PREVENTION OF POSTPARTUM DEPRESSION DEVELOPMENT IN WOMEN WITH VERY HIGH RISK (PROGEA)
Postpartum Depression
About this trial
This is an interventional prevention trial for Postpartum Depression focused on measuring women, high risk
Eligibility Criteria
Inclusion criteria
General criteria for inclusion in the study:
- Pregnant women in the 3rd quarter. In the case of inclusion of children in the study were notified each case their participation to the Department.
- Signature of informed consent.
Inclusion criteria for treatment group:
Submitted one or more risk factor for developing postpartum depression:
- Depressive or anxious pathology during pregnancy.
- Personal history of severe mental disorder (schizophrenia and other psychoses, bipolar disorder, depressive disorder).
- Family history of severe mental disorder.
- Concomitant medical diseases associated with depression (diabetes, heart disease, hypertension, obesity).
- Low or very low socioeconomic status.
- Lack of support for women (couples, family, friends or others).
- Submit a score ≥7.5 in the EPDS questionnaire. According Vega-Dienstmainer (Vega-Diesnstmainer JM, 2002), there weren't women with lower score than 7.5 that had been diagnosed with DPP (sensitivity and positive predictive value of 100%). Therefore, we considered selecting those patients with higher score of 7.5 on the EPDS scale.
Exclusion criteria
- Mental Retardation.
- Severe mental disorder decompensation that prevents understanding of the objectives of the study.
- Submit language difficulties that impede verbal comprehension / reading-writing.
- Submit a major depressive episode according to DSM-IV TR (depressive symptoms of sufficient intensity and longer duration than 2 weeks).
All participants will be informed that they will be randomized to on of the two study groups and will only be included if they give their informed consent to participate in the study. Women in both groups will be evaluated at baseline (pre-intervention) at 6 and 12 weeks (postinternveción).
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
psychoeducation
Control group
Usual treatment + psychoteraphy focused on problem solving (6 sessions). The psychoeducational programme consists of 6 sessions of 60 minutes, one per week.
Puerperal control with their doctor. This group will also be interviewed with the same frecuency of the experimental group but will not receive a psichologycal treatment.