Group Therapy for Postpartum Depression

NCT ID: NCT00051246

Last Updated: 2014-01-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 147 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2002-01-31
• Study Completion Date: 2008-07-31

Brief Summary

This study will compare standard individual treatment to group therapy for the treatment of postpartum depression.

Detailed Description

Ten to twenty percent of new mothers experience major depression in the postpartum period or postpartum depression (PPD). This condition poses a risk for disturbances in the mother-infant relationship as well as for developmental delays and subsequent psychopathology in their children. Thus, and investigation of the efficacy of a relational approach that focuses on improving the mother's sense of competence in the parenting role, and reducing depressive symptoms and social isolation through group therapy is warranted.

Patients are randomly assigned to either relational group treatment or to standard individual treatment. Assessments of maternal and infant functioning, mother-infant and father-infant relations, parenting stress, and marital conflict and conducted pre- and post-treatment, at 12 months post-treatment, and when infants are 12 and 24 months of age.

Conditions

Depression, Postpartum

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

1 M-ITG

Mother-infant group psychotherapy

Group Type: ACTIVE_COMPARATOR

Mother-Infant Group Psychotherapy

Intervention Type: BEHAVIORAL

Mother-infant group psychotherapy consists of weekly 2.5-hour psychotherapy sessions comprised of mother's group therapy, infant developmental therapy, and mother-infant dyadic psychotherapy. Group treatment will last 15 weeks.

2 - IPT

Individual interpersonal psychotherapy

Group Type: ACTIVE_COMPARATOR

Interpersonal Psychotherapy

Intervention Type: BEHAVIORAL

Individual psychotherapy treatment focuses on role transition, interpersonal relationships, and loss. Individual treatment period will last 15 weeks.

Interventions

Mother-Infant Group Psychotherapy

Mother-infant group psychotherapy consists of weekly 2.5-hour psychotherapy sessions comprised of mother's group therapy, infant developmental therapy, and mother-infant dyadic psychotherapy. Group treatment will last 15 weeks.

Intervention Type: BEHAVIORAL

Interpersonal Psychotherapy

Individual psychotherapy treatment focuses on role transition, interpersonal relationships, and loss. Individual treatment period will last 15 weeks.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Major depression with an infant under 7 months of age

Exclusion Criteria

• Bipolar disorder
• Schizophrenia
• Organic brain syndrome
• Antisocial personality disorder
• Current psychosis or mania
• Lifetime history of mental retardation
• Current alcohol or substance abuse
• Cognitive disability
• Infants born more than 6 weeks premature or with major medical conditions or developmental disabilities

• Minimum Eligible Age: 18 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

National Institute of Mental Health (NIMH)

NIH

Sponsor Role: collaborator

University of Wisconsin, Madison

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Roseanne Clark, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Wisconsin, Madison

Locations

University of Wisconsin Dept. of Psychiatry

Madison, Wisconsin, United States

Countries

United States

Other Identifiers

R01MH062054

Identifier Type: NIH

Identifier Source: secondary_id

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R01MH062054

Identifier Type: NIH

Identifier Source: org_study_id

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