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Maternal-infant mental health: postpartum group intervention.
Arch Womens Ment Health. 2016 Apr; 19(2):243-51.AW

Abstract

Dyadic interactions associated with maternal depression and anxiety may perpetuate maternal mental illness and impact infant attachment. Individual and maternal-dyadic therapies are effective but resource intensive. We assessed feasibility, acceptability, and preliminary efficacy of a newly developed maternal-infant dyadic group therapy intervention. This was an open-label pilot study targeting mothers with mood or anxiety disorders, and their infants aged 6 to 12 months. We conducted three 12-week groups combining evidence-based maternal and mother-infant dyadic strategies to enhance mood, insight, parenting, and mentalizing capacity. We measured recruitment and retention rates, reasons for nonparticipation, and missed sessions. Acceptability of the intervention was assessed via questionnaires and semi-structured interviews. Efficacy outcomes were the Parenting Stress Index (PSI), Edinburgh Postnatal Depression Scale (EDPS), and the Beck Anxiety Inventory (BAI), measured pretreatment and posttreatment. The feasibility and acceptability were excellent. There was a significant reduction in mean depressive symptom scores (t 3.31; p 0.008 sig) and a trend toward decreasing anxiety scores (t 1.96; p 0.08). The total PSI score decreased, approaching statistical significance (t 2.23; p 0.057). Enhanced insight, parenting capacity, affect regulation, and positive interaction with baby were supported with self-report surveys and interviews. This resource-efficient novel mother-baby dyadic group intervention shows excellent feasibility, acceptability, and has good preliminary efficacy results. It has the potential to improve depression, anxiety, affect regulation, parenting, and maternal mentalization.

Authors+Show Affiliations

Department of Psychiatry, University of Toronto, 250 College Street 8th Floor, Toronto, ON, M5T 1R8, Canada. diane.meschino@wchospital.ca. Women's College Hospital, 76 Grenville Street 7th Floor, Toronto, ON, M5S 1B2, Canada. diane.meschino@wchospital.ca.Department of Psychiatry, University of Toronto, 250 College Street 8th Floor, Toronto, ON, M5T 1R8, Canada. The Hincks Delcrest Centre, 440 Jarvis Street, Toronto, ON, M4Y 2H4, Canada.Department of Psychiatry, University of Toronto, 250 College Street 8th Floor, Toronto, ON, M5T 1R8, Canada. Women's College Hospital, 76 Grenville Street 7th Floor, Toronto, ON, M5S 1B2, Canada.Department of Psychiatry, University of Toronto, 250 College Street 8th Floor, Toronto, ON, M5T 1R8, Canada. Women's College Hospital, 76 Grenville Street 7th Floor, Toronto, ON, M5S 1B2, Canada.

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

26239582

Citation

de Camps Meschino, Diane, et al. "Maternal-infant Mental Health: Postpartum Group Intervention." Archives of Women's Mental Health, vol. 19, no. 2, 2016, pp. 243-51.
de Camps Meschino D, Philipp D, Israel A, et al. Maternal-infant mental health: postpartum group intervention. Arch Womens Ment Health. 2016;19(2):243-51.
de Camps Meschino, D., Philipp, D., Israel, A., & Vigod, S. (2016). Maternal-infant mental health: postpartum group intervention. Archives of Women's Mental Health, 19(2), 243-51. https://doi.org/10.1007/s00737-015-0551-y
de Camps Meschino D, et al. Maternal-infant Mental Health: Postpartum Group Intervention. Arch Womens Ment Health. 2016;19(2):243-51. PubMed PMID: 26239582.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal-infant mental health: postpartum group intervention. AU - de Camps Meschino,Diane, AU - Philipp,Diane, AU - Israel,Aliza, AU - Vigod,Simone, Y1 - 2015/08/05/ PY - 2015/05/08/received PY - 2015/07/08/accepted PY - 2015/8/5/entrez PY - 2015/8/5/pubmed PY - 2016/9/9/medline KW - Group therapy KW - Mentalize KW - Parenting KW - Postpartum depression KW - WWW SP - 243 EP - 51 JF - Archives of women's mental health JO - Arch Womens Ment Health VL - 19 IS - 2 N2 - Dyadic interactions associated with maternal depression and anxiety may perpetuate maternal mental illness and impact infant attachment. Individual and maternal-dyadic therapies are effective but resource intensive. We assessed feasibility, acceptability, and preliminary efficacy of a newly developed maternal-infant dyadic group therapy intervention. This was an open-label pilot study targeting mothers with mood or anxiety disorders, and their infants aged 6 to 12 months. We conducted three 12-week groups combining evidence-based maternal and mother-infant dyadic strategies to enhance mood, insight, parenting, and mentalizing capacity. We measured recruitment and retention rates, reasons for nonparticipation, and missed sessions. Acceptability of the intervention was assessed via questionnaires and semi-structured interviews. Efficacy outcomes were the Parenting Stress Index (PSI), Edinburgh Postnatal Depression Scale (EDPS), and the Beck Anxiety Inventory (BAI), measured pretreatment and posttreatment. The feasibility and acceptability were excellent. There was a significant reduction in mean depressive symptom scores (t 3.31; p 0.008 sig) and a trend toward decreasing anxiety scores (t 1.96; p 0.08). The total PSI score decreased, approaching statistical significance (t 2.23; p 0.057). Enhanced insight, parenting capacity, affect regulation, and positive interaction with baby were supported with self-report surveys and interviews. This resource-efficient novel mother-baby dyadic group intervention shows excellent feasibility, acceptability, and has good preliminary efficacy results. It has the potential to improve depression, anxiety, affect regulation, parenting, and maternal mentalization. SN - 1435-1102 UR - https://www.unboundmedicine.com/medline/citation/26239582/Maternal_infant_mental_health:_postpartum_group_intervention_ L2 - https://dx.doi.org/10.1007/s00737-015-0551-y DB - PRIME DP - Unbound Medicine ER -