Perinatal Dyadic Psychotherapy for postpartum depression: a randomized controlled pilot trial

Goodman, Janice H.; Prager, Joanna; Goldstein, Richard D.; Freeman, Marlene P.

doi:10.1007/s00737-014-0483-y

Cited by 47 publications

(81 citation statements)

References 94 publications

(103 reference statements)

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Section: Resultsmentioning

confidence: 99%

“…Two studies examined the effects of interpersonal psychotherapy on parenting and child outcomes perinatally (Goodman, Prager, Goldstein, & Freeman, ; Forman et al., ). One study that investigated an intervention consisting of eight nurse‐delivered mother–child sessions (Goodman et al., ) found no significant differences between groups on parenting stress or mother–child interaction following the intervention and follow‐up. Another study (Forman et al., ) reported no effect of the intervention on maternal responsiveness, mothers’ reports of their children's temperament or behavior problems, or of the quality of their relationship, but did show significant group differences for parenting stress.…”

Section: Resultsmentioning

confidence: 99%

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The effect of perinatal depression treatment for mothers on parenting and child development: A systematic review

et al. 2017

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Antenatal and postpartum depression are very common and have significant consequences for mothers and their children. This review examines which antenatal depression (AD) and postpartum depression (PPD) treatment interventions are most efficacious in improving parenting and/or child development. CINAHL, Scopus, Cochrane Systematic Reviews, Cochrane Controlled Trials, Medline (OVID), Embase (OVID), PsychINFO, PsycARTICLES, AMED, and reference lists were searched. Randomized controlled trials (RCTs) and quasi-experimental studies assessing the effect of AD, PPD, or both treatment interventions on parenting and/or child development were included. Meta-analysis was conducted using random effects when possible. Thirty-six trials (within 40 articles) met criteria for review. Interventions include interpersonal psychotherapy (IPT), cognitive behavioural therapy (CBT), peer support, maternal-child interaction guidance, and other interventions, such as massage. For AD, IPT, CBT, and massage produced large effects on parenting (e.g. adjustment and attention toward infant) and child development (e.g. behaviour). For PPD, maternal-child interaction guidance and psychotherapeutic group support produced large effects on parenting (e.g. sense of competence) and child development (e.g. cortisol). However, meta-analysis revealed nonsignificant effects of IPT on maternal-child attachment and CBT on parenting stress. Promising findings exist for IPT, CBT, maternal-child interaction guidance, massage, and psychotherapeutic group support for specific parenting and/or child development outcomes. Additional RCTs using measures already employed in the literature are required to conduct necessary meta-analysis and fully elucidate treatment effects.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The effect of perinatal depression treatment for mothers on parenting and child development: A systematic review

et al. 2017

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“…The results showed that the intervention was effective in increasing the quality of mother-infant interaction. In contrast, a study using perinatal dyadic psychotherapy (PDP), involving both the mother and the infant, did not show changes in parent-child interaction (Goodman et al, 2015).…”

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confidence: 84%

The effectiveness of Nurture and Play: a mentalisation-based parenting group intervention for prenatally depressed mothers

Salo

Flykt

Mäkelä

et al. 2019

Prim Health Care Res Dev

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Aim: This randomised control trial (RCT) study examined the effectiveness of a mentalisation-based perinatal group intervention, Nurture and Play (NaP), in improving mother–infant interaction quality and maternal reflective functioning and in decreasing depressive symptoms. Background: Few preventive prenatal interventions have been developed for primary health care settings for mothers with depressive symptoms. Furthermore, previous prenatal intervention studies have only concentrated on reducing depressive symptoms and have not directly addressed enhancing optimal parenting qualities. Methods: The participants were 45 pregnant women with depressive symptoms. Women in the randomly assigned intervention group (n = 24) participated in the manualised, short-term NaP intervention group from pregnancy until the baby’s age of seven months, whereas control group women received treatment as usual (TAU). Maternal emotional availability (EA), reflective functioning (RF) and depressive symptoms were measured before the intervention and at the infants’ 12 months of age, and changes were evaluated using repeated measure analyses of variances (ANOVAs). Findings: The results showed that the intervention group displayed higher maternal sensitivity and RF and more reduction in depressive symptoms than the control group when babies were 12 months old. These findings provide preliminary support for the effectiveness of the NaP intervention.

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“…As pesquisas sobre PPB tem revelado que as díades ou tríades tiveram inúmeros benefícios quando envolvidas neste tipo de tratamento, como a melhora dos sintomas depressivos maternos (Cramer & Stern, 1988;Goodman, et al, 2015;Lenze, Rodgers, & Luby, 2015), dos sintomas psicofuncionais do bebê e da qualidade das interações pais-bebê (Goodman, et al, 2015;Chinitz et al, 2017); o aumento da sensibilidade materna (Cramer & Stern, 1988;King, Priddis, & Kane, 2014); a redução de apego inseguro (David & Schiff, 2015;Guedeney et al, 2016); melhora no bem-estar do bebê (Chinitz et al, 2017), bem como alterações positivas nas representações maternas (Cramer & Stern, 1988). Sabe-se que tais aspectos impactam positivamente o desenvolvimento infantil e, por conseguinte, a consitutição psíquica deste indíviduo em toda a sua vida.…”

Section: Introductionunclassified

“…Sabe-se que tais aspectos impactam positivamente o desenvolvimento infantil e, por conseguinte, a consitutição psíquica deste indíviduo em toda a sua vida. Com base nestes resultados a PPB tem sido indicada nos casos de distúrbios psicofuncionais, como de sono e alimentação, em angústias de separação, nos distúrbios de apego, nos distúrbios relacionais paisbebê (Cramer & Palacio-Espasa, 1993) e nos casos de mães apresentando depressões desencadeadas pela condição da maternidade (Cramer & Palacio-Espasa, 1993;Guedeney et al, 2016;Goodman, 2015).…”

Section: Introductionunclassified

Proposta para análise da psicoterapia pais-bebê: evidências de dois casos

Brum

Gomes

Piccinini

2018

Psico

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A Psicoterapia Pais-Bebê (PPB) é uma intervenção utilizada no tratamento das relações iniciais pais-bebê. O presente estudo teve como objetivo apresentar uma proposta de avaliação do processo psicoterápico em PPB, com destaque para os mecanismos de mudança ao longo da psicoterapia. Foram investigadas as intervenções da terapeuta (1) para obter informações, (2) para informar o paciente, (3) de apoio, (4) de encenação e (5) de interpretação transgeracional; e, os insights (1) cognitivo, (2) afetivo, e (3) pragmático, associados às intervenções. Cada uma destas categorias foram ilustradas através das verbalizações de dois casos de atendimentos pai-mãe-bebê, em que as mães apresentavam depressão pós-parto. Evidências sugerem que a proposta para análise de psicoterapia pais-bebê apresentada neste estudo pode contribuir para analisar o processo terapêutico.

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Perinatal Dyadic Psychotherapy for postpartum depression: a randomized controlled pilot trial

Cited by 47 publications

References 94 publications

The effect of perinatal depression treatment for mothers on parenting and child development: A systematic review

The effect of perinatal depression treatment for mothers on parenting and child development: A systematic review

The effectiveness of Nurture and Play: a mentalisation-based parenting group intervention for prenatally depressed mothers

Proposta para análise da psicoterapia pais-bebê: evidências de dois casos

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