Perinatal Dyadic Psychotherapy: Design, Implementation, and Acceptability

Perinatal Dyadic Psychotherapy Design, Implementation, and Acceptability

Maternal postpartum depression (PPD) and mother–infant relationship dysfunction have reciprocal effects on each other and thus an integrated approach that addresses both problems simultaneously may lead to improved outcomes. This study aimed to determine the feasibility, acceptability, and prelimina...

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Bibliographic Details
Published in:Journal of family nursing Vol. 19; no. 3; pp. 295 - 323
Main Authors: Goodman, Janice H., Guarino, Antony J., Prager, Joanna E.
Format: Journal Article
Language:English
Published: Los Angeles, CA SAGE Publications 01-08-2013
SAGE PUBLICATIONS, INC
Subjects:
Acceptability
Adult
Anxiety-Depression
Depression, Postpartum - nursing
Depression, Postpartum - therapy
Education, Nursing, Continuing
Family Nursing - education
Feasibility Studies
Female
Humans
Infant
Maternal & child health
Medical treatment
Mother-Child Relations
Mother-Infant relationships
Nurses
Object Attachment
Perinatal
Pilot Projects
Postpartum depression
Program Development
Psychotherapy
Psychotherapy - methods
Self Concept
Treatment Outcome
United States > US
intervention
postpartum depression (PPD)
mother–infant relationship
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Summary:Maternal postpartum depression (PPD) and mother–infant relationship dysfunction have reciprocal effects on each other and thus an integrated approach that addresses both problems simultaneously may lead to improved outcomes. This study aimed to determine the feasibility, acceptability, and preliminary efficacy of a new intervention, Perinatal Dyadic Psychotherapy (PDP), for the early treatment of maternal PPD. PDP is designed to promote maternal mental health and facilitate optimal mother–infant relationships via (a) a supportive, relationship-based, mother–infant psychotherapeutic component, and (b) a developmentally based infant-oriented component focused on promoting positive mother–infant interactions. This paper describes the pilot use of PDP with six acutely depressed postpartum women. Nurses delivered the intervention over eight home visits. Results indicate that PDP is a feasible, acceptable, and safe intervention with this population. All participants achieved remission of depression with significant reduction of depression and anxiety symptoms, suggesting that PDP is a promising treatment for PPD.
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ISSN:1074-8407
1552-549X
DOI:10.1177/1074840713484822