Telephone delivery of interpersonal psychotherapy by certified nurse-midwives may help reduce symptoms of postpartum depression.
Telephone delivery of interpersonal psychotherapy by certified nurse-midwives may help reduce symptoms of postpartum depression.
复制标题
由经过认证的护士兼助产士通过电话提供人际心理治疗可能有助于减轻产后抑郁症的症状。
DOI：
10.1136/eb-2016-102513
复制
发表时间：
2017
影响因子：
--
通讯作者：
Douglas,Edie
中科院分区：
文献类型：
--
作者：
Guille,Constance;Douglas,Edie
本研究是一项前瞻性、非随机、开放标签的研究，比较了符合DSM-IV-TR的产后妇女的人际心理治疗（IPT）与转诊至心理健康提供者治疗重度抑郁症。接受产科提供者常规产后护理的女性，如果报告爱丁堡产后抑郁量表（EPDS）评分≥ 9分，则被推荐参加研究。对于那些愿意参加研究的女性，主要研究者完成了知情同意过程，研究助理完成了资格和基线评估。接受过IPT培训的注册护士-助产士为在某些产科诊所接受产科护理的妇女进行了8个半小时的电话治疗。在其他产科实践中确定患有PPD的妇女被转介给心理健康专业人员。在考虑基线组差异后，在入组研究后8周和12周比较两组之间的汉密尔顿抑郁量表（HRSD）评分。
MethodsThis study was a prospective, non-randomised,‘open label’study of interpersonal psychotherapy (IPT) compared to referral to a mental health provider for postpartum women meeting DSM-IV-TR for major depression. Women receiving routine postpartum care from their obstetric provider were referred for study participation if they reported a score of≥ 9 on the Edinburgh Postnatal Depression Scale (EPDS). For those women willing to take part in the study, the principal investigator completed the informed consent process and a research assistant completed eligibility and baseline assessments. Certified nurse-midwives (CNM) trained in IPT administered 8, 50 min telephone therapy sessions to women who had received obstetric care at certain obstetric practices. Women identified with PPD at other obstetric practices were referred to a mental health professional. After accounting for baseline group differences, scores on the Hamilton Rating Scale for Depression (HRSD) were compared between groups at 8 and 12 weeks after enrolment in the study.