Controlled trial of the short- and long-term effect of psychological treatment of post-partum depression – 1. Impact on maternal mood!
- Författare
- COOPER, P. J., MURRAY, L., WILSON, A. & ROMANIUK, H.
- Titel
- Controlled trial of the short- and long-term effect of psychological treatment of post-partum depression – 1. Impact on maternal mood!
- Utgivningsår
- 2003
- Tidskrift
- British Journal of Psychiatry
- Volym
- 182
- Sidor
- 412–419
- Sammanfattning
Background Psychological interventions for postnatal depression can be beneficial in the short term but their longer-term impact is unknown.
Aims To evaluate the long-term effect on maternal mood of three psychological treatments in relation to routine primary care.
Method Women with post-partum depression (n=193) were assigned randomly to one of four conditions: routine primary care, non-directive counselling, cognitive—behavioural therapy or psychodynamic therapy. They were assessed immediately after the treatment phase (at 4.5 months) and at 9, 18 and 60 months post-partum.
Results Compared with the control, all three treatments had a significant impact at 4.5 months on maternal mood (Edinburgh Postnatal Depression Scale, EPDS). Only psychodynamic therapy produced a rate of reduction in depression (Structured Clinical Interview for DSM—III — R) significantly superior to that of the control. The benefit of treatment was no longer apparent by 9 months post-partum. Treatment did not reduce subsequent episodes of post-partum depression.
Conclusions Psychological intervention for post-partum depression improves maternal mood (EPDS) in the short term. However, this benefit is not superior to spontaneous remission in the long term.