Effects of a brief psychoanalytic intervention for perinatal depression

Article Article scientifique Article Effects of a brief psychoanalytic intervention for perinatal depression eng 2012 author Nanzer Nathalie 0000-0003-4146-0399 81184 author Sancho P. Sousa Rossignol Ana Cristina 33169 author Righetti-Veltema Marion author Knauer Dora C. 134499 author Manzano Juan 22723 author Palacio-Espasa Francisco 22883 259-268 10.1007/s00737-012-0285-z 22610758 1434-1816 http://doc.rero.ch/record/319031/files/737_2012_Article_285.pdf This pilot study explores the effects of a brief individual psychoanalytic therapy on perinatal depressive symptoms. This intervention is based on the Geneva's mother-infant intervention model. A sample of 129 pregnant women was recruited in Geneva (Switzerland) and screened for depressive symptoms with two instruments: the 'Edinburgh postnatal depression scale' (EPDS) and the 'Dépistage anténatal de la dépression postnatale'. A group of 40 women presenting depressive symptoms (treatment group) participated in a four-session intervention called 'Psychotherapy centred on parenthood (PCP)'. It consists in two antenatal and two postnatal sessions and is focussed on changing problematic representations of parenthood. This treatment group was compared to a control group of 88 women without depressive symptoms and following the usual obstetrical care. The main outcome measure was EPDS at 3 and 6 months after delivery. The 'Global assessment functioning scale' was administered at the end of each therapeutic session. The 'Parent-infant relationship global assessment scale' was administered at the two postnatal sessions in order to explore if PCP was also effective in preventing the potential negative effects of depression on mother-infant relationship. Results show that in the treatment group (N = 31), EPDS scores dropped from 12.8 to 4.8; none of these women met the EPDS cut-off score of 12 at 3 and 6 months postpartum. Mother-infant relationship was well adapted for all 31 dyads at the end of the intervention. These results suggest that PCP is a promising intervention for treating perinatal depression and helping mothers engaging in parenting. Adult Analysis of Variance Depression/diagnosis/therapy Depression, Postpartum/diagnosis/prevention & control/therapy Depressive Disorder/diagnosis/prevention & control/therapy Female Humans Longitudinal Studies Mother-Child Relations Mothers/psychology Pilot Projects Pregnancy Pregnancy Complications/diagnosis/therapy Psychiatric Status Rating Scales Psychoanalysis/methods Switzerland Dewey 616.89 60 Département de psychiatrie 225 false Archives of Women's Mental Health 15 4 c13e20cb-832a-4bd1-8ee1-917582008a76 Article (Published version) Restricted Nanzer2012_Article_EffectsOfABriefPsychoanalyticI(1).pdf 258237 application/pdf 0a7c9316-4931-4b20-b42f-f5a13e0989c1 Article (Accepted version) Public Article_avec_mention_version.pdf 369336 application/pdf openAccess Faculté de médecine / Section de médecine clinique / Département de psychiatrie

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Effects of a brief psychoanalytic intervention for perinatal depression	Archives of Women's Mental Health			2012	326	483

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Knauer, Dora C.