Controlled trial of the short- and long-term effect of psychological treatment of post-partum depression - 1. Impact on maternal mood!
Controlled trial of the short- and long-term effect of psychological treatment of post-partum depression - 1. Impact on maternal mood!
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DOI：
10.1192/bjp.182.5.412
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发表时间：
2003-05-01
影响因子：
10.5
通讯作者：
Romaniuk, H
中科院分区：
文献类型：
--
作者：
Cooper, PJ;Murray, L;Romaniuk, H
背景 对产后抑郁症的心理干预在短期内可能是有益的，但其长期影响尚不清楚，目的是评估与常规初级保健相关的三种心理治疗对母亲情绪的长期影响。方法将产后抑郁症妇女（n = 193）随机分配到四种情况之一：常规初级保健、非指导性咨询、认知行为治疗或心理动力学治疗。在治疗阶段后（4.5个月）以及产后18个月和60个月立即对其进行评估。结果与对照相比，所有三种治疗在4.5个月时对母亲情绪（爱丁堡产后抑郁量表，EPDS）都有显着影响。只有心理动力疗法的抑郁症减轻率（DSM III-R 的结构化临床访谈）显着优于对照组。到产后 9 个月时，治疗的益处不再明显，治疗并没有减少随后的产后抑郁发作。结论 产后抑郁的心理干预可以在短期内改善母亲情绪 (EPDS)。然而，从长远来看，这种益处并不优于自发缓解。利益声明无，致谢中详细说明了资助情况。
Background Psychological interventions for postnatal depression can be beneficial in the short term but their longer-term impact is unknown,Aims To evaluate the long-term effect on maternal mood of three psychological treatments in relation to routine primary care.Method Women with post-partum depression (n=193)were assigned randomly to one of four conditions: routine primary care, non-directive counselling, cognitive-behavioural therapy or psychodynamic therapy. They were assessed immediately after the treatment phase (at 4.5 months) and at 18 and 60 months post-partum.Results Compared with the control, ail three treatments had a significant impact at 4.5 months on maternal mood (Edinburgh Postnatal Depression Scale, EPDS). Only psychodynamic therapy produced a rate of reduction in depression (Structured Clinical interview for DSM III-R) significantly superior to that of the control. The benefit of treatment was no longer apparent by 9 months postpartum, treatment did not reduce subsequent episodes of post-partum depression.Conclusions Psychological intervention for post-partum depression improves maternal mood (EPDS) in the short term. However, this benefit is not superior to spontaneous remission in the long term.Declaration of interest None, Funding detailed in Acknowledgements.