Interpersonal psychotherapy with pregnant adolescents: two pilot studies

Miller, Lisa; Gur, Merav; Shanok, Arielle F.; Weissman, Myrna M.

doi:10.1111/j.1469-7610.2008.01890.x

Cited by 59 publications

(48 citation statements)

References 45 publications

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“…Fourteen studies (52%) reported at least some information regarding the race, ethnicity, or national origin of subjects. In the 10 studies (37%) that reported demographic information that provided sufficient data regarding the racial composition of their samples, the percentage of subjects who identified as racial/ethnic minorities ranged from 0% (Klier et al, 2001) to 100% (Miller, Gur, Shanok, & Weissman, 2008), with a mean of 45.6% and standard deviation of 32.7%. Twenty-three studies (85%) reported information regarding the marital status of subjects.…”

Section: Resultsmentioning

confidence: 99%

A meta-analysis of treatments for perinatal depression

Sockol

Epperson

Barber

2011

Clinical Psychology Review

246

194

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This meta-analysis assessed efficacy of pharmacologic and psychological interventions for treatment of perinatal depression. A systematic review identified 27 studies, including open trials (n=9), quasi-randomized trials (n=2), and randomized controlled trials (n=16) assessing change from pretreatment to posttreatment or comparing these interventions to a control group. Uncontrolled and controlled effect sizes were assessed in separate meta-analyses. There was significant improvement in depressive symptoms from pretreatment to posttreatment, with an uncontrolled overall effect size (Hedges' g) of 1.61 after removal of outliers and correction for publication bias. Symptom levels at posttreatment were below cutoff levels indicative of clinically significant symptoms. At posttreatment, intervention groups demonstrated significantly greater reductions in depressive symptoms compared to control groups, with an overall controlled effect size (Hedges' g) of 0.65 after removal of outliers. Individual psychotherapy was superior to group psychotherapy with regard to changes in symptoms from pretreatment to posttreatment. Interventions including an interpersonal therapy component were found to have greater effect sizes, compared to control conditions, than interventions including a cognitive–behavioral component. Implications of the findings for clinical practice and future research are discussed.

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Section: Resultsmentioning

confidence: 99%

A meta-analysis of treatments for perinatal depression

Sockol

Epperson

Barber

2011

Clinical Psychology Review

246

194

View full text Add to dashboard Cite

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“…Adolescent mothers report extreme stress from conflict with parents and/or romantic partners experienced in combination with financial hardship, societal expectations, cultural messages, and/or pubertal changes. 23,24 Adolescent women have also reported perceiving extreme stigma around psychiatric illness, particularly depression.…”

Section: Introductionmentioning

confidence: 99%

Pregnant adolescent women’s perceptions of depression and psychiatric services in the United States

et al. 2017

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Problem Adolescent mothers and their children are at high-risk for depression and the associated negative educational, social, health, and economic outcomes. Background However, few pregnant adolescent women with depression receive psychiatric services, especially low-income or racial/ethnic minority adolescent women. Aim This qualitative study explores perceptions of depression, psychiatric services, and barriers to accessing services in a sample of low-income, pregnant racial/ethnic minority adolescent women. Our goal was to better understand the experiences of depression during pregnancy for these vulnerable adolescent women, and thereby improve their engagement and retention in services for perinatal depression. Methods We recruited 20 pregnant adolescent women who screened positive for depression from 2 public health prenatal clinics in the southeastern United States. Participants were low-income and primarily racial/ethnic minority women between 14 and 20 years old. Data were collected through individual in-depth, ethnographically informed interviews. Findings Generally, participants lacked experience with psychiatric services and did not recognize their symptoms as depression. However, participants perceived a need for mood improvement and were interested in engaging in services that incorporated their perspective and openly addressed stigma. Discussion Participants reported practical and psychological barriers to service engagement, but identified few cultural barriers. Family perceptions of psychiatric services served as both a barrier and support. Conclusion Adolescent women are more likely to engage in psychiatric services if those services reduce practical and psychological barriers, promise relief from the symptoms perceived as most meaningful, and address underlying causes of depression. Culture may affect Latina adolescent women’s perceptions of depression and services.

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“…To date, only one published report of two small open-trial pilot studies (N=14 and N=11) addressed treatment for depression in pregnant adolescents 15 . Despite the potentially high burden of depression to young women and their families, studies on the prevention of postpartum depression in pregnant adolescents are virtually nonexistent.…”

Section: Introductionmentioning

confidence: 99%

Randomized controlled trial to prevent postpartum depression in adolescent mothers

Phipps¹,

Raker²,

Ware³

et al. 2013

American Journal of Obstetrics and Gynecology

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Objective To estimate the effect of an interpersonally-oriented intervention on reducing the risk of postpartum depression in primiparous adolescents. Study design Randomized controlled trial of 106 pregnant primiparous adolescents who were 17 years old or younger at their first prenatal visit. Participants were randomized to the intervention (n=54) or the attention and dose-matched control program (n=52). Each program included 5 sessions delivered during the prenatal period. To assess for the primary outcome, depression at 6-weeks, 3-months and 6-months after delivery, a structured diagnostic interview was administered. 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 HR 0.44 (95% CI 0.17–1.15) at 6 months postpartum. Conclusion An intervention delivered during the prenatal period has the potential to reduce the risk for postpartum depression in primiparous adolescent mothers.

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Interpersonal psychotherapy with pregnant adolescents: two pilot studies

Abstract: IPT-PA appears feasible and helpful in managing and treating depression in pregnant girls.

Cited by 59 publications

References 45 publications

A meta-analysis of treatments for perinatal depression

A meta-analysis of treatments for perinatal depression

Pregnant adolescent women’s perceptions of depression and psychiatric services in the United States

Randomized controlled trial to prevent postpartum depression in adolescent mothers

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