Abstract
This study assessed the initial feasibility, acceptability, and efficacy of an intervention aimed at reducing depression and
posttraumatic stress disorder (PTSD) in a sample of low-income pregnant women with recent intimate partner violence (IPV).
Fifty-four women were randomly assigned to the intervention or control group. The intervention consisted of four sessions
during pregnancy and one “booster” session within 2 weeks of delivery. Based on principles of Interpersonal Psychotherapy,
the intervention was designed to help participants improve their interpersonal relationships, including their social support
networks, and master their role transition to motherhood. Assessments were administered at four time points (intake, 5–6 weeks
post-intake, 2 weeks postpartum, 3 months postpartum) to assess for depression, PTSD, and IPV. The intervention did not significantly
reduce the likelihood of a major depressive episode, PTSD, or IPV during pregnancy or up to 3-month postpartum. However, we
found moderate effects for the intervention in reducing symptoms of PTSD and depression during pregnancy and a large effect
for PTSD symptoms from pregnancy up to 3 months postpartum. This study suggests some initial support for our intervention.
Larger randomized trials are needed to further examine the intervention both during and after pregnancy.
posttraumatic stress disorder (PTSD) in a sample of low-income pregnant women with recent intimate partner violence (IPV).
Fifty-four women were randomly assigned to the intervention or control group. The intervention consisted of four sessions
during pregnancy and one “booster” session within 2 weeks of delivery. Based on principles of Interpersonal Psychotherapy,
the intervention was designed to help participants improve their interpersonal relationships, including their social support
networks, and master their role transition to motherhood. Assessments were administered at four time points (intake, 5–6 weeks
post-intake, 2 weeks postpartum, 3 months postpartum) to assess for depression, PTSD, and IPV. The intervention did not significantly
reduce the likelihood of a major depressive episode, PTSD, or IPV during pregnancy or up to 3-month postpartum. However, we
found moderate effects for the intervention in reducing symptoms of PTSD and depression during pregnancy and a large effect
for PTSD symptoms from pregnancy up to 3 months postpartum. This study suggests some initial support for our intervention.
Larger randomized trials are needed to further examine the intervention both during and after pregnancy.
- Content Type Journal Article
- DOI 10.1007/s00737-010-0195-x
- Authors
- Caron Zlotnick, Warren Alpert School of Medicine, Brown University, Providence, RI USA
- Nicole M. Capezza, Warren Alpert School of Medicine, Brown University, Providence, RI USA
- Donna Parker, Warren Alpert School of Medicine, Brown University, Providence, RI USA
- Journal Archives of Women’s Mental Health
- Online ISSN 1435-1102
- Print ISSN 1434-1816