TY - JOUR
T1 - An interpersonally based intervention for low-income pregnant women with intimate partner violence
T2 - A pilot study
AU - Zlotnick, Caron
AU - Capezza, Nicole M.
AU - Parker, Donna
N1 - Funding Information:
This study was supported by a grant to Caron Zlotnick from the National Institute of Mental Health (R34 MH075013-01). We also acknowledge Mary Roberts and Robert Stout for help with statistical support.
PY - 2011/2
Y1 - 2011/2
N2 - This study assessed the initial feasibility, acceptability, and efficacy of an intervention aimed at reducing depression and posttraumatic stress disorder (PTSD) in a sample of low-income pregnant women with recent intimate partner violence (IPV). Fifty-four women were randomly assigned to the intervention or control group. The intervention consisted of four sessions during pregnancy and one "booster" session within 2 weeks of delivery. Based on principles of Interpersonal Psychotherapy, the intervention was designed to help participants improve their interpersonal relationships, including their social support networks, and master their role transition to motherhood. Assessments were administered at four time points (intake, 5-6 weeks post-intake, 2 weeks postpartum, 3 months postpartum) to assess for depression, PTSD, and IPV. The intervention did not significantly reduce the likelihood of a major depressive episode, PTSD, or IPV during pregnancy or up to 3-month postpartum. However, we found moderate effects for the intervention in reducing symptoms of PTSD and depression during pregnancy and a large effect for PTSD symptoms from pregnancy up to 3 months postpartum. This study suggests some initial support for our intervention. Larger randomized trials are needed to further examine the intervention both during and after pregnancy.
AB - This study assessed the initial feasibility, acceptability, and efficacy of an intervention aimed at reducing depression and posttraumatic stress disorder (PTSD) in a sample of low-income pregnant women with recent intimate partner violence (IPV). Fifty-four women were randomly assigned to the intervention or control group. The intervention consisted of four sessions during pregnancy and one "booster" session within 2 weeks of delivery. Based on principles of Interpersonal Psychotherapy, the intervention was designed to help participants improve their interpersonal relationships, including their social support networks, and master their role transition to motherhood. Assessments were administered at four time points (intake, 5-6 weeks post-intake, 2 weeks postpartum, 3 months postpartum) to assess for depression, PTSD, and IPV. The intervention did not significantly reduce the likelihood of a major depressive episode, PTSD, or IPV during pregnancy or up to 3-month postpartum. However, we found moderate effects for the intervention in reducing symptoms of PTSD and depression during pregnancy and a large effect for PTSD symptoms from pregnancy up to 3 months postpartum. This study suggests some initial support for our intervention. Larger randomized trials are needed to further examine the intervention both during and after pregnancy.
KW - Depression
KW - Intervention
KW - Intimate partner violence
KW - Posttraumatic stress disorder
KW - Pregnancy
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UR - http://www.scopus.com/inward/citedby.url?scp=79751529182&partnerID=8YFLogxK
U2 - 10.1007/s00737-010-0195-x
DO - 10.1007/s00737-010-0195-x
M3 - Article
C2 - 21153559
AN - SCOPUS:79751529182
SN - 1434-1816
VL - 14
SP - 55
EP - 65
JO - Archives of Women's Mental Health
JF - Archives of Women's Mental Health
IS - 1
ER -