The effect of peer support on postpartum depression: A pilot randomized controlled trial
The effect of peer support on postpartum depression: A pilot randomized controlled trial
复制标题
DOI：
10.1177/070674370304800209
复制
发表时间：
2003-03-01
影响因子：
4
通讯作者：
Dennis, Cindy-Lee
中科院分区：
文献类型：
--
作者：
Dennis, Cindy-Lee
目的：评价同伴支持（母亲对母亲）对产后抑郁高危母亲抑郁症状的影响。方法：根据爱丁堡产后抑郁量表（EPDS），不列颠哥伦比亚省的42名母亲被确定为PPD的高危人群，并随机分为对照组（即标准社区产后护理组）和实验组。实验组接受标准护理和基于电话的同伴支持，在48至72小时内随机分配，从以前经历过产后抑郁症的母亲那里开始，并参加了4小时的培训课程。对分组分配不知情的研究助理在随机分组后4周和8周对包括抑郁症状在内的各种结果进行了随访评估。结果：治疗第4周时，两组在可能的重度抑郁症状（EPDS bbb12）上存在显著差异(chi(2) = 5.18, df = 1；P = 0.02)和8周(chi(2) = 6.37, df = 1；P = 0.01)评价。具体来说，在4周的评估中，对照组中40.9% （n = 9）的母亲在EPDS上得分为bbb12，而实验组中只有10% （n = 2）。在8周的评估中也发现了类似的结果，对照组中有52.4% （n = 11）的母亲在EPDS上得分为bbb12，而实验组中有15% （n = 3）的母亲得分为bbb12。在对干预进行评估的16位实验组母亲中，87.5%的母亲对她们的同伴支持体验感到满意。结论：基于电话的同伴支持可以有效地减少新妈妈的抑郁症状。产妇对干预的高满意度和接受度表明，更大规模的试验是可行的。
Objective: To evaluate the effect of peer support (mother-to-mother) on depressive symptomatology among mothers identified as high-risk for postpartum depression (PPD).Method: Forty-two mothers in British Columbia were identified as high-risk for PPD according to the Edinburgh Postnatal Depression Scale (EPDS) and randomly assigned to either a control group (that is, to standard community postpartum care) or an experimental group. The experimental group received standard care plus telephone-based peer support, initiated within 48 to 72 hours of randomization, from a mother who previously experienced PPD and attended a 4-hour training session. Research assistants blind to group allocation conducted follow-up assessments on diverse outcomes, including depressive symptomatology, at 4 and 8 weeks postrandomization.Results: Significant group differences were found in probable major depressive symptomatology (EPDS > 12) at the 4-week (chi(2) = 5.18, df = 1; P = 0.02) and 8-week (chi(2) = 6.37, df = 1; P = 0.01) assessments. Specifically, at the 4-week assessment 40.9% (n = 9) of mothers in the control group scored > 12 on the EPDS, compared with only 10% (n = 2) in the experimental group. Similar findings were found at the 8-week assessment, when 52.4% (n = 11) of mothers in the control group scored > 12 on the EPDS, compared with 15% (n = 3) of mothers in the experimental group. Of the 16 mothers in the experimental group who evaluated the intervention, 87.5% were satisfied with their peer-support experience.Conclusions: Telephone-based peer support may effectively decrease depressive symptomatology among new mothers. The high maternal satisfaction with, and acceptance of, the intervention suggests that a larger trial is feasible.