INTERPERSONAL PSYCHOTHERAPY FOR POSTPARTUM DEPRESSION

产后抑郁症的人际关系心理治疗

• 批准号: 2675100
• 负责人: MICHAEL William O'HARA
• 金额: $ 26.8万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-08-01 至 1999-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2675100
• 关键词: behavior test; behavioral /social science research tag; child psychology; disease /disorder proneness /risk; dyadic interaction; female; human subject; human therapy evaluation; infant human (0-1 year); interpersonal relations; longitudinal human study; major depression; mental disorder diagnosis; mother child interaction; postpartum; preschool child (1-5); psychological stressor; psychotherapy; relapse /recurrence; social adjustment

DESCRIPTION (Applicant's Abstract): The purposes of this research are: (1) to evaluate interpersonal psychotherapy (IPT) as a treatment for postpartum depression; (2) to evaluate the effect of IPT on a) women's adjustment in their relationships with their spouses, children, families, and friends, b) the women's responsiveness to their infants, and c) the infants' affective expression and emotional regulation; (3) to determine the rate of recurrence of depression in successfully treated women over an 18 month period following the end of treatment; and (4) to evaluate a clinical-social model of depression recurrence in successfully treated women. A sample of 104 postpartum depressed women is being randomly assigned to immediate or delayed (a waiting list control) IPT. Treatment will consist of 12 to 16 sessions (over 12 weeks) with a private therapist. Assessment of women before, during and after therapy with several measures of depression and social adjustment will be undertaken. After the treatment trial, all women will be followed for 18 months with assessments of depression and social adjustment occurring every 3 months. Assessments of children will take place at pre-therapy, post-therapy, and at 2 years of age. We expect that women receiving interpersonal psychotherapy will evidence significantly lower levels of depression, higher levels of social adjustment than women in the waiting list control condition, and be more responsive to their infants. We also expect that approximately 40% to 50% of successfully treated women will experience a recurrence of their depression during the 18 month follow-up period. We expect that previous history of depression and other psychiatric disorders will be associated with increased risk of depression recurrence. The ongoing research should prepare for later studies to (a) prevent depression recurrence in women successfully treated for postpartum depression and (b) to improve the social adjustment of young children by reducing their exposure to maternal depression. The final purpose of this proposed research is to evaluate the contribution of maternal depression in the first two years of children's lives to their adjustment at age 2. Finally, we expect that children whose mothers were chronically depressed during their first two years of life will show poorer adjustment at 2 years of age.

描述（申请人的摘要）：本研究的目的是：（1） 评估人际心理治疗（IPT）作为产后治疗的效果 沮丧; (2) 评估 IPT 对 a) 女性适应的影响 他们与配偶、孩子、家人和朋友的关系，b) 妇女对其婴儿的反应，以及 c) 婴儿的情感 表达和情绪调节； (3) 确定复发率 18 个月内成功治疗的女性抑郁症的发生率 治疗结束后； (4) 评估临床社会模型 成功治疗的女性抑郁症复发的情况。 样本104 产后抑郁症妇女被随机分配到立即或 延迟（等待名单控制）IPT。 治疗将包括 12 至 16 私人治疗师的疗程（超过 12 周）。 对女性的评估 在治疗前、治疗期间和治疗后采取多种抑郁措施 将进行社会调整。 治疗试验后，所有女性 将进行为期 18 个月的随访，评估抑郁症和社交能力 每3个月进行一次调整。 对儿童的评估将采取 治疗前、治疗后和2岁时。 我们期望 接受人际心理治疗的女性将显着证明 与女性相比，抑郁症水平较低，社会适应水平较高 等候名单控制条件，并对他们的婴儿更加敏感。 我们还预计大约 40% 到 50% 的成功治疗女性 抑郁症将在 18 个月内复发 随访期。 我们预计既往有抑郁症和其他疾病史 精神疾病与抑郁症风险增加有关 复发。 正在进行的研究应该为以后的研究做好准备：(a) 预防产后成功治疗的女性抑郁症复发 (b) 通过以下方式改善幼儿的社会适应能力： 减少母亲患抑郁症的机会。 这样做的最终目的 拟议的研究旨在评估母亲抑郁症对 儿童生命的头两年到 2 岁时的适应期。 最后，我们期望母亲患有长期抑郁症的孩子 在生命的头两年中，他们在两年后的适应能力会较差 的年龄。