Perinatal Interpersonal Psychotherapy Group for Distressed Women

NCT06431672 | Completed

• 2 other identifiers: MOST 106-2410-H-040-004 -SSSMOST 107-2410-H-040-005 -SSS
• Study Type: interventional
• Target: 258
• Locations: 1 country
• Sites: 1

Brief Summary

This is the first perinatal interpersonal psychotherapy group (P-IPTG) implemented for distressed women from pregnancy to postpartum. The feasibility and effects of P-IPTG are explored.

Conditions

Depression, Postpartum; Social Adjustment

Keywords

feasibility; group psychotherapy; interpersonal psychotherapy; maternal depression; perinatal adjustment

Outcome Measures

Primary Outcomes (5)

• Edinburgh Postnatal Depression Scale

  The Edinburgh Postnatal Depression Scale (EPDS, Cox et al., 1987) was used to assess depressive symptoms. It consists of ten Likert-type items with 0 to 3 points, with higher scores indicating more depressive symptoms over the past week. Following the previous study (Su et al., 2007), we used higher than 12 to define participants with significant depressive tendencies.

  the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum

• Dyadic Adjustment Scale

  The Dyadic Adjustment Scale (DAS, Spanier, 1976) assessed women's perceived quality of either married or unmarried couple relationship. The scale consists of 32 items, primarily scored in a 6-point scale (27 items). It measures four factors: dyadic consensus, dyadic satisfaction, dyadic cohesion, and affectionate expression. Higher scores indicate better dyadic adjustment in respective aspects.

  the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum

• Social Network Interaction System Questionnaire (SNISQ, Lay & Liu, 1996)

  The Social Network Interaction System Questionnaire (SNISQ, Lay \& Liu, 1996) was used to evaluate perceptions of social support from partners, original families, and in-laws. The SNISQ consists of nine Likert-type items with 1 to 4 points, with higher scores indicating better- perceived support from specific individuals.

  the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum

• Satisfaction with Interpersonal Relationships Scale (Chan et al., 2002)

  Chan et al. (2002) used the Satisfaction with Interpersonal Relationships Scale (SWIRS,) to assess women's satisfaction with their relationships with partners and mothers-in-law over the past few weeks. We expanded the scale to include ratings of relationships with fathers, mothers, and fathers-in-law, resulting in five items. The SWIRS is a Likert-type item with 1 to 7 points, with higher scores indicating greater satisfaction with the relationship.

  the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum

• Mother-Infant Bonding Inventory (Shieh et al., 2015)

  The Mother-Infant Bonding Inventory (MIBI, Shieh et al., 2015) assessed mothers' thoughts, feelings, and commitment toward their infants. The MIBI consists of 25 items scored on 1 to 6 points. Its four factors are proximity, parental adjustment, commitment, and confidence of reciprocity. Higher scores indicate good mother-infant bonding in specific aspects.

  the seventh to ninth month in pregnancy, four month postpartum, eight month postpartum,twelve month postpartum

Study Arms (2)

intervention group

EXPERIMENTAL

The intervention was an eight-session P-IPTG, which consisted of four sessions in pregnancy and four in postpartum. All participants replied to the measures at four waves from baseline to one year postpartum. The outcome variables were within-group and between-group changes in depression, social support, dyadic adjustment, interpersonal relationship satisfaction, and mother-infant bonding.

Other: interpersonal group psychotherapy

control group

NO INTERVENTION

The participants of control group reply questionnaires for four times.

Interventions

interpersonal group psychotherapy OTHER

Interpersonal psychotherapy (IPT) was developed by Stuart and O'Hara (1995). It addresses four domains of conflict. The intervention is an eight-session P-IPTG, which consisted of four sessions in pregnancy and four in postpartum.

intervention group

Eligibility Criteria

• Age: 20 Years+
• Gender Eligibility Details: women in pregnancy and postpartum
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• women in the third trimester of pregnancy, at least 20 years old, able to read and write in Chinese, and "depressed, anxious, or wishing to improve family relationships."

You may not qualify if:

• women with schizophrenia, substance use, or suicide risk.

Sponsors & Collaborators

• Chung Shan Medical University: lead

Study Sites (1)

Chung Shan Medical University

Taichung, 402, Taiwan

Location

MeSH Terms

Conditions

Depression, Postpartum; Social Adjustment

Condition Hierarchy (Ancestors)

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

Study Officials

• Peyling Shieh, Ph. D.

  Chung Shan Medical University, Taiwan

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor

Study Record Dates

• First Submitted: May 22, 2024
• First Posted: May 28, 2024
• Study Start: March 15, 2018
• Primary Completion: December 31, 2020
• Study Completion: December 31, 2020
• Last Updated: May 28, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)