| Outcome results of a psycho-educational intervention in pregnancy to prevent PPD: a randomized control trial. | |
| | |
MedLine Citation:
|
PMID: 19596446 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: This study aims to evaluate the effectiveness of an antenatal psycho-educational intervention to prevent postpartum depression in Mexican women. METHOD: Pregnant women at high risk for depression were randomized to intervention or a usual care condition. Assessments of depression (SCID, BDI-II) occurred during pregnancy, 6 weeks and 4-6 months postnatally, and subjective impact of the intervention in the postpartum. RESULTS: Of the 6484 women approached, 377 were eligible and consented to randomization (250 intervention, 127 control). Sixty-eight intervention (27.2%) and 68 (53.5%) control participants completed the three assessment periods. The cumulative incidence of major depression over three time periods was significantly lower (p<0.05) in the intervention (10.7%) than the control group (25%). Repeated-measures analysis of variance showed a significant reduction of BDI-II in both groups, but no significant treatment effect. Even when controlling for initial levels of depressive and anxiety symptoms, a treatment effect on depressive symptoms could not be confirmed, although there was a trend demonstrating that intervention participants with high initial symptoms had a larger reduction of BDI-II. Most participants that completed the intervention reported that it had a medium to great influence on their well-being, depression, current problems, role as mothers and their relationship with the baby. LIMITATIONS: Attrition was the most salient methodological problem in this study. CONCLUSIONS: This is the first randomized control depression prevention trial in high-risk pregnant Mexican women. Available data are consistent with the possibility that the incidence of depression may have been reduced by the intervention, but differential attrition makes interpretation of the findings difficult. |
| | |
Authors:
|
Ma Asunci?n Lara; Claudia Navarro; Laura Navarrete |
Related Documents
:
|
12651796 - Do clinical practice education groups result in sustained change in gp prescribing? 16076786 - An experimental study of determinants of the extent of disagreement within clinical gui... 23403776 - Variability over time-since- diagnosis in the protective effect of psychological resili... 19592706 - Older adult's acceptability ratings of treatments for verbal agitation in persons with ... 15636636 - Assessment of dizziness among older patients at a family practice clinic: a chart audit... 2332576 - A questionnaire investigation of anxiety and depression in early dementia. |
Publication Detail:
|
Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Journal of affective disorders Volume: 122 ISSN: 1573-2517 ISO Abbreviation: J Affect Disord Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-03-09 Completed Date: 2010-06-02 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7906073 Medline TA: J Affect Disord Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 109-17 Citation Subset: IM |
Copyright Information:
|
Copyright 2009 Elsevier B.V. All rights reserved. |
Affiliation:
|
Instituto Nacional de Psiquiatr?a Ram?n de la Fuente, M?xico. laracan@imp.edu.mx |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Counseling* Depression, Postpartum / diagnosis, ethnology, prevention & control*, psychology Depressive Disorder, Major / diagnosis, ethnology, prevention & control, psychology Female Humans Manuals as Topic Mexico Patient Education as Topic* Pregnancy Prenatal Care / psychology* Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Expression and localization of voltage dependent potassium channel Kv4.2 in epilepsy associated foca...
Next Document: Bipolar disorder as a risk factor for repeat DUI behavior.