Postpartum Major Depression Clinical Trial
— T-BOOMOfficial title:
Teens--Building Options and Opportunities for Moms
Verified date | May 2015 |
Source | University of Pittsburgh |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Interventional |
Postpartum depression (PPD) is depression that occurs shortly after the mother delivers her
baby. Mothers with postpartum depression may feel sad mood, low motivation or stress; some
may have problems caring for their new baby. Successful depression treatment involves early
screening and detection of postpartum depression and early access to treatment services.
The purpose of this study is to evaluate the effectiveness of a telephone-based depression
screening and care management program for postpartum women. We will evaluate the: 1) how
often (frequency) young mothers develop symptoms of depression 4 to 6 weeks after birth, 2)
how quickly (timeliness) young mother receive treatment and how effective (adequacy) are the
treatments for the symptoms of postpartum depression, 3) the effects of depression care
support on young mothers' symptoms and their ability to function at 3, 6 and 12 months after
entering the study, 4) visits to the pediatrician or nurse practitioner (preventive health
services) during their baby's first year of life, and 5) cost and cost savings associated
with depression care management.
Status | Completed |
Enrollment | 23 |
Est. completion date | December 2010 |
Est. primary completion date | December 2010 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 10 Years to 17 Years |
Eligibility |
Inclusion Criteria: - Adolescent mothers age < 17 years 364 days at birth of index infant - Live born infants - Parents/guardian of the young mother must be available and competent to provide consent to the enrollment of the young mother - The young mother may provide assent for her own enrollment. - Ethical need for awareness of the possible risks, benefits and alternatives to enrollment in this study. - Mothers with an EPDS>/=10 or CES-D>/=16 (suggest increased risk for major depression) - Mothers with major depressive disorder (MDD) regardless of their EPDS or CES-D scores. These are patients with high risk for severe recurrence of depressive symptoms in the postpartum. We will assess their outcomes in this study. - Adolescent mothers with an EPDS<10 OR CES-D<16 (screen negative) without MDD will be interviewed by phone with the KIDDIE-SADS mood screen to screen for all categories of major diagnoses AND the Mood Disorders Module Exclusion Criteria: - No access to a telephone Screening and depression care management are accomplished by phone; mothers with no phone are referred to Magee social work for other services - NON-English-speaking Measures are in English - The multiple questionnaires and measures are in English |
Allocation: Non-Randomized, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
Country | Name | City | State |
---|---|---|---|
United States | University of Pittsburgh Medical Center | Pittsburgh | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
University of Pittsburgh |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Severity of PPD will be assessed with the Children's Depression Rating Scale (CDRS). | Trained interviewers will complete the CDRS at baseline, 3, 6, and 12 months postpartum. | Yes | |
Primary | Edinburgh Postnatal Depression Scale | Baseline, 3, 6, and 12 months | Yes | |
Primary | Center for Epidemiologic Studies of Depression instrument (CES-D) | Baseline, 3, 6 and 12 months | Yes | |
Secondary | A specific measure of functioning at school or work and with peers, the Children's Global Assessment of Functioning (C-GAS) will be obtained. | baseline, 3, 6, and 12 months | Yes | |
Secondary | The Social Function-12 (SF-12; Ware et al., 1993) is the most widely used measure of health-related functioning. | baseline, 3, 6, 12 months | No | |
Secondary | The Inventory of Functional Status after Birth (IFSAC) was used in studies of postpartum women to measure the woman's readiness to assume infant care and resume usual activities (Fawcett et al., 1988). | baseline, 3, 6 and 12 months | No | |
Secondary | To assess the mother-infant relational quality, the Gratification in the Maternal Role (GRAT) is a 14-item checklist in which women rate each item on a 5 point scale (Mercer, 1985). | Baseline, 3, 6 and 12months | No |