Randomized controlled trial to prevent postpartum depression in adolescent mothers - 21/02/13
Riassunto |
Objective |
The purpose of this study was to estimate the effect of an interpersonally oriented intervention on the reduction of the risk of postpartum depression in primiparous adolescents.
Study Design |
We conducted a randomized controlled trial of 106 pregnant primiparous adolescents who were ≤17 years old at their first prenatal visit. Participants were assigned randomly to the intervention program (n = 54) or the attention and dose-matched control program (n = 52). Each program included 5 sessions that were delivered during the prenatal period. A structured diagnostic interview was administered to assess for the primary outcome and depression at 6 weeks, 3 months, and 6 months after delivery.
Results |
Participants included Hispanic (53%), non-Hispanic black (17%), and non-Hispanic white (16%) adolescents. The overall rate of depression in the intervention group (12.5%) was lower than the control group (25%) with a hazard rate ratio of 0.44 (95% confidence interval, 0.17−1.15) at 6 months after delivery.
Conclusion |
An intervention that is delivered during the prenatal period has the potential to reduce the risk for postpartum depression in primiparous adolescent mothers.
Il testo completo di questo articolo è disponibile in PDF.Key words : adolescent, clinical trial, interpersonal therapy, postpartum depression, prevention, teen pregnancy
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| Supported by a grant from the National Institute of Mental Health (R34MH77588). |
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| The authors report no conflict of interest. |
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| Reprints not available from the authors. |
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| Cite this article as: Phipps MG, Raker CA, Ware CF, et al. Randomized controlled trial to prevent postpartum depression in adolescent mothers. Am J Obstet Gynecol 2013;208:192.e1-6. |
Vol 208 - N° 3
P. 192.e1-192.e6 - marzo 2013 Ritorno al numero
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