An intervention to reduce postpartum depressive symptoms: a randomized controlled trial
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Depressive symptoms and depression are a common complication of childbirth, and a growing body of literature suggests that there are modifiable factors associated with their occurrence. We developed a behavioral educational intervention targeting these factors and successfully reduced postpartum depressive symptoms in a randomized trial among low-income black and Latina women. We now report results of 540 predominantly white, high-income mothers in a second randomized trial. Mothers in the intervention arm received a two-step intervention that prepared and educated mothers about modifiable factors associated with postpartum depressive symptoms (e.g., physical symptoms, low self-efficacy), bolstered social support, and enhanced management skills. The control arm received enhanced usual care. Participants were surveyed prior to randomization, 3 weeks, 3 months, and 6 months postpartum. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS of 10 or greater). Prevalence of depressive symptoms postpartum was unexpectedly low precluding detection of difference in rates of depressive symptoms among intervention versus enhanced usual care posthospitalization: 3 weeks (6.0 vs. 5.6 %, p = 0.83), 3 months (5.1 vs. 6.5 %, p = 0.53), and 6 months (3.6 vs. 4.6 %, p = 0.53).
KeywordsPostpartum depression Randomized trial Behavioral intervention Psychosocial
- Gaynes BN, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, Brody S, Miller WC (2005) Perinatal depression: prevalence, screening accuracy, and screening outcomes. Paper presented at the AHRQ Publication No. 05-E006-2, Rockville Google Scholar
- Leventhal H, Bodnar-Deren S, Breland JY, Hash-Converse J, Phillips LA, Leventhal EA, Cameron LD (2011) Modeling health and illness behavior: the approach of the commonsense model. In: Baum A, Revenson TA, Singer J (eds) Handbook of health psychology, 2nd edn. Psychology Press, New York, pp 3–35Google Scholar
- McAndrew LM, Musumeci-Szabo TJ, Mora PA, Vileikyte L, Burns E, Halm EA, Leventhal EA, Leventhal H (2008) Using the common sense model to design interventions for the prevention and management of chronic illness threats: from description to process. Br J Health Psychol 13:195–204PubMedCrossRefGoogle Scholar
- Postpartum Support International (2010) Postpartum Support International, U.S. State Legislation http://www.postpartum.net/News-and-Events/Legislation.aspx. Retrieved May 8, 2012