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Postpartum Depression | Social Circumstances, Parenting Techniques, and Infant Development

Postpartum Depression research study

What is the primary objective of this study?

1. Investigators aim to assess a novel behavioral intervention (currently approved in Protocol #6285) behavioral intervention that promotes maternally-mediated behavioral changes in young infants to reduce the risk of postpartum depression in a group of low income women. More specifically, investigators aim to determine if a behavioral intervention targeting maternal caregiving of young infants can increase infant sleep and reduce fuss/cry behavior and thereby: (1) reduce the incidence and/or severity of postpartum maternal depression in low socioeconomic status (SES) women, and (2) improve the quality of mother-infant interaction and subsequent child development. Investigators will study: 1. The feasibility of applying this protocol with a low SES population 2. The effectiveness of the intervention compared to usual care 3. If the effects of the intervention can be detected in assessments of the quality of mother-infant interaction and infant neurocognitive development 2. Investigators aim to determine whether this behavioral intervention can affect infant development as measured by neurodevelopmental assessments and cortisol reactivity at 4 months of age.

Who is eligible to participate?

Inclusion Criteria: - Healthy pregnant women between 24 and 38 weeks gestation (based on self-report) - Ages 18-45 (based on self-report) 3. English speaking (based on self-report) - Salary indicated to be at New York City standardized \"Struggling level\" or lower - $47,700 annual for a family of 4 (based on self-report) - Experiencing one or more of nine social adversity hardships (based on self report) - Experiencing a healthy pregnancy, free from any significant medical complication (based on self-report) - Receiving standard prenatal care (based on self-report) Exclusion Criteria: - Multi-fetal pregnancy (based on self-report) - Smoking, illicit drug use, or alcohol use during pregnancy (based on self-report) - Acute medical illness or significant pregnancy complication (based on self-report) - Currently in weekly, individual psychotherapy - group therapy and psychiatric management ok (based on self-report) - Psychotic d/o; Bipolar I; Major Depressive d/o (based on M.I.N.I.)

Which medical condition, disease, disorder, syndrome, illness, or injury is researched?

Postpartum Depression

Infant Development

Rhythm; Sleep

Study Interventions

Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.

Behavioral:Resources for Postpartum ParentingThe intervention includes four-sessions that targets maternal caregiving of young infants to increase infant sleep and reduce fuss/cry behavior and thereby simultaneously consolidate women's enjoyment of and confidence in their maternal role, this, in turn, promotes a cycle of a mutually re- warding engagement in the mother-infant dyad — the antithesis of a 'toxic' experience, and a strong foundation for improving the chances of a successful psychosocial adjustment, including adequate employment. Investigators believe PREPP holds tremendous promise as an intervention to fill the science-practice gap in the promotion of an optimal emotional environment for the developing infant, particularly for women and children living in poverty and/or facing significant psychosocial hardship.

Study Arms

Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.

Resources for Postpartum ParentingBehavioral intervention will include techniques to help mothers get their infants to cry/fuss less and sleep more to determine if this has an effect on prevalence of postpartum depression in low SES women and if it improves the quality of mother-infant interaction and subsequent child development.

Control GroupThis group will not receive the coaching tips to help babies cry less and sleep more.

Study Status

Active, not recruiting

Start Date: March 2014

Completed Date: December 2018

Phase: N/A

Type: Interventional

Design:

Primary Outcome: Change in maternal mood and prevalence/severity of postpartum depression.

Secondary Outcome: The effect of behavioral intervention for infants on infant development

Study sponsors, principal investigator, and references

Principal Investigator: Catherine Monk, Ph.D.

Lead Sponsor: New York State Psychiatric Institute

Collaborator: The Robin Hood Foundation

More information:https://clinicaltrials.gov/show/NCT02121496

Peng, S. S. High School Dropouts: A National Concern. (National Center for Education Statistics, Washington, D.C., 1985).

Discuss Crying