Postpartum depression Mental and Behavioural Disorders Mild mental and behavioural disorders associated with the puerperium, not elsewhere classified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Live birth 2. Infant discharged from hospital 3. Mother between two and 24 weeks postpartum 4. Clinical diagnosis of major depression using the Structured Clinical Interview for Diagnostic and Statistical Manual of mental disorders fourth edition (DSM-IV) 5. Understands spoken English
Exclusion criteria
Exclusion criteria: Amended as of 12/06/2009: The following point was amended to: 4. Chronic depression (episode length greater than 2 years) The following point was added: 5. Current or past manic depression Initial information at time of registration: 1. Current use of antidepressant medication 2. Currently receiving any form of psychotherapy administered by a trained professional 3. Active suicidal or self-harm thoughts 4. Chronic depression (episode length greater than 2.5 years)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postpartum depression: 12 weeks post-randomisation (immediately post-treatment for mothers in the intervention group). | — |
Secondary
| Measure | Time frame |
|---|---|
| Amended as of 12/06/2009: The following point was amended to: 4. Attachment measured with the Experiences in Close Relationships-Revised (self-report measure): 12, 24, and 36 weeks post-randomisation The following point was added: 6. Relationship quality and adjustment with the Dyadic Adjustment Scale (self-report measure): 12, 24, and 36 weeks post-randomisation Initial information at time of registration: 1. Postpartum depression (clinical diagnostic interview): 24 and 36 weeks post-randomisation (i.e., 12 and 24 weeks post-treatment for mothers in the intervention group 2. Depressive symptomatology (self-report measure): 12, 24, and 36 weeks post-randomisation 3. Anxiety measured with the Spielberger State-Anxiety Inventory (self report measure): 12, 24, and 36 weeks post-randomisation 4. Social functioning measured with the Social Adjustment Scale-Self Report (self report measure): 12, 24, and 36 weeks post-randomisation 5. Health service utilisation measured with a slightly modified version of the Health Service Utilisation and Cost of Care Questionnaire (self-report measure): from randomisation to 36 weeks post-randomisation | — |
Countries
Canada