Effects of an interpersonal-psychotherapy-oriented postnatal programme for Chinese first-time mothers: a randomized controlled trial

Gao, Ling-ling, Xie, Wen, Yang, Xiao and Chan, Sally Wai-Chi (2015) Effects of an interpersonal-psychotherapy-oriented postnatal programme for Chinese first-time mothers: a randomized controlled trial. International Journal of Nursing Studies, 52 1: 22-29. doi:10.1016/j.ijnurstu.2014.06.006

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Author Gao, Ling-ling
Xie, Wen
Yang, Xiao
Chan, Sally Wai-Chi
Title Effects of an interpersonal-psychotherapy-oriented postnatal programme for Chinese first-time mothers: a randomized controlled trial
Journal name International Journal of Nursing Studies   Check publisher's open access policy
ISSN 0020-7489
1873-491X
Publication date 2015-01-01
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.ijnurstu.2014.06.006
Open Access Status Not Open Access
Volume 52
Issue 1
Start page 22
End page 29
Total pages 8
Place of publication Bromley, United Kingdom
Publisher Elsevier
Language eng
Formatted abstract
Objective: This study aimed to investigate the effects of an interpersonal-psychotherapy-oriented postnatal psychoeducation programme on postpartum depressive symptoms, social support and maternal role competence in Chinese first-time mothers.
Method: A randomized, controlled trial was conducted in the postnatal unit of a regional hospital in China. The intervention consisted of a 1-h education session before discharge and one telephone follow-up within the 2 weeks after discharge from the hospital. One hundred and eighty first-time Chinese mothers were randomly assigned to the study group (n = 90) or the control group (n = 90). Outcomes of the study included symptoms of postpartum depression, social support and maternal role competence which were measured by the Edinburgh Postnatal Depression Scale, the Perceived Social Support Scale and the Parenting Sense of Competence Scale-Efficacy subscale, respectively.
Results: Women receiving the postnatal psychoeducation programme had significantly fewer depressive symptoms (Mean [SD] = 7.61 [3.43] versus 8.96 [4.55]; t = -2.24; p = 0.026), higher level of social support (Mean [SD] = 65.44 [8.43] versus 61.82 [9.99]; t = 2.63; p = 0.009) and better maternal role competence (Mean [SD] = 35.87 [4.41] versus 32.79 [6.86]; t = 3.59; p < 0.001) at 6 weeks postpartum as compared with those who received routine postnatal care.
Conclusion: An interpersonal-psychotherapy-oriented postnatal psychoeducation programme may have the potential to facilitate the Chinese first-time mothers' transition to motherhood. A larger trial is needed to test for therapist effects, a full economic evaluation, and whether the intervention is acceptable to staff and feasible to use in current practice.
Keyword First-time mothers
Interpersonal psychotherapy
Postnatal care
Randomized controlled trial
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 19 June 2014

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Wed, 10 Sep 2014, 21:31:04 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work