The effect of telephone-based interpersonal psychotherapy for the treatment of postpartum depression: study protocol for a randomized controlled trial

被引:21
|
作者
Dennis, Cindy-Lee [1 ,2 ]
Ravitz, Paula [3 ]
Grigoriadis, Sophie [4 ]
Jovellanos, Melissa [1 ]
Hodnett, Ellen [1 ]
Ross, Lori [5 ]
Zupancic, John [6 ]
机构
[1] Univ Toronto, Lawrence S Bloomberg Fac Nursing, Toronto, ON M5T 1P8, Canada
[2] Womens Coll Hosp, Womens Coll Res Inst, Toronto, ON M5S 1B2, Canada
[3] Mt Sinai Hosp, Dept Psychiat, Toronto, ON M5G 1X5, Canada
[4] Sunnybrook Hlth Sci Ctr, Toronto, ON M4N 3M5, Canada
[5] Ctr Addict & Mental Hlth, Toronto, ON M5S 2G8, Canada
[6] Beth Israel Deaconess Med Ctr, Dept Neonatol, Boston, MA 02115 USA
来源
TRIALS | 2012年 / 13卷
基金
加拿大健康研究院;
关键词
Interpersonal psychotherapy; Postpartum depression; Randomized controlled trial; STRUCTURED CLINICAL INTERVIEW; DSM-III-R; POSTNATAL DEPRESSION; SOCIAL SUPPORT; MATERNAL DEPRESSION; PEER SUPPORT; MAJOR DEPRESSION; MARITAL DISPUTES; CHINESE WOMEN; FOLLOW-UP;
D O I
10.1186/1745-6215-13-38
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Background: Substantial data indicate potential health consequences of untreated postpartum depression (PPD) on the mother, infant, and family. Studies have evaluated interpersonal psychotherapy (IPT) as treatment for PPD; however, the results are questionable due to methodological limitations. A comprehensive review of maternal treatment preferences suggests that mothers favor 'talking therapy' as a form of PPD treatment. Unfortunately, IPT is not widely available, especially in rural and remote areas. To improve access to care, telepsychiatry has been introduced, including the provision of therapy via the telephone. Methods/Design: The purpose of this randomized controlled trial is to evaluate the effect of telephone-based IPT on the treatment of PPD. Stratification is based on self-reported history of depression and province. The target sample is 240 women. Currently, women from across Canada between 2 and 24 weeks postpartum are able to either self-identify as depressed and refer themselves to the trial or they may be referred by a health professional based on a score > 12 on the Edinburgh Postnatal Depression Scale (EPDS). Following contact by the trial coordinator, a detailed study explanation is provided. Women who fulfill the eligibility criteria (including a positive diagnostic assessment for major depression) and consent to participate are randomized to either the control group (standard postpartum care) or intervention group (standard postpartum care plus 12 telephone-based IPT sessions within 12 to 16 weeks, provided by trained nurses). Blinded research nurses telephone participants at 12, 24, and 36 weeks post-randomization to assess for PPD and other outcomes including depressive symptomatology, anxiety, couple adjustment, attachment, and health service utilization. Results from this ongoing trial will: (1) develop the body of knowledge concerning the effect of telephone-based IPT as a treatment option for PPD; (2) advance our understanding of training nurses to deliver IPT; (3) provide an economic evaluation of an IPT intervention; (4) investigate the utility of the EPDS in general clinical practice to identify depressed mothers; and (5) present valuable information regarding PPD, along with associated couple adjustment, co-morbid anxiety and self-reported attachment among a mixed rural and urban Canadian population.
引用
收藏
页数:17
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