The mother-infant interactional quality in women with postpartum mental health disorders and their infants Mental and Behavioural Disorders
Conditions
Interventions
Current interventions as of 02/07/2024:
A total of around 50-60 mother-infant dyads, where the child is aged 0-12months (inclusive), and the mother is identified to be suffering from one or more mild-
11 or above in the EPDS), the Structured Clinical Interview for DSM-5 (SCID-5) diagnostic assessment will be administered to confirm or refute the presence of a psychiatric disorder, and therefore eli
Sponsors
University of Malta
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria include mother-infant dyads where the: 1. Women is 18 years or older AND 2. Resident in Malta AND 3. Not receiving any counselling support or any form of psychological interventions AND 4. Baby is aged between 0-11months (inclusive) AND 5. Baby was born at full term (37 weeks or beyond) AND 6. Baby's birth weight was at least 2000 grams.
Exclusion criteria
Exclusion criteria: 1. Women with acute and severe mental mental health pathology (such as psychosis, mania, or active suicidal thoughts or thoughts of harming the baby or others). 2. Women with active drug or alcohol dependence. 3. Women who are unable to consent to participation. 4. Women who are unable to read or converse in the English or Maltese language.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mother-infant interactional quality is measured in terms of maternal sensitivity, mother-infant dyadic synchrony, and relational risk, using the Infant Child-Adult Relationship Experimental Index (Infant CARE-Index) at baseline and immediately post-intervention (approximately 3 months). Each mother-baby film will be coded independently by two international coders with a research-level reliability qualification in this tool. Both coders will not be given any information about the trial, its hypothesis/aims, or participants. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mother-infant bonding measured using the Postpartum Bonding Questionnaire (PBQ) at baseline and post-intervention (approximately 3 months). 2. Maternal depressive and anxiety symptoms measured using the EPDS and the GAD-7 at baseline and post-intervention. 3. Maternal reflective functioning measured using the Parent Reflective Functioning Questionnaire (PRFQ) at baseline and post-intervention. 4. Global psychological distress measured using the Clinical Outcomes in Routine Evaluation Outcome Measure (CORE-OM) at baseline and post-intervention. | — |
Countries
Malta
Outcome results
None listed