clinicaltrials.gov Identifier: NCT01043289.

Zusammenfassung Depressionen in der Schwangerschaft

ZusammenfassungDie Entscheidung, welche Therapiemaßnahme ergriffen wird, kann nur mit der werdenden Mutter zusammen getroffen werden; ein sorgfältiges Abwägen der Vor-und Nachteile der Behandlung ist dafür Voraussetzung. Schlüsselwörter:Schwangerschaftsdepression -Behandlung -Antidepressiva -Psychotherapie -Lichttherapie Depression during Pregnancy and its Treatment SummaryAbout 11% of pregnant women suffer from a major depression requiring treatment. If left

Background: Studies on specific psychotherapy for depressed mothers of small children are rare. The aim of the present study was to investigate the effectiveness of a newly developed cognitive-behavioral group intervention for depressed mothers compared to standard individual therapy. Sampling and Methods: In a naturalistic design, 31 mothers suffering from depressive disorders with children aged ≤4 years who had consecutively been admitted to our specialized clinic for mentally ill mothers were assigned to the group treatment, and the following 21 were admitted to the control group receiving standard individual therapy. The group treatment consisted of 12 group sessions and 1 couple session and was administered to five consecutive groups. Participants completed interviews and questionnaires – the Beck Depression Inventory and the Symptom Checklist- 90-R – before and 3 months after therapy. Results: The treatment group and the control group showed a significant improvement in their depression, with no significant differences between the two treatment strategies. The women in group therapy, however, required fewer antidepressants, and group treatment was observed to be more effective in reducing anger and hostility. Conclusion: This form of group treatment for depressed women in early motherhood may have some important advantages over individual therapy; effects were small, however, and should be replicated in a further study.