Interpersonal Therapy-Based Treatment to Prevent Postpartum Depression in Adolescent Mothers
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Depression, Women's Studies |
| Therapuetic Areas: | Psychiatry / Psychology, Reproductive |
| Healthy: | No |
| Age Range: | 12 - 19 |
| Updated: | 5/17/2018 |
| Start Date: | December 2011 |
| End Date: | October 30, 2018 |
Preventing Postpartum Depression in Adolescent Mothers
The Specific Aim of this study is to conduct a randomized controlled trial to evaluate
whether Project REACH (an interpersonal psychotherapy-based intervention) compared with a
didactic attention-control program reduces the risk of PPD in adolescent mothers.
Primary Hypothesis:
1. The intervention (Project REACH) will be significantly more efficacious than the control
program in reducing the risk of PPD up to six months postpartum in adolescent mothers.
Secondary Hypotheses:
2. The decreased rate of major depression in the Project REACH group compared to the
control program group will be sustained through one year postpartum.
3. Adolescent mothers in Project REACH compared to the control program group will have
higher levels of maternal-child bonding.
whether Project REACH (an interpersonal psychotherapy-based intervention) compared with a
didactic attention-control program reduces the risk of PPD in adolescent mothers.
Primary Hypothesis:
1. The intervention (Project REACH) will be significantly more efficacious than the control
program in reducing the risk of PPD up to six months postpartum in adolescent mothers.
Secondary Hypotheses:
2. The decreased rate of major depression in the Project REACH group compared to the
control program group will be sustained through one year postpartum.
3. Adolescent mothers in Project REACH compared to the control program group will have
higher levels of maternal-child bonding.
Each year, more than 400,000 births in the United States are to mothers less than 20 years
old. Alarmingly, approximately 25-36% of teen mothers experience postpartum depression (PPD),
a condition associated with significant social and health morbidity. PPD places teen mothers
and their children at great risk during an already challenging time in their lives.
Preventing PPD in this vulnerable population is essential to improving overall health.
Project REACH is a randomized controlled trial, to evaluate whether our novel preventive
intervention compared to a didactic attention control reduces the risk of PPD in adolescent
mothers. The intervention, REACH (Relax, Encourage, Appreciate, Communicate, Help), is based
on Interpersonal Psychotherapy (IPT) and targets those factors that may play a significant
role in the development of PPD in adolescent mothers (i.e., poor social support, role
transitions and life stressors). The control condition includes didactic prenatal education
sessions.
Project REACH builds on the foundation of our NIMH-funded treatment development project and
pilot study (R34 MH077588). The pilot study demonstrated feasibility, acceptability and
initial efficacy in a small sample. The current R01 proposal aims to evaluate the efficacy of
the Project REACH intervention in reducing the risk of PPD.
old. Alarmingly, approximately 25-36% of teen mothers experience postpartum depression (PPD),
a condition associated with significant social and health morbidity. PPD places teen mothers
and their children at great risk during an already challenging time in their lives.
Preventing PPD in this vulnerable population is essential to improving overall health.
Project REACH is a randomized controlled trial, to evaluate whether our novel preventive
intervention compared to a didactic attention control reduces the risk of PPD in adolescent
mothers. The intervention, REACH (Relax, Encourage, Appreciate, Communicate, Help), is based
on Interpersonal Psychotherapy (IPT) and targets those factors that may play a significant
role in the development of PPD in adolescent mothers (i.e., poor social support, role
transitions and life stressors). The control condition includes didactic prenatal education
sessions.
Project REACH builds on the foundation of our NIMH-funded treatment development project and
pilot study (R34 MH077588). The pilot study demonstrated feasibility, acceptability and
initial efficacy in a small sample. The current R01 proposal aims to evaluate the efficacy of
the Project REACH intervention in reducing the risk of PPD.
Inclusion Criteria:
- Less than 24 weeks pregnant
- Not currently being treated for depression
- Speaks and reads English fluently
Exclusion Criteria:
- Currently receiving mental health services from a health care provider
- Meets DSM-IV criteria for an affective disorder, substance use disorder, or psychosis
We found this trial at
1
site
Providence, Rhode Island 02905
Principal Investigator: Maureen Phipps, MD, MPH
Phone: 401-274-1122
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