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Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project.
Trials. 2020 Jun 05; 21(1):490.T

Abstract

BACKGROUND

After the birth of a child, many mothers and fathers experience postpartum mental disorders like depression, anxiety, obsessive-compulsive disorder, stress or other illnesses. This endangers the establishment of a secure attachment between the children and their primary caregivers. Early problems in parent-child interaction can have adverse long-term effects on the family and the child's well-being. In order to prevent a transgenerational transmission of mental disorders, it is necessary to evaluate psychotherapeutic interventions that target psychologically burdened parents of infants or toddlers. The aim of this trial is to investigate the efficacy of Parent-Infant-Psychotherapy (PIP) for mothers with postpartum mental disorder and their infants (0-12 months).

METHODS/DESIGN

In this open, randomized controlled intervention trial 180 mother-infant-dyads will be included and randomly allocated to 12 sessions of PIP or care as usual. The interventions take place either in inpatient adult psychiatric departments or in outpatient settings with home visits. The primary outcome is the change in maternal sensitivity assessed by the Sensitivity subscale of the Emotional Availability Scale (EAS) through videotaped dyadic play-interactions after 6 weeks. Secondary outcomes are maternal psychopathology, stress, parental reflective functioning, infant development and attachment after 6 weeks and 12 months. In addition, maternal attachment (AAI) and reflective functioning (AAI) will be analyzed as potential moderators, and resource usage in the German health system as well as associated costs will be evaluated.

DISCUSSION

There is increasing demand for well-controlled studies on psychotherapeutic interventions in the postpartum period that do not only focus on particular risk groups. This randomized controlled trial (RCT) represents one of the first studies to investigate the efficacy of PIP in inpatient psychiatric departments and outpatient care centers in Germany. The results will fill knowledge gaps on the factors contributing to symptom reduction in postpartum mental disorders and improvements in mother-child relationships and help in developing preventive and therapeutic strategies for the fragmented German health care system.

TRIAL REGISTRATION

German Register for Clinical Trials, ID: DRKS00016353.

Authors+Show Affiliations

International Psychoanalytic University, Stromstr. 3b, 10555, Berlin, Germany. janna.matthess@ipu-berlin.de.International Psychoanalytic University, Stromstr. 3b, 10555, Berlin, Germany.Department of Psychiatry, Psychosomatics and Psychotherapy, Diakonissenkrankenhaus Flensburg, Flensburg, Germany.International Psychoanalytic University, Stromstr. 3b, 10555, Berlin, Germany.Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin, Berlin, Germany.Department of Psychiatry, Psychosomatics and Psychotherapy, Diakonissenkrankenhaus Flensburg, Flensburg, Germany.Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin, Berlin, Germany.Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin, Berlin, Germany.Institute for Social Medicine, Epidemiology and Health Economics, Charité - Universitätsmedizin, Berlin, Germany. Institute of Clinical Epidemiology and Biometry, University of Wuerzburg, Wuerzburg, Germany. State Institute of Health, Bavarian Health and Food Safety Authority, Bad Kissingen, Germany.Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Leipzig, Germany.Department of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of Leipzig, Leipzig, Germany.Department of Psychiatry, Psychosomatics and Psychotherapy, Diakonissenkrankenhaus Flensburg, Flensburg, Germany.Department of Psychiatry, Psychosomatics and Psychotherapy, Diakonissenkrankenhaus Flensburg, Flensburg, Germany.

Pub Type(s)

Clinical Trial Protocol
Journal Article

Language

eng

PubMed ID

32503611

Citation

Mattheβ, J, et al. "Efficacy of Parent-Infant-Psychotherapy With Mothers With Postpartum Mental Disorder: Study Protocol of the Randomized Controlled Trial as Part of the SKKIPPI Project." Trials, vol. 21, no. 1, 2020, p. 490.
Mattheβ J, Eckert M, Richter K, et al. Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project. Trials. 2020;21(1):490.
Mattheβ, J., Eckert, M., Richter, K., Koch, G., Reinhold, T., Vienhues, P., Berghöfer, A., Roll, S., Keil, T., Schlensog-Schuster, F., von Klitzing, K., Ludwig-Körner, C., & Kuchinke, L. (2020). Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project. Trials, 21(1), 490. https://doi.org/10.1186/s13063-020-04443-7
Mattheβ J, et al. Efficacy of Parent-Infant-Psychotherapy With Mothers With Postpartum Mental Disorder: Study Protocol of the Randomized Controlled Trial as Part of the SKKIPPI Project. Trials. 2020 Jun 5;21(1):490. PubMed PMID: 32503611.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project. AU - Mattheβ,J, AU - Eckert,M, AU - Richter,K, AU - Koch,G, AU - Reinhold,T, AU - Vienhues,P, AU - Berghöfer,A, AU - Roll,S, AU - Keil,T, AU - Schlensog-Schuster,F, AU - von Klitzing,K, AU - Ludwig-Körner,C, AU - Kuchinke,L, Y1 - 2020/06/05/ PY - 2019/12/20/received PY - 2020/05/23/accepted PY - 2020/6/7/entrez PY - 2020/6/7/pubmed PY - 2021/3/2/medline KW - Attachment KW - Home visits KW - Inpatient psychiatric department KW - Maternal sensitivity KW - Parent-infant-psychotherapy KW - Postpartum mental disorder KW - Randomized controlled trial SP - 490 EP - 490 JF - Trials JO - Trials VL - 21 IS - 1 N2 - BACKGROUND: After the birth of a child, many mothers and fathers experience postpartum mental disorders like depression, anxiety, obsessive-compulsive disorder, stress or other illnesses. This endangers the establishment of a secure attachment between the children and their primary caregivers. Early problems in parent-child interaction can have adverse long-term effects on the family and the child's well-being. In order to prevent a transgenerational transmission of mental disorders, it is necessary to evaluate psychotherapeutic interventions that target psychologically burdened parents of infants or toddlers. The aim of this trial is to investigate the efficacy of Parent-Infant-Psychotherapy (PIP) for mothers with postpartum mental disorder and their infants (0-12 months). METHODS/DESIGN: In this open, randomized controlled intervention trial 180 mother-infant-dyads will be included and randomly allocated to 12 sessions of PIP or care as usual. The interventions take place either in inpatient adult psychiatric departments or in outpatient settings with home visits. The primary outcome is the change in maternal sensitivity assessed by the Sensitivity subscale of the Emotional Availability Scale (EAS) through videotaped dyadic play-interactions after 6 weeks. Secondary outcomes are maternal psychopathology, stress, parental reflective functioning, infant development and attachment after 6 weeks and 12 months. In addition, maternal attachment (AAI) and reflective functioning (AAI) will be analyzed as potential moderators, and resource usage in the German health system as well as associated costs will be evaluated. DISCUSSION: There is increasing demand for well-controlled studies on psychotherapeutic interventions in the postpartum period that do not only focus on particular risk groups. This randomized controlled trial (RCT) represents one of the first studies to investigate the efficacy of PIP in inpatient psychiatric departments and outpatient care centers in Germany. The results will fill knowledge gaps on the factors contributing to symptom reduction in postpartum mental disorders and improvements in mother-child relationships and help in developing preventive and therapeutic strategies for the fragmented German health care system. TRIAL REGISTRATION: German Register for Clinical Trials, ID: DRKS00016353. SN - 1745-6215 UR - https://www.unboundmedicine.com/medline/citation/32503611/Efficacy_of_Parent_Infant_Psychotherapy_with_mothers_with_postpartum_mental_disorder:_study_protocol_of_the_randomized_controlled_trial_as_part_of_the_SKKIPPI_project_ L2 - https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-020-04443-7 DB - PRIME DP - Unbound Medicine ER -