Predictors of the longitudinal course of postpartum depression following interpersonal psychotherapy.
Predictors of the longitudinal course of postpartum depression following interpersonal psychotherapy.
复制标题
人际心理治疗后产后抑郁症纵向过程的预测因素。
DOI：
10.1037/a0020623
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发表时间：
2010
影响因子：
5.9
通讯作者：
Stuart,Scott
中科院分区：
文献类型：
--
作者：
Nylen,KimberlyJ;O'Hara,MichaelW;Brock,Rebecca;Moel,Joy;Gorman,Laura;Stuart,Scott
我们研究了产后抑郁症的过程和预测因素，在18个月后的人际心理治疗（IPT）。方法我们招募了120名社区妇女与抑郁症在12周的随机试验中的个人IPT在产后期间（奥哈拉，斯图尔特，戈尔曼，和Wenzel，2000年）。在治疗后6个月、12个月和18个月，女性参加了临床访谈，以确定过去6个月的抑郁症病程。我们使用生存分析来描述随访中的恢复和复发，并使用生长曲线建模技术来确定随访期间抑郁症变化的预测因素。潜在的预测因素包括严重程度，慢性，和个人病史的depression.ResultsOf 35名妇女谁恢复与急性治疗，20（57%）在随访期间实现持续恢复;平均复发时间为33.40周（SD= 18.43周）。超过80%的急性治疗未恢复的女性在随访期间的某个时间点恢复;平均恢复时间为28.60周（SD= 17.51周）。在随访期间，每月抑郁的时间减少。治疗后抑郁症的严重程度和指数发作的时间长度预测抑郁症随时间的变化。治疗后抑郁症的严重程度，抑郁症的个人病史，并在后续治疗周是显着的预测因素的时间沮丧在follow-up.ConclusionsIPT导致长期的利益过去终止急性治疗，即使是妇女谁最初没有恢复。虽然绝大多数没有通过急性治疗恢复的妇女在随访期间确实恢复了，但继续IPT可能会加速这一过程。（PsycINFO数据库记录（c）2016阿帕，保留所有权利）
ObjectiveWe examined the course and predictors of postpartum depression in the 18 months following interpersonal psychotherapy (IPT).MethodWe enrolled 120 community women with major depression in a 12-week randomized trial of individual IPT during the postpartum period (O'Hara, Stuart, Gorman, & Wenzel, 2000). At 6, 12, and 18 months posttreatment, women participated in clinical interviews to establish the course of depression over the previous 6 months. We used survival analyses to characterize recovery and recurrence in the follow-up and growth curve modeling techniques to identify predictors of change in depression during the follow-up period. Potential predictors included severity, chronicity, and personal history of depression.ResultsOf 35 women who recovered with acute treatment, 20 (57%) achieved sustained recovery during follow-up; average time to recurrence was 33.40 weeks (SD= 18.43 weeks). Over 80% of women who did not recover with acute treatment experienced recovery at some point during follow-up; average time to recovery was 28.60 weeks (SD= 17.51 weeks). Time depressed each month decreased over the follow-up period. Posttreatment depressive severity and length of the index episode predicted changes in depression over time. Posttreatment depression severity, personal history of depression, and weeks of treatment in the follow-up were significant predictors of time depressed during follow-up.ConclusionsIPT resulted in long-term benefits past the termination of acute treatment, even for women who did not initially recover. Though the vast majority of women who did not recover with acute treatment did recover during the follow-up period, continuation of IPT may accelerate the process.(PsycINFO Database Record (c) 2016 APA, all rights reserved)