Caron Zlotnick1, Golfo Tzilos2, Ivan Miller2, Ronald Seifer3, Robert Stout4. 1. Women and Infants Hospital, Providence, RI 02905, United States; Department of Psychiatry and Mental Health, University of Cape Town, Observatory, Cape Town, South Africa. Electronic address: czlotnick@butler.org. 2. Butler Hospital, Brown University, 345 Blackstone Blvd, Providence, RI 02912, United States. 3. Bradley Hospital, Brown University, 1011 Veterans Memorial Parkway, East Providence, RI 02915, United States. 4. Decision Sciences Institute, Pacific Institute for Research and Evaluation, Pawtucket, RI 02860, United States.
Abstract
INTRODUCTION:Postpartum depression (PPD) is a significant and common public health problem for women. AIMS: To examine the efficacy of an intervention based on the principles of interpersonal therapy (IPT) in reducing the risk of PPD in pregnant women. METHODS: Randomized controlled trial of 205 pregnant women who were 18 years old or older, on public assistance, and at risk for PPD. Participants (mean age=23; 38% Hispanic and 23% Black) were randomized to either the IPT group intervention (n=104) or the treatment as usual control (TAU) program (n=101). RESULTS: At 6 months, the overall depression rate in the intervention group (16%) was lower than the control group (31%) and the effect of the intervention was statistically significant at p<0.05. LIMITATIONS: It is unknown if findings will generalize to a more heterogeneous sample of women than the current study, such as women from a range of socio-economic and cultural backgrounds, or marital status. There was a differential amount of contact between TAU and intervention conditions. CONCLUSIONS: An IPT based intervention during the prenatal period has the potential to reduce cases of PPD within 6 months postpartum in at risk mothers on public assistance.
RCT Entities:
INTRODUCTION:Postpartum depression (PPD) is a significant and common public health problem for women. AIMS: To examine the efficacy of an intervention based on the principles of interpersonal therapy (IPT) in reducing the risk of PPD in pregnant women. METHODS: Randomized controlled trial of 205 pregnant women who were 18 years old or older, on public assistance, and at risk for PPD. Participants (mean age=23; 38% Hispanic and 23% Black) were randomized to either the IPT group intervention (n=104) or the treatment as usual control (TAU) program (n=101). RESULTS: At 6 months, the overall depression rate in the intervention group (16%) was lower than the control group (31%) and the effect of the intervention was statistically significant at p<0.05. LIMITATIONS: It is unknown if findings will generalize to a more heterogeneous sample of women than the current study, such as women from a range of socio-economic and cultural backgrounds, or marital status. There was a differential amount of contact between TAU and intervention conditions. CONCLUSIONS: An IPT based intervention during the prenatal period has the potential to reduce cases of PPD within 6 months postpartum in at risk mothers on public assistance.
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