alexa IPT in Postpartum Depression | Open Access Journals
ISSN: 2090-7214
Clinics in Mother and Child Health
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

IPT in Postpartum Depression

Goksen Yuksel* and Nazan Aydın

Department of Perinatal Psychiatry, Bakirkoy Prof. Dr. Mazhar Osman Research and Training Hospital for Psychiatry, Neurology and Neurosurgery, Perinatal Psychiatry Outpatient Clinic, Istanbul, Turkey

*Corresponding Author:
Goksen Yuksel
Department of Perinatal Psychiatry
Bakirkoy Prof. Dr. Mazhar Osman Research and
Training Hospital for Psychiatry
Neurology and Neurosurgery
Perinatal Psychiatry Outpatient Clinic, Istanbul, Turkey
Tel: +905327686665
E-mail: [email protected]

Received date: October 08, 2015 Accepted date: November 12, 2015 Published date: November 20, 2015

Citation: Yuksel G, Aydin N (2015) IPT in Postpartum Depression. Clinics Mother Child Health 12:206. doi:10.4172/2090-7214.1000206

Copyright: © 2015 Yuksel G, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Clinics in Mother and Child Health

Abstract

Postpartum depression, causing women great suffering, has negative consequences for their social relationships as well as for the development of their infants. Treatment of perinatal depression is vital, otherwise, it may have negative consequences such as chronicity or the psychosocial growth retardation of the infant. Especially depressed mothers face the dilemma of medical treatment versus psychotherapy, although they have better longterm outcomes when used together in clinical practice. Interpersonal Therapy (IPT), a time-limited, dynamically informed and present-focused psychotherapy which targets to improve the interpersonal functioning of patients is a convenient option for the patients mostly face the role transitions and need interpersonal support related to motherhood.

Keywords

Postpartum; Depression; Interpersonal psychotherapy

Introduction

As shown in the literature before, perinatal mental disorders bear potential risks for the (expectant) mother and the offspring [1]. Mostly depression as well as the rest of the psychiatric diseases can take place during this special time. Approximately 13% of women fulfill the diagnostic criteria for a major depressive episode with postpartum onset [2]. It is known that untreated depression during pregnancy is an important predictor of postpartum depression and treating depression during pregnancy plays a preventative role in postpartum depression [3].

When it comes to psychiatric treatment with psychotrophics, it needs to be evaluated in terms of risk factors and treatment protocols. As the necessity to use medicine during pregnancy or breastfeeding period, when both the mothers and the psychiatrists have concerns, mothers are targeted to be treated on one hand while concerning to minimize the possibility of the unborn or infant damage on the other. Even if not breastfeeding, many women do think prescriptions as second line choise, mostly because of the the fear of “potential longterm side effects”.

During perinatal period, not only the multiple biological changes but also role transitions related to motherhood do take place [4]. As many biopsychosocial varients make it so individual for the new mother [5], the most important one is the interpersonal context. Inadequate or lack of perceived interpersonal support and the consequences of it makes it hard to cope with.

Interpersonal therapy (IPT), developed in the 1970s, is a timelimited, dynamically informed and present-focused psychotherapy which targets to improve the interpersonal functioning of patients [6]. Surprisingly, originally developed to be a placebo psychotherapy, soon found to have therapeutic effect [7]. It took a while for it to be used worldwide and admitted as an efficient, empirically tested psychotherapy. IPT, mainly underlined its approach to mood disorders that enhances the importance of psychosocial factors of postpartum depression [8].

Fifty-three non–treatment seeking, pregnant patients underwent “Enhanced IPT-B” is a multicomponent model of care designed to treat antenatal depression and consists of an engagement session, followed by eight acute IPT-B sessions before the birth and maintenance IPT up to six months postpartum. They were assessed before and after treatment on depression diagnoses, depressive symptoms, and social functioning showing that ameliorates depression during pregnancy and prevents depressive relapse and improves social functioning up to six months postpartum [9].

In a study run by Pearlstein et al. in 2006; 12 weeks of outcomes between sertraline alone, IPT alone, or combined (sertraline+IPT) were compared whereas no statistical differences were found between the three groups. The most relevant finding was that women in the study at first depressive episode, when informed of the advantages and concerns of both IPT and sertraline, selected IPT with or without the addition of sertraline.

IPT can also be conceptualized in group settings. In a randomized controlled trial, 50 postpartum depression patients’ outcomes who were counted in the 8-week IPT-G group and “treatment as usual” (TAU) group like antidepressants, natural remedies, non-directive counseling, and other interventions were compared [10]. Patients treated with IPT-G (consisted of two individual sessions, eight group therapy sessions (2 h duration) and an additional 2 h partner’s evening) improved significantly more than those treated with TAU and showed a sustained improvement after 3 months. As the patients were also assessed in terms of marital functioning and perceptions of the mother-newborn relationship, women who received IPT-G displayed significant improvement.

Another example of interpersonal-psychotherapy-oriented contex, a postnatal psychoeducation programme were run by the researchers showing to be effective in the Chinese first-time mothers who had significantly fewer depressive symptoms in the 6 week follow up [11].

Like the other “special groups” of psychiatry, perinatal patients do need extra care and treatment tools because of the precision of the period also including the infant. IPT, which were proposed to be one of the first-line treatments for PPD (at least for mild or moderate forms of depression) will be providing improvements in interpersonal context [12]. Especially mothers who regret to take medication concerning drug exposure during breastfeeding or mothers who did not get proper improvement with drug therapy during this period will be good candidates for IPT.

References

Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Article Usage

  • Total views: 8159
  • [From(publication date):
    December-2015 - Nov 19, 2017]
  • Breakdown by view type
  • HTML page views : 8012
  • PDF downloads : 147
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords