed consent in writing. - Massively increased aggressiveness or current behavior dangerous to others at inclusion. - Acute self-harm/suicidality at inclusion. Children: - Lack of consent from parents/legal guardians.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. maternal psychological symptoms compared from start to end of treatment (measured by the Symptom Check List 90) 2. change in mother-child bonding from start to end of treatment (measured by the CARE Index and the Parental Bonding Questionnaire) 3. change in child developmental age from start to end of treatment (measured by Largo's landmarks) 4. change in paternal distress compared from start to end of treatment (measured by the Gender Sensitive Depression Screening GSDS-25) 5. change in father-child bonding (measured by the Parental Bonding Questionnaire). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. change in maternal and paternal mentalizing ability (measured by the Parental Reflective Functioning Questionnaire) 2. change of partnership quality from the perspective of mothers as well as fathers (measured by the Partnership Questionnaire PFB-K) 3. change in parenthood from the perspective of mothers as well as fathers (measured by the "Partnership Questions") 4. change in social support (measured by the "Fsoz-U-K"). | — |
Countries
Germany
Contacts
Public ContactJakob Müller
Institut für Psychosoziale PräventionUniversitätsklinikum Heidelberg
Outcome results
None listed