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Group interpersonal psychotherapy for maternal depression an exploratory randomized control trial

Published online by Cambridge University Press:  23 March 2020

H. Nusrat ,
N. Zehra ,
B. Amir ,
C. Nasim ,
K. tayyeba ,
Z. Shehla ,
F. Batool ,
H. Meher  and
N. Farooq
H. Nusrat*
Affiliation:
University of Manchester, Psychiatry, Manchester, United Kingdom
N. Zehra
Affiliation:
Pakistan Institute of Learning and Living, Research, Karachi, Pakistan
B. Amir
Affiliation:
Pakistan Institute of Learning and Living, Research, Karachi, Pakistan
C. Nasim
Affiliation:
Lancashire Care NHS Foundation Trust, Psychiatry, Manchester, Pakistan
K. tayyeba
Affiliation:
Pakistan Institute of Learning and Living, Research, Karachi, Pakistan
Z. Shehla
Affiliation:
Dow University of Health Sciences, Nursing, Karachi, Pakistan
F. Batool
Affiliation:
Pakistan Institute of Learning and Living, Research, Karachi, Pakistan
H. Meher
Affiliation:
Harvey House Social Enterprises, Psychiatry, Manchester, United Kingdom
N. Farooq
Affiliation:
Queens University, Psychiatry, Ontario, Canada
*
*Corresponding author.

Abstract

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Introduction

The global burden of depression is high for women in both high income and low-and-middle income countries WHO. Depression is particularly common during pregnancy and in the postnatal period and phenomenology said to be the same as in non-child bearing age. Despite high prevalence of prenatal and postnatal depression in Pakistan, research on the effectiveness of psychological interventions is limited.

Aims

This study aimed to assess the feasibility of group interpersonal psychotherapy (IPT) intervention for maternal depression in Karachi, Pakistan.

Methods

A total of 50 mothers aged 18 years and above with children below 3 years of age, and experiencing mild to moderate depression were recruited. Assessments were done using Edinburgh Postnatal Depression Scale (EPDS) Rosenberg's Self-Esteem Scale and EuroQol-5D at baseline, 3 months, and 6 months. Rosenberg's Self-Esteem Scale and EQ-5D were also used to measure self-esteem and health related quality of life. Participants were randomly assigned into IPT plus treatment as usual (TAU) and TAU groups. Ten sessions of group IPT were delivered to intervention group.

Results

Results indicated significant difference between intervention and control group on EPDS. The mean score at baseline for the IPT group (mean = 14.76) reduced to (mean = 6.40) (P < 0.000) at 3-month and to (mean = 6.64) (P < 0.001) at 6-month intervals as compared to TAU (mean = 11.44) (P < 0.000) at 3-month and to (mean = 11.08) at 6-month (P < 0.001) after randomisation.

Conclusion

IPT is a successful fit for women with maternal depression in low-income areas and IPT can be the appropriate treatment option as it is time limited, specific, and evidence based.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV510
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S413 - S414
Copyright
Copyright © European Psychiatric Association 2016
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