Depression, Pregnancy Related
Conditions
Brief summary
This is a prospective study examining the potential impact art therapy has on postpartum depression and mother-baby bonding in women. Women who receive care at Washington Hospital Center's will be recruited for this study.
Detailed description
The purpose of this research study is to assess whether alternative mental health interventions positively impacts maternal-infant bonding and postpartum depression rates in women. Postpartum depression continues to be a prevalent concern for mothers and families in the United States, with current estimates demonstrating 10-20% of women being diagnosed within one year of birth. The risks of developing postpartum depression are not well known, with maternal anxiety and stress during pregnancy being one of the proposed predisposing factors. Women with high-risk pregnancies are particularly susceptible to higher levels of stress and depression, during their pregnancy thus leaving them at great risk for postnatal depression. Given this association, finding ways to alleviate stressors is important. Music therapy is a known intervention linked with improved outcomes in women undergoing procedural interventions, including labor and delivery. Art therapy is also associated with improved outcomes, though outside of obstetrics. In elderly women with depression and those with breast cancer diagnoses, visual art therapy has been shown to be superior to other non-medicinal interventions in improving mood. Current data is both qualitative as well as quantitative, demonstrating positive impacts on patients. While evidence exists to support the utilization of these alternative forms of therapy, they have not been adequately applied to pregnant and postpartum women outside of music therapy. With the understanding that other art forms are tied with improvement in anxiety, depression, and quality of life, the implementation in this special patient population is paramount. Investigating how a relatively benign intervention can possibly promote improvement in maternal mental health, thus allowing for better mother-baby bonding in the first year of life, is key in finding ways to support the growth and development of healthy families.
Interventions
OTHERart therapy
six sessions of art therapy with licensed therapists
OTHERnothing
no intervention to this group
Sponsors
Medstar Health Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Participants will have to be eighteen years of age or older * in the second trimester of pregnancy at time of recruitment * speak and read English as their primary language * have access to a reliable internet/wifi connection to participate in therapy sessions * plan to deliver at Washington Hospital Center
Exclusion criteria
\- Women who do not meet those criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| changes in Edinburgh Postnatal Depression Scale scores | start, and end of intervention period; time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum | raw score on scale |
| change in maternal-infant bonding scores | start, and end of intervention period; time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum | raw score on scale |
| utilization of behavioral health/psychology/psychiatry services during pregnancy and postpartum | start, and end of intervention period; time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum | chart review to see if patients utilized services yes vs. no |
| use of psychiatry medications during and after pregnancy | start, and end of intervention period; time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum | chart review to see if patients utilized services yes vs. no |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| birth weight | delivery | chart review |
| APGAR scores | delivery | chart review |
| obstetrical complications (postpartum hemorrhage, OASIS, ICU admission) | up to 3 months postpartum | chart review |
| delivery complications (shoulder dystocia, low birth weight) | delivery | chart review |
| NICU admissions | delivery | chart review |
| gestational age at time of delivery | delivery | chart review |
| mode of delivery | delivery | chart review |
| reason for delivery (iatrogenic vs spontaneous) | delivery | chart review |
Countries
United States
Outcome results
None listed