A mother-infant therapy group model for postpartum depression
A mother-infant therapy group model for postpartum depression
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DOI：
10.1002/imhj.20189
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发表时间：
2008-09-01
影响因子：
2.4
通讯作者：
Brown, Roger
中科院分区：
文献类型：
--
作者：
Clark, Roseanne;Tluczek, Audrey;Brown, Roger
这项试点研究检验了针对产后出现中度至重度抑郁症状的女性的手动 12 周母婴治疗组 (M-ITG) 模式的可行性和有效性。研究参与者被转介到大学医学中心的精神科诊所进行产后抑郁症的评估和治疗。利用自我报告和观察措施进行前后比较的结果表明，与等待名单对照组 (WLCG) 中的抑郁妇女 (n=14) 相比，M-ITG 组中的妇女 (n=18) 报告的抑郁症状明显减少，并且在治疗 12 周后她们的婴儿经历了更多的强化。与 WLCG 组的母亲相比，M-ITG 组的母亲在治疗后与婴儿的互动中也表现出明显更积极的情感参与和沟通。描述了 M-ITG 模型，并讨论了利用母婴治疗方法治疗产后抑郁症的影响，该方法侧重于人际关系以及母亲的抑郁症状。强调了在大规模随机临床试验中进一步检查 M-ITG 模型对产后抑郁症女性及其家人的疗效的重要性。
This pilot study examined the feasibility and efficacy of a manualized, 12-week mother-infant therapy group (M-ITG) model for women with moderate to severe depressive symptoms during the postpartum period. Study participants were referred to the psychiatric clinic of a university medical center for assessment and treatment for postpartum depression. Results of pre- and post comparisons utilizing self-report and observational measures showed that women in the M-ITG groups (n=18) report significantly fewer depressive symptoms and experienced their infants as more reinforcing following 12 weeks of treatment than did the depressed women in the waitlist control group (WLCG) (n=14). Mothers in the M-ITG group also were rated as exhibiting significantly more positive affective involvement and communication in interactions with their infants following treatment than did mothers in the WLCG. The M-ITG model is described, and the implications of utilizing a mother-infant treatment approach for postpartum depression that focuses on the relationships as well as mother's depressive symptoms is discussed. The importance of further examining the efficacy of the M-ITG model for women with postpartum depression and their families in a large-scale, randomized clinical trial is underscored.