Strongest Families™ Managing Our Mood (MOM): a randomized controlled trial of a distance intervention for women with postpartum depression.

Autor: Wozney L; Centre for Research in Family Health, 5850-5980 University Avenue, Halifax, NS, B3K 6R8, Canada. lori.wozney@iwk.nshealth.ca.; IWK Health Centre, 5850-5980 University Avenue, Halifax, NS, B3K 6R8, Canada. lori.wozney@iwk.nshealth.ca., Olthuis J; University of New Brunswick, PO Box 4400, Fredericton, NB, E3B 5A3, Canada., Lingley-Pottie P; Centre for Research in Family Health, 5850-5980 University Avenue, Halifax, NS, B3K 6R8, Canada.; IWK Health Centre, 5850-5980 University Avenue, Halifax, NS, B3K 6R8, Canada.; Dalhousie University, 6299 South Street, Halifax, NS, B3H 3J5, Canada.; Strongest Families Institute, 267 Cobequid Road, Lower Sackville, NS, B4C 4E8, Canada., McGrath PJ; Centre for Research in Family Health, 5850-5980 University Avenue, Halifax, NS, B3K 6R8, Canada.; IWK Health Centre, 5850-5980 University Avenue, Halifax, NS, B3K 6R8, Canada.; Dalhousie University, 6299 South Street, Halifax, NS, B3H 3J5, Canada.; Strongest Families Institute, 267 Cobequid Road, Lower Sackville, NS, B4C 4E8, Canada., Chaplin W; Department of Psychology, St. John's University, Jamaica, Queens, NY, 11439, USA., Elgar F; McGill University, 1130 Pine Avenue West, Montreal, QC, H3A1A3, Canada., Cheney B; Department of Psychology, St. John's University, Jamaica, Queens, NY, 11439, USA., Huguet A; Centre for Research in Family Health, 5850-5980 University Avenue, Halifax, NS, B3K 6R8, Canada.; IWK Health Centre, 5850-5980 University Avenue, Halifax, NS, B3K 6R8, Canada.; Dalhousie University, 6299 South Street, Halifax, NS, B3H 3J5, Canada., Turner K; Centre for Research in Family Health, 5850-5980 University Avenue, Halifax, NS, B3K 6R8, Canada., Kennedy J; Strongest Families Institute, 267 Cobequid Road, Lower Sackville, NS, B4C 4E8, Canada.
Jazyk: angličtina
Zdroj: Archives of women's mental health [Arch Womens Ment Health] 2017 Aug; Vol. 20 (4), pp. 525-537. Date of Electronic Publication: 2017 Jun 07.
DOI: 10.1007/s00737-017-0732-y
Abstrakt: The present study investigated whether a distance-delivered intervention could significantly decrease mild to moderate postpartum depression (PPD) in mothers as compared to usual care. Mothers with PPD (n = 62) were randomly assigned to the intervention or standard community care. Participants receiving the intervention followed a 12-session cognitive behavioural informed handbook supplemented with telephone-based coaching support. Diagnostic status and depressive symptoms were assessed at baseline and 3, 6 and 12 months postrandomization. Odds ratios indicated that intervention group participants were 1.5 times as likely to experience diagnostic remission at 3 months (mid-intervention) (p = 0.742), 1.54 times as likely at 6 months (p = 0.696) and 12.5 times as likely at 12 months (p = 0.009). Intervention 'dosage' significantly moderated this effect; for every additional coaching session completed, individuals had a 1.4 times greater chance of showing improvement at 3 and 6 months. Mothers reported high satisfaction with the intervention. Findings suggest positive outcomes at each time point and superior outcomes to the control condition at the long-term follow-up. Caution in interpreting these results is warranted due to small sample size and incomplete data; however, they support further investigation into the use of distance interventions as an accessible and effective solution for women with PPD.
Databáze: MEDLINE
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