Group interpersonal psychotherapy for postnatal depression: a pilot study

Postpartum depression (PPD) affects up to 15% of mothers. Recent research has identified several psychosocial and biologic risk factors for PPD. The negative short-term and long-term effects on child development are well-established. PPD is under recognized and under treated. The obstetrician and pediatrician can serve important roles in screening for and treating PPD. Treatment options include psychotherapy and antidepressant medication. Obstacles to compliance with treatment recommendations include access to psychotherapists and concerns of breastfeeding mothers about exposure of the infant to antidepressant medication. Further research is needed to examine systematically the short-term and long-term effect of medication exposure through breastmilk on infant and child development.

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“…71 Additionally, 2 small open studies of group IPT demonstrated significant reduction of depression in women with PPD. 72,73 …”

Section: Treatment Of Ppdmentioning

confidence: 99%

Postpartum depression

Pearlstein

Howard

Salisbury

et al. 2009

American Journal of Obstetrics and Gynecology

385

253

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“…However, there was a high attrition rate (6 out of 17), and the study was also limited by small sample size, lack of a control group, and lack of an independent rater. Similarly, Reay et al treated, in an open pilot trial, 18 women diagnosed with postpartum depression with 8 group IPT sessions, as well as two individual and one partner session 104. Depressive symptoms decreased significantly, and these gains were maintained at three months.…”

Section: Discusssionmentioning

confidence: 99%

Treatment of post-partum depression: a review of clinical, psychological and pharmacological options

Fitelson¹,

Kim²,

Baker³

et al. 2010

IJWH

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Postpartum depression (PPD) is a common complication of childbearing, and has increasingly been identified as a major public health problem. Untreated maternal depression has multiple potential negative effects on maternal-infant attachment and child development. Screening for depression in the perinatal period is feasible in multiple primary care or obstetric settings, and can help identify depressed mothers earlier. However, there are multiple barriers to appropriate treatment, including concerns about medication effects in breastfeeding infants. This article reviews the literature and recommendations for the treatment of postpartum depression, with a focus on the range of pharmacological, psychotherapeutic, and other nonpharmacologic interventions.

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“…The high attendance rates of 70%, the increase in the number of participants following the recommendation of the program by the initial participants to other Iraqi women are indicators of the global acceptability of the treatment amongst this cultural group. In comparison, attrition rates of 63, 17, and 55% were found in other group interventions for PND (Brugha et al, 2000; Milgrom et al, 2005; Reay et al, 2005). The current results support Foster and Mash (1999) dimensions of treatment acceptability, in which low dropout rates, high rates of attendance and the ease of dissemination of the intervention can be used as consumer ratings of global treatment acceptability.…”

Section: Discussionmentioning

confidence: 85%

The pilot and evaluation of a postnatal support group for Iraqi women in the year following the birth of their baby

et al. 2014

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The current study involved conducting a pilot test of a culturally sensitive support group program developed to assist Iraqi women in the year following the birth of their baby (CSSG-B) in Perth, Western Australia. The aim of this study was to evaluate the social validity of the program. It was hypothesized that women involved in the program would find the program to be socially valid and culturally appropriate, and will also report lower levels of depressive symptomatology and higher levels of social support, following the group intervention. Participants were 12 Iraqi Arabic speaking women, who had a child less than 12 months of age. The program was based on Iraqi women's explanatory models (Kleinman, 1978; Di Ciano et al., 2010) of the birth and motherhood experience. Social validity ratings were obtained during the implementation of the program in order to assess the level of acceptability of the intervention. A one-group pre-test–post-test design was used to determine if depressive symptoms had decreased during the course of the intervention and social support had increased. Results indicated that Iraqi Arabic speaking women found the support group intervention acceptable and relevant and there was a significant decrease in scores on the Edinburgh Postnatal Depression Scale (EPDS) from pre-test to post-test. These results that the culturally sensitive group intervention was culturally acceptable and was associated with decreased levels of depressive symptomatology.

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Group interpersonal psychotherapy for postnatal depression: a pilot study

Cited by 59 publications

References 26 publications

Postpartum depression

Postpartum depression

Treatment of post-partum depression: a review of clinical, psychological and pharmacological options

The pilot and evaluation of a postnatal support group for Iraqi women in the year following the birth of their baby

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