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. 2015 Jan 8;2015(1):CD010534. doi: 10.1002/14651858.CD010534.pub2

NCT01744041.

Trial name or title Mommy‐Baby Treatment for Perinatal Depression
Methods Allocation: randomised
 Intervention model: parallel assignment
 Masking: open label
 Primary purpose: treatment
Participants Enrolment: n = 40
Inclusion criteria:
  • Pregnant women

  • Aged ≥ 18 years

  • 12‐30 weeks' gestation

  • Score ≥ 13 on EPDS

  • SCID‐IV diagnosis of MDD, dysthymia or DD‐NOS

  • English speaking


Exclusion criteria:
  • Substance abuse or dependence in past 3 months

  • Active suicidal or homicidal ideation

  • Bipolar disorder, psychotic disorder

  • Unstable medical condition or other medical/obstetrical complication

  • Evidence of severe intimate partner violence

  • Ongoing psychosocial or pharmacotherapy for depression

Interventions Behavioural: dyadic IPT versus other: enhanced treatment‐as‐usual
Experimental:
  • Brief IPT during pregnancy, followed by dyadic mother‐infant psychotherapy for 1‐year postpartum intervention


Active comparator:
  • Enhanced treatment‐as‐usual personalised referral to community resources for depression treatment

Outcomes Change in EPDS from baseline:
  • Time frame: change from baseline at end of pregnancy (37‐39 weeks' gestation); change from baseline at 3 months' postpartum; change from baseline at 6 months' postpartum; change from baseline at 9 months' postpartum; change from baseline at 12 months' postpartum

  • Designated as safety issue: no

Starting date Study start date: November 2012
Study completion date: completing October 2015 (final data collection date for primary outcome measure)
Contact information Principal investigator:
Shannon Lenze, PhD
Washington University and National Institute of Mental Health (NIMH), USA
Notes Perinatal depression is a major public health problem, affecting 15% of women during pregnancy through the postpartum period, with adverse consequences for the mother, fetus, infant, and family. Despite increasing evidence of the importance of this critical risk interval, little research has investigated the effects of depression treatment during pregnancy on infant outcomes. The purpose of this study is to test the feasibility, acceptability, and effectiveness of a new intervention: IPT for the mother‐infant dyad (IPT‐Dyad). This intervention begins during pregnancy and continues with the mother and infant until 1‐year postpartum. The investigators hypothesise that IPT‐Dyad will be better than treatment‐as‐usual in reducing depressive symptoms, improving psychosocial functioning, increasing parenting self efficacy, improving infant emotional development, and enhancing mother‐infant relationship quality