INTERPERSONAL PSYCHOTHERAPY FOR POSTPARTUM DEPRESSION

说明（申请人摘要）：本研究的目的是：（1） 评估人际心理治疗（IPT）作为产后 （2）评估IPT对a）女性适应 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， 治疗结束后;（4）评估临床-社会模型 抑郁症复发的概率。 样本104 产后抑郁的妇女被随机分配到立即或 延迟（等待列表控制）IPT。 治疗将包括12至16名 与私人治疗师进行为期12周的治疗。 对妇女的评估 在治疗前、治疗期间和治疗后， 将进行社会调整。 在治疗试验后，所有女性 将随访18个月，评估抑郁症和社会 每3个月进行一次调整。 对儿童的评估将 在治疗前、治疗后和2岁时进行。 我们预计 接受人际心理治疗的女性 抑郁水平较低，社会适应水平高于女性， 等待名单控制条件，并更积极地回应他们的婴儿。 我们还预计，大约40%至50%的成功治疗的妇女， 会在18个月内再次经历抑郁症 随访期。 我们希望以前的抑郁症和其他 精神疾病将与抑郁症风险增加有关 复发 正在进行的研究应为以后的研究做好准备，以便（a） 预防产后成功治疗的女性抑郁症复发 抑郁症和（B）改善幼儿的社会适应， 减少她们患上母亲抑郁症的机会 这件事的最终目的 一项拟议的研究是评估母亲抑郁症在 从孩子生命的头两年到他们2岁时的适应。 最后，我们认为那些母亲长期抑郁的孩子 在他们生命的头两年， 年龄。

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.