Change Mechanisms in Brief Interpersonal Psychotherapy for Women With Perinatal Depression: Qualitative Study

Grote, Nancy K.; Lohr, Mary Jane; Curran, Mary; Cristofalo, Meg

doi:10.1176/appi.psychotherapy.20200039

Cited by 3 publications

(5 citation statements)

References 22 publications

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“…Validation of participant’ feelings and experiences can help normalize mental health concerns (Lackie et al., 2021; Tong et al., 2020). In line with previous studies, some individuals attributed their positive experience to the facilitator and the workshop's psychoeducation components (Grote et al., 2021; Masood et al., 2015; Pugh et al., 2015), which is consistent with how a good therapeutic alliance predicts improved treatment outcomes (Arnow et al., 2013; Cameron et al., 2018), as well as the importance of psychoeducation in improving treatment adherence in individuals with depression (Bevan Jones et al., 2018; De Tursi et al., 2013; Donker et al., 2009).…”

Section: Discussionsupporting

confidence: 85%

“…Finding a community within the workshop group was seen as one of the most valuable aspects of the intervention, which is notable because it echoes previous studies on individuals' perceptions of the impact of peer support and open discussions (Grote et al., 2021; Jones et al., 2014; Masood et al., 2015; McLeish & Redshaw, 2017; O'Beney et al., 2019). Indeed, peer support can be particularly important in providing a safe environment for those with PPD to express themselves without fearing stigma and reducing isolation (Dennis & Chung‐Lee, 2006; Diebold et al., 2020; Scope et al., 2012; Westgate et al., 2023).…”

Section: Discussionsupporting

confidence: 67%

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Mothers' and birthing parents' experiences with 1‐day cognitive behavioural therapy‐based workshops for postpartum depression: A descriptive qualitative study

Varambally,

Layton,

Jack

et al. 2023

Psychiatric Ment Health Nurs

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Accessible SummaryWhat Is Known about the Subject? One in five mothers and birthing parents are affected by postpartum depression (PPD), yet only a small proportion of those with PPD receive treatment. Given cost and accessibility barriers to treatment, brief therapies (e.g. 1 day) could help address PPD on a large scale, though understanding participants' unique experiences with this novel treatment will help guide its refinement and use. What this Paper Adds to Existing Knowledge? This paper describes the experiences, perspectives and satisfaction of participants who attended a 1‐day workshop for PPD. Participants appreciate being taught practical techniques and the receipt of social support from facilitators and other attendees in the group setting, while some recommended further ‘booster sessions’ to enhance effectiveness. What Are the Implications for Practice? One‐day CBT‐based workshops may be an effective, low‐intensity treatment option that provides helpful skills and builds social networks for individuals with PPD. Additional post‐workshop booster sessions may enhance participant satisfaction with this new treatment by providing a reinforcement of their learning and an opportunity to re‐connect with other birthing parents. AbstractIntroductionPostpartum depression (PPD) affects up to one in five mothers and birthing parents. Understanding their perceptions of therapeutic interventions is key to their effectiveness and scalability.AimThe aim of the study was to understand participants' experiences attending an in‐person or online 1‐day cognitive behavioural therapy (CBT)‐based workshop for PPD and compare their experiences participating in either modality.MethodThis descriptive qualitative study was embedded in two separate randomized controlled trials evaluating the effectiveness of 1‐day CBT‐based workshops for PPD delivered in‐person or online. Responses were provided by 94 in‐person and 95 online participants about their experiences. Content analysis was used to code and categorize the data.ResultsParticipants appreciated learning skills to improve PPD symptoms and joining a community of individuals with shared experiences. Integrating practical coping techniques after the workshop was reported to be most useful, though some wanted additional post‐workshop support. Online participants identified additional barriers to workshop engagement.DiscussionParticipants who attended either workshop found them to be valuable and effective. Participants valued psychoeducation, social connections and applying practical CBT techniques.Implications for PracticeOne‐day CBT‐based workshops may be an accessible treatment option for individuals with PPD, providing new skills and social support, though some prefer to receive additional post‐workshop support.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionsupporting

confidence: 67%

Mothers' and birthing parents' experiences with 1‐day cognitive behavioural therapy‐based workshops for postpartum depression: A descriptive qualitative study

Varambally,

Layton,

Jack

et al. 2023

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…Whereas Grote et al. (2021) found mixed support for the mechanism of enhancing social support in the individual IPT model, this appeared to be important in IPT‐G for all participants, which was aided by the group format in which participants share and develop connections. Furthermore, the IPT‐G mechanisms focused on improving interpersonal skills and reducing interpersonal distress (Lipsitz & Markowitz, 2013) were highly endorsed by all three groups as promoting positive change in relationships, although greater gains were seen among mothers who were not depressed at follow‐up.…”

Section: Discussionmentioning

confidence: 91%

“…However, little research has explored participants' perceptions of the components promoting growth and change in IPT. One notable exception is a recent study by Grote et al (2021), which examined mothers' perceptions of receiving a brief individual IPT intervention during the perinatal period. The authors used a deductive approach to examine whether IPT participants endorsed conceptually derived codes based on the four IPT change mechanisms outlined by Lipsitz and Markowitz (2013).…”

Section: Interpersonal Psychotherapymentioning

confidence: 99%

“…The authors used a deductive approach to examine whether IPT participants endorsed conceptually derived codes based on the four IPT change mechanisms outlined by Lipsitz and Markowitz (2013). They found support for three of the four hypothesized mechanisms, with mixed support for enhancing social support (Grote et al., 2021). However, this study utilized a majority White sample, examined an individual IPT modality, and was limited to deductively identifying the four proposed IPT change processes, rather than inductively exploring all factors that may influence treatment outcomes in IPT.…”

Section: Introductionmentioning

confidence: 99%

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Group Interpersonal Psychotherapy for minoritized Head Start mothers with depressive symptoms: A mixed method study

Palmer Molina,

Palinkas,

Hernandez

et al. 2023

Jour of Counseling & Develop

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This study explores minoritized mothers’ experiences in group interpersonal psychotherapy (IPT‐G) and relates their experiences to treatment outcomes. Quantitative and qualitative data were gathered from 26 Latinx and Black mothers who participated in IPT‐G. Mothers were divided into three groups: (1) not depressed at follow‐up, (2) depressed at follow‐up, and (3) those with subclinical symptoms throughout the intervention, and similarities and differences across groups were examined. Results showed that mothers not depressed at follow‐up reported high levels of emotional safety in IPT‐G, facilitating emotional processing. Mothers depressed at follow‐up referenced the impact of stigma and had greater difficulty sharing their feelings and also reported lower socioeconomic status and higher levels of trauma. It appears that high levels of environmental stressors and difficulty developing trusting therapeutic relationships were related to experiencing depression at the conclusion of treatment. Alternatively, for many mothers, IPT‐G provided within head start was an effective therapeutic option.

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Impact of prenatal maternal depression on gestational length: post hoc analysis of a randomized clinical trial

Davis,

Demers,

Deer

et al. 2024

eClinicalMedicine

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Change Mechanisms in Brief Interpersonal Psychotherapy for Women With Perinatal Depression: Qualitative Study

Cited by 3 publications

References 22 publications

Mothers' and birthing parents' experiences with 1‐day cognitive behavioural therapy‐based workshops for postpartum depression: A descriptive qualitative study

Mothers' and birthing parents' experiences with 1‐day cognitive behavioural therapy‐based workshops for postpartum depression: A descriptive qualitative study

Group Interpersonal Psychotherapy for minoritized Head Start mothers with depressive symptoms: A mixed method study

Impact of prenatal maternal depression on gestational length: post hoc analysis of a randomized clinical trial

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