Objective: This article describes the development of an interpersonal psychotherapy group which has been adapted to address the mother-child relationship in the context of postnatal depression (PND).Background: When PND develops, the child of the sufferer is also at risk for deleterious outcomes. It is thought that this is because the mother-baby bonding process is interrupted, affected, or reduced in quality by the existence of depression in addition to genetics and biological effects of exposure to illness in utero. Past approaches to mitigating this risk have focussed on treating the depression as the primary issue and the mother-baby relationship as secondary. This article makes the argument that interpersonal psychotherapy has neglected this relationship despite the evidence that this is a key precipitating/perpetuating factor in postnatal depression, and that targeting this relationship has benefits for both mother and baby. Method: An interpersonal psychotherapy protocol was developed, modified to incorporate psychoeducation and practice of maternally sensitive interactions. A case study from a version of this group intervention is provided. Results: The case study outcomes on selfreport scales of depression suggest the modified protocol is as effective in treating PND as the original protocol. Self-report of maternal attachment and videotape measures of maternal sensitivity also improved, suggesting that the modified protocol can address the mother-baby relationship.
Conclusion:The suitability of adapting interpersonal psychotherapy to address the mother-baby relationship appears promising. Further rigorous trials using this therapy are warranted to determine its effectiveness.Keywords: postnatal depression; interpersonal therapy; maternal sensitivity; mother-baby relationship; group therapy Word count: 4,098 words 3 Motherhood is a time of transformation across the spectrum of functioning for women. For most, motherhood is associated with greater wellbeing and satisfaction (Holton, Fisher, & Rowe, 2010). However, it can also be associated with challenges, one of the biggest being that of postnatal depression (PND). For some 7-16% of women (O'Hara & Swain, 1996), new motherhood is associated with the onset of PND. Whilst PND is not a distinct disorder from Major Depressive Episode, there are some clinical differences. The psychosocial stressors surrounding new motherhood, including sleep disturbance and breastfeeding pain, have been shown to increase inflammatory hormones associated with depression (Kendall-Tackett, 2007). There is a higher risk for PND in women with poor marital relationships, and those who develop PND report greater symptoms for a greater duration, and are more susceptible to later recurrence of depression relative to women with supportive relationships (Campbell, Cohn, Flanagan, Popper, & Meyers, 1992). Mothers can find it difficult to engage in depression treatments due to the demands of motherhood, reluctance to disclose their feelings, (Conners-Burrow et. al., 2015). A combination...