Depression during pregnancy. Depressie tijdens de zwangerschap.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Women 18-45 years of age Normal ocular function 12-32 weeks pregnant, as assessed by the gynaecologist or midwife DSM diagnosis depressive disorder, as assessed by the researchers
Exclusion criteria
Exclusion criteria: Insufficient proficiency in Dutch or English Multiple pregnancies (because of increased risk for adverse birth outcomes that might act as confounder and bias the results) The use of selective serotonin reuptake inhibitors (SSRI’s) shorter than 2 months before starting therapy DSM diagnoses of bipolar I or II disorder Seasonal affective disorder Any psychotic episode Substance abuse Primary anxiety disorder Recent history of suicide attempt Habitual sleep disorders Jetlag Shift-work Somatic and/or obstetric conditions that override study participation Previous treatment with bright light therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The average change in depressive symptoms between the two groups, as measured by HAM-D and EPDS, after 6 weeks of treatment compared to baseline. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Changes in depressive symptoms between the two groups, as measured by HAM-D and EPDS, measured at different time points (T2, T3, T5, T6 and T7); - Changes in cortisol and melatonin levels between the two groups, measured at different time points (T0, T1, T2, T3 and T5); - Changes in circadian rhythms between the two groups, such as total sleep time and sleep efficiency, measured at different time points (T0, T1, T2, T3, T5); - Changes in birth outcome in the newborns between the two groups, such as birth weight and Apgar score; - Changes in child behavior, as assessed by Mother and Baby Scales (MBAS), between the two groups, at the age of 2 months; - Changes in cortisol stress response in infants between the two groups, at the age of 2 month; - Changes in long-term cortisol exposure (hair sample) in infants between the two groups, at the age of 2 months | — |
Contacts
's Gravendijkwal 230