Depression Clinical Trial
Official title:
Calcium for the Prevention of Postpartum Depression
This study will evaluate the effectiveness of taking supplemental calcium while pregnant in reducing the risk of postpartum depression.
Postpartum depression is a combination of physical, emotional, and behavioral changes that
occur after childbirth. The rapid drop in estrogen and progesterone levels, as well as the
social and psychological changes resulting from the birth of a child, can often trigger
depression in women. Common symptoms include crying, irritability, fatigue, loss of
appetite, and feelings of guilt and anxiety. Women who develop postpartum depression often
feel unable to care for their baby or themselves. Postpartum depression is common; it is
estimated that about 10 percent of new mothers experience some symptoms of depression
following delivery. Risk factors include a personal or family history of depression and a
history of suffering from premenstrual dysphoric disorder (PMDD), a severe form of
premenstrual syndrome (PMS). The purpose of this study is to evaluate the effectiveness of
calcium supplements taken during pregnancy in reducing the likelihood of postpartum
depression in women at risk for developing this condition.
Pregnant women who are at risk for developing postpartum depression will be enrolled in this
study when they are between 16 to 26 weeks pregnant. All recruited women will undergo
psychological testing for screening purposes. Women who are found to be depressed or
suffering from other psychiatric disorders during screening will be referred to alternative
treatment and will not be enrolled in this study. All participants will then be randomly
assigned to receive either a calcium supplement (2 grams) or placebo on a daily basis.
Treatments will continue throughout the remainder of each woman's pregnancy and for 12 weeks
after she gives birth. Outcome measurements will include standardized questionnaires and
psychiatric interviews to assess depression levels. If any participant exhibits significant
depressive symptoms, she will be referred for psychiatric treatment. All measurements will
be assessed at Weeks 26, 32 and 38 of the pregnancy, and 6 and 12 weeks after giving birth.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Prevention
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