Couple-based Interpersonal Psychotherapy on Postnatal Depression and Family Sense of Coherence

NCT03499756 | Completed

• 1 other identifier: PolyU 156082/17H
• Study Type: interventional
• Target: 455
• Locations: 1 country
• Sites: 1

Brief Summary

Postnatal depression is a common public health problem which has long-term sequelae on the family and the infant's psychosocial development. Interpersonal psychotherapy has demonstrated its value as one of the most effective interventions for postnatal depression. The aim of this study is to examine the effect of a couple-based interpersonal psychotherapy for first-time Chinese mothers and fathers on depressive symptoms, family sense of coherence, and marital relationships immediately after intervention and at 6 weeks and 6 months postpartum.

Conditions

Postnatal Depression

Keywords

Postnatal depression, interpersonal psychotherapy

Outcome Measures

Primary Outcomes (1)

• Edinburgh Postnatal Depression Scale

  Edinburgh Postnatal Depression Scale is a 10-item self-report scale assessing the presence of depressive symptoms in the postnatal period. Each item is scored on a 4-point scale with total scores ranging from 0 to 30. Higher score indicates greater depressive symptoms, i.e. worse outcome.

  6 weeks postpartum

Secondary Outcomes (5)

• Edinburgh Postnatal Depression Scale

  6 months postpartum

• Family Sense of Coherence Scale (Short Form)

  6 weeks postpartum

• Family Sense of Coherence Scale (Short Form)

  6 months postpartum

• Dyadic Adjustment Scale

  6 weeks postpartum

• Dyadic Adjustment Scale

  6 months postpartum

Study Arms (2)

Couple-based interpersonal psychotherapy

EXPERIMENTAL

The intervention consists of three weekly 2-hour antenatal sessions and two 30-minute telephone follow-up sessions delivered within four weeks postpartum.

Behavioral: Couple-based interpersonal psychotherapy

Control

NO INTERVENTION

The control group will receive the standard prenatal and postnatal care.

Interventions

Couple-based interpersonal psychotherapy BEHAVIORAL

The contents include: (1) an overview of changes associated with the role transition of parenthood and an introduction to the coping skills relating to role transition and parenting; (2) discussing common postpartum and interpersonal difficulties, such as conflicts with partners or extended family, and teaching effective communication skills to resolve interpersonal conflicts and maintain a good interpersonal relationship; and (3) building family strengths and resources by enhancing family sense of coherence, such as reassessing the challenges of the new role, applying problem solving techniques to deal with role transition and interpersonal problems, and developing new social support.

Couple-based interpersonal psychotherapy

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• aged 18 or above;
• married, first-time parents, live together;
• able to speak and read Chinese; and Hong Kong residents.

You may not qualify if:

• a present history of psychiatric illness

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead

Study Sites (1)

Queen Elizabeth Hospital

Kowloon, Hong Kong

Location

MeSH Terms

Conditions

Depression, Postpartum

Condition Hierarchy (Ancestors)

Puerperal Disorders; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Depressive Disorder; Mood Disorders; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: April 3, 2018
• First Posted: April 17, 2018
• Study Start: May 30, 2019
• Primary Completion: December 31, 2022
• Study Completion: December 31, 2022
• Last Updated: May 10, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

HK (1)