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Interpersonal Therapy-Based Treatment to Prevent Postpartum Depression in Adolescent Mothers

This study is currently recruiting participants.
Information provided by National Institute of Mental Health (NIMH)

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Descriptive Information Fields
Brief Title  Interpersonal Therapy-Based Treatment to Prevent Postpartum Depression in Adolescent Mothers
Official Title  Preventing Postpartum Depression in Adolescent Mothers
Brief Summary

This study will aim to prevent postpartum depression in pregnant teenagers through an interpersonal therapy-based program.

Detailed Description

Postpartum depression is believed to be one of the most common complications after pregnancy. This type of depression often occurs within the first year after the baby is born and is most likely caused by dramatic changes in hormone levels after pregnancy. Pregnant teenagers are even more at risk for experiencing complications throughout pregnancy and parenting difficulties after delivery. Minimal research has been done on preventive ways to reduce postpartum depression in teenagers. Therefore, this study will evaluate the effectiveness of an interpersonal therapy-based program at preventing postpartum depression in financially disadvantaged pregnant teenagers.

Participants will first undergo a 15-minute interview about their background and emotions. Participants will undergo a second interview and then be randomly assigned to receive either interpersonal therapy-based treatment or standard care. Participants assigned to receive interpersonal therapy-based treatment will focus on the psychological aspects of pregnancy and factors that may play a role in the development of postpartum depression in teenage mothers, such as poor social support, role transitions, and life stressors. Participants assigned to receive standard care will focus more on the health issues associated with pregnancy and postpartum. Both groups will attend weekly 1-hour sessions for 5 weeks. Homework may be assigned to review topics discussed, and all participants will receive the book Baby Basics. Following treatment, participants will meet with researchers again when they are 34 to 36 weeks pregnant; in the hospital after the baby is born; and 6, 12, and 24 weeks after the baby is born.

Study Phase
Study Type  Interventional
Study Design  Prevention, Randomized, Single Blind (Subject), Active Control, Parallel Assignment, Efficacy Study
Primary Outcome Measure  Postpartum depression diagnosis [ Time Frame: Measured at pretreatment; Weeks 34 to 36 during pregnancy; hospital stay after delivery; and Weeks 6, 12, and 24 postpartum ] [ Designated as safety issue: No ]
Secondary Outcome Measure  Degree of depressive symptoms [ Time Frame: Measured at pretreatment; Weeks 34 to 36 during pregnancy; hospital stay after delivery; and Weeks 6, 12, and 24 postpartum ] [ Designated as safety issue: No ]
Prenatal distress [ Time Frame: Measured at pretreatment; Weeks 34 to 36 during pregnancy; hospital stay after delivery; and Weeks 6, 12, and 24 postpartum ] [ Designated as safety issue: No ]
Social support [ Time Frame: Measured at pretreatment; Weeks 34 to 36 during pregnancy; hospital stay after delivery; and Weeks 6, 12, and 24 postpartum ] [ Designated as safety issue: No ]
Condition  Depression
Intervention  Behavioral: Interpersonal therapy-based treatment
Behavioral: Standard care
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  140
Start Date  February 2007
Completion Date September 2009
Eligibility Criteria 

Inclusion Criteria:

  • Less than 24 weeks pregnant
  • Not currently being treated for depression
  • Speaks and reads English fluently

Exclusion Criteria:

  • Currently receiving mental health services from a health care provider
  • Meets DSM-IV criteria for an affective disorder, substance use disorder, or psychosis
Gender Female
Ages 12 Years to 18 Years
Accepts Healthy Volunteers Yes
Contacts ††
Contact: Maureen Phipps, MD     401-274-1122 ext 2834     mphipps@wihri.org    
Contact: Nicole Girard, MBA     401-274-1122 ext 2857     ngirard@wihri.org    
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00436150
Organization ID R34 MH077588
Secondary IDs †† DSIR 84-CTP
Study Sponsor  National Institute of Mental Health (NIMH)
Collaborators ††
Investigators 
Principal Investigator:     Maureen Phipps, MD     Women and Infants Hospital of Rhode Island    
Information Provided By National Institute of Mental Health (NIMH)
Verification Date February 2008
First Received Date  February 14, 2007
Last Updated Date February 12, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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