Depression Clinical Trial
Official title:
Depression Prevention in Pregnant American Indian Teens Using CBT
This study will determine the effectiveness of the "Living in Harmony" depression prevention program in preventing depressive symptoms among pregnant American Indian adolescents during pregnancy and after giving birth.
Pregnancy among reservation-based American Indian adolescents has become increasingly
common. Numerous psychosocial and environmental factors have put this population at high
risk for pregnancy-related depression. Depression during pregnancy and after giving birth is
associated with reduced quality of life for both young mothers and their children. Many
reservations lack mental health services; therefore, an inexpensive intervention is needed
to prevent depressive symptoms among pregnant adolescents who live on reservations.
The duration of this study will vary for each participant, depending on the time of study
entry. Participants will be randomly assigned to receive weekly sessions of either the
"Living in Harmony" program, consisting of cognitive behavioral therapy (CBT),
culturally-relevant education, and support; or general depression-prevention education and
support. Participants' depressive symptoms will be assessed at study entry, at 4, 12, and 24
weeks after giving birth, and study completion. Interviews and self-report scales will be
used to assess participants.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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