INTERPERSONAL PSYCHOTHERAPY FOR POSTPARTUM DEPRESSION

说明(申请人摘要)：本研究的目的是：(1) 人际心理治疗(IPT)在产后治疗中的评价 (2)评价IPT对女性适应能力的影响。 他们与配偶、子女、家人和朋友的关系，b) 妇女对婴儿的反应，以及c)婴儿的情感 表达和情绪调节；(3)确定复发率 在18个月内成功治疗的女性中抑郁的发生率 治疗结束后；以及(4)评估临床-社会模式 在成功治疗的女性中抑郁复发的可能性。104个样本 产后抑郁的妇女被随机分配到即时或 延迟(等待名单控制)IPT。治疗将由12至16人组成 与私人治疗师进行治疗(超过12周)。对妇女的评估 在治疗前、治疗中和治疗后进行多项抑郁和 将进行社会调整。治疗试验结束后，所有女性 将进行为期18个月的抑郁和社交评估 每3个月进行一次调整。对儿童的评估将需要 在治疗前、治疗后和2岁时放置。我们期待着 接受人际心理治疗的女性将显著证明 女性的抑郁程度较低，社会适应程度较高 轮候名单控制了情况，并对婴儿做出了更好的反应。 我们还预计，大约40%到50%的成功治疗的女性 会在18个月内经历抑郁的复发 随访期。我们预计之前的抑郁症和其他病史 精神障碍会增加患抑郁症的风险 复发。正在进行的研究应该为以后的研究做好准备，以(A) 成功接受产后治疗的妇女预防抑郁症复发 (B)通过以下方式改善幼儿的社会适应能力 减少他们受到母性抑郁的影响。这样做的最终目的是 建议的研究是评估母亲抑郁在 儿童生命的头两年到他们2岁时的适应。 最后，我们预计母亲患有慢性抑郁症的孩子 在他们生命的头两年，在两年后会表现出较差的适应能力 年纪大了。

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.