Depression, Postpartum, Social Adjustment
Conditions
Keywords
feasibility, group psychotherapy, interpersonal psychotherapy, maternal depression, perinatal adjustment
Brief summary
This is the first perinatal interpersonal psychotherapy group (P-IPTG) implemented for distressed women from pregnancy to postpartum. The feasibility and effects of P-IPTG are explored.
Detailed description
This is the first perinatal interpersonal psychotherapy group (P-IPTG) implemented for distressed women from pregnancy to postpartum. The feasibility and effects of P-IPTG are explored. The third-trimester women were recruited as intervention and control group participants by a quasi-experimental design.
Interventions
OTHERinterpersonal group psychotherapy
Interpersonal psychotherapy (IPT) was developed by Stuart and O'Hara (1995). It addresses four domains of conflict. The intervention is an eight-session P-IPTG, which consisted of four sessions in pregnancy and four in postpartum.
Sponsors
Chung Shan Medical University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* women in the third trimester of pregnancy, at least 20 years old, able to read and write in Chinese, and depressed, anxious, or wishing to improve family relationships.
Exclusion criteria
* women with schizophrenia, substance use, or suicide risk.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Edinburgh Postnatal Depression Scale | the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum | The Edinburgh Postnatal Depression Scale (EPDS, Cox et al., 1987) was used to assess depressive symptoms. It consists of ten Likert-type items with 0 to 3 points, with higher scores indicating more depressive symptoms over the past week. Following the previous study (Su et al., 2007), we used higher than 12 to define participants with significant depressive tendencies. |
| Dyadic Adjustment Scale | the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum | The Dyadic Adjustment Scale (DAS, Spanier, 1976) assessed women's perceived quality of either married or unmarried couple relationship. The scale consists of 32 items, primarily scored in a 6-point scale (27 items). It measures four factors: dyadic consensus, dyadic satisfaction, dyadic cohesion, and affectionate expression. Higher scores indicate better dyadic adjustment in respective aspects. |
| Social Network Interaction System Questionnaire (SNISQ, Lay & Liu, 1996) | the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum | The Social Network Interaction System Questionnaire (SNISQ, Lay & Liu, 1996) was used to evaluate perceptions of social support from partners, original families, and in-laws. The SNISQ consists of nine Likert-type items with 1 to 4 points, with higher scores indicating better- perceived support from specific individuals. |
| Satisfaction with Interpersonal Relationships Scale (Chan et al., 2002) | the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum | Chan et al. (2002) used the Satisfaction with Interpersonal Relationships Scale (SWIRS,) to assess women's satisfaction with their relationships with partners and mothers-in-law over the past few weeks. We expanded the scale to include ratings of relationships with fathers, mothers, and fathers-in-law, resulting in five items. The SWIRS is a Likert-type item with 1 to 7 points, with higher scores indicating greater satisfaction with the relationship. |
| Mother-Infant Bonding Inventory (Shieh et al., 2015) | the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum | The Mother-Infant Bonding Inventory (MIBI, Shieh et al., 2015) assessed mothers' thoughts, feelings, and commitment toward their infants. The MIBI consists of 25 items scored on 1 to 6 points. Its four factors are proximity, parental adjustment, commitment, and confidence of reciprocity. Higher scores indicate good mother-infant bonding in specific aspects. |
Countries
Taiwan
Outcome results
None listed