Postpartum Psychosis
Conditions
Keywords
Postpartum psychosis, Perceived social support, Family psychoeducation
Brief summary
There is currently no clear involvement of families/caregivers in the care for postpartum mothers that develop postpartum psychosis. The lack of knowledge on causes of postpartum psychosis may influence the nature of perceived social support that mothers receive from caregivers. It is hoped that the provision of a culturally adapted version of family psychoeducation will bridge the knowledge gap and provide the much needed information. We therefore hypothesized that the involvement of a family member of a postpartum mother with a psychotic illness in a weekly session of family psychoeducation.
Detailed description
Postpartum psychosis causes distress to the mother, baby, spouse and other primary caregivers. This is especially true for Uganda where cultural beliefs for the causation of the illness place blame on supposedly the postpartum mother's promiscuity during pregnancy (COX, 1979). Cultural perceptions on the causes of postpartum psychosis may affect the nature of social support the mothers perceive from their families when they develop the illness. Other perceptions regarding postpartum psychosis in Uganda lay blame on supernatural causes like witchcraft. Family psychoeducation which sets out to inform families of the nature of the illness is called for so as to demystify the illness.
Interventions
Mothers and their caregivers will be encouraged to comply with the given medication
Mothers and their caregivers in the placebo comparator will receive an intervention of drug compliance encouragement
The experimental group will receive family psychoeducation for 12 sessions
Sponsors
Study design
Eligibility
Inclusion criteria
* Postpartum mothers with a psychiatric illness in the current postpartum period. * Must have been admitted to the mental health facility for the current episode.
Exclusion criteria
* Mothers residing out of a radius of 50 km away from the health facility. * Mothers that do not have caregivers. * Mothers who are not fluent in the language in which the study will be conducted.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| perceived social support of mothers | 3 months | 12 weekly sessions of family psychoeducation for a period of 3 months will improve perceived social support of mothers in the intervention arm. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improvement of psychological distress of the caregivers | 3 months | 12 weekly sessions of family psychoeducation with caregivers for a period of 3 months will improve psychological distress in caregivers of mothers that will have received family psychoeducation |
Countries
Uganda