Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project
Abstract Background After the birth of a child, many mothers and fathers experience postpartum mental disorders like depression, anxiety, obsessive-compulsive disorder, stress or other illnesses. This endangers the establishment of a secure attachment between the children and their primary caregiver...
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | Trials |
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| Online Access: | http://link.springer.com/article/10.1186/s13063-020-04443-7 |
| _version_ | 1818516530984386560 |
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| author | J. Mattheß M. Eckert K. Richter G. Koch T. Reinhold P. Vienhues A. Berghöfer S. Roll T. Keil F. Schlensog-Schuster K. von Klitzing C. Ludwig-Körner L. Kuchinke |
| author_facet | J. Mattheß M. Eckert K. Richter G. Koch T. Reinhold P. Vienhues A. Berghöfer S. Roll T. Keil F. Schlensog-Schuster K. von Klitzing C. Ludwig-Körner L. Kuchinke |
| author_sort | J. Mattheß |
| collection | DOAJ |
| description | Abstract Background After the birth of a child, many mothers and fathers experience postpartum mental disorders like depression, anxiety, obsessive-compulsive disorder, stress or other illnesses. This endangers the establishment of a secure attachment between the children and their primary caregivers. Early problems in parent-child interaction can have adverse long-term effects on the family and the child’s well-being. In order to prevent a transgenerational transmission of mental disorders, it is necessary to evaluate psychotherapeutic interventions that target psychologically burdened parents of infants or toddlers. The aim of this trial is to investigate the efficacy of Parent-Infant-Psychotherapy (PIP) for mothers with postpartum mental disorder and their infants (0–12 months). Methods/design In this open, randomized controlled intervention trial 180 mother-infant-dyads will be included and randomly allocated to 12 sessions of PIP or care as usual. The interventions take place either in inpatient adult psychiatric departments or in outpatient settings with home visits. The primary outcome is the change in maternal sensitivity assessed by the Sensitivity subscale of the Emotional Availability Scale (EAS) through videotaped dyadic play-interactions after 6 weeks. Secondary outcomes are maternal psychopathology, stress, parental reflective functioning, infant development and attachment after 6 weeks and 12 months. In addition, maternal attachment (AAI) and reflective functioning (AAI) will be analyzed as potential moderators, and resource usage in the German health system as well as associated costs will be evaluated. Discussion There is increasing demand for well-controlled studies on psychotherapeutic interventions in the postpartum period that do not only focus on particular risk groups. This randomized controlled trial (RCT) represents one of the first studies to investigate the efficacy of PIP in inpatient psychiatric departments and outpatient care centers in Germany. The results will fill knowledge gaps on the factors contributing to symptom reduction in postpartum mental disorders and improvements in mother-child relationships and help in developing preventive and therapeutic strategies for the fragmented German health care system. Trial registration German Register for Clinical Trials, ID: DRKS00016353 . |
| first_indexed | 2024-12-11T00:43:30Z |
| format | Article |
| id | doaj.art-ead27e24adf04fe6b903167ae028914c |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-12-11T00:43:30Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-ead27e24adf04fe6b903167ae028914c2022-12-22T01:26:51ZengBMCTrials1745-62152020-06-0121111210.1186/s13063-020-04443-7Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI projectJ. Mattheß0M. Eckert1K. Richter2G. Koch3T. Reinhold4P. Vienhues5A. Berghöfer6S. Roll7T. Keil8F. Schlensog-Schuster9K. von Klitzing10C. Ludwig-Körner11L. Kuchinke12International Psychoanalytic UniversityInternational Psychoanalytic UniversityDepartment of Psychiatry, Psychosomatics and Psychotherapy, Diakonissenkrankenhaus FlensburgInternational Psychoanalytic UniversityInstitute for Social Medicine, Epidemiology and Health Economics, Charité – UniversitätsmedizinDepartment of Psychiatry, Psychosomatics and Psychotherapy, Diakonissenkrankenhaus FlensburgInstitute for Social Medicine, Epidemiology and Health Economics, Charité – UniversitätsmedizinInstitute for Social Medicine, Epidemiology and Health Economics, Charité – UniversitätsmedizinInstitute for Social Medicine, Epidemiology and Health Economics, Charité – UniversitätsmedizinDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of LeipzigDepartment of Child and Adolescent Psychiatry, Psychotherapy and Psychosomatics, University of LeipzigDepartment of Psychiatry, Psychosomatics and Psychotherapy, Diakonissenkrankenhaus FlensburgDepartment of Psychiatry, Psychosomatics and Psychotherapy, Diakonissenkrankenhaus FlensburgAbstract Background After the birth of a child, many mothers and fathers experience postpartum mental disorders like depression, anxiety, obsessive-compulsive disorder, stress or other illnesses. This endangers the establishment of a secure attachment between the children and their primary caregivers. Early problems in parent-child interaction can have adverse long-term effects on the family and the child’s well-being. In order to prevent a transgenerational transmission of mental disorders, it is necessary to evaluate psychotherapeutic interventions that target psychologically burdened parents of infants or toddlers. The aim of this trial is to investigate the efficacy of Parent-Infant-Psychotherapy (PIP) for mothers with postpartum mental disorder and their infants (0–12 months). Methods/design In this open, randomized controlled intervention trial 180 mother-infant-dyads will be included and randomly allocated to 12 sessions of PIP or care as usual. The interventions take place either in inpatient adult psychiatric departments or in outpatient settings with home visits. The primary outcome is the change in maternal sensitivity assessed by the Sensitivity subscale of the Emotional Availability Scale (EAS) through videotaped dyadic play-interactions after 6 weeks. Secondary outcomes are maternal psychopathology, stress, parental reflective functioning, infant development and attachment after 6 weeks and 12 months. In addition, maternal attachment (AAI) and reflective functioning (AAI) will be analyzed as potential moderators, and resource usage in the German health system as well as associated costs will be evaluated. Discussion There is increasing demand for well-controlled studies on psychotherapeutic interventions in the postpartum period that do not only focus on particular risk groups. This randomized controlled trial (RCT) represents one of the first studies to investigate the efficacy of PIP in inpatient psychiatric departments and outpatient care centers in Germany. The results will fill knowledge gaps on the factors contributing to symptom reduction in postpartum mental disorders and improvements in mother-child relationships and help in developing preventive and therapeutic strategies for the fragmented German health care system. Trial registration German Register for Clinical Trials, ID: DRKS00016353 .http://link.springer.com/article/10.1186/s13063-020-04443-7Randomized controlled trialParent-infant-psychotherapyAttachmentMaternal sensitivityPostpartum mental disorderInpatient psychiatric department |
| spellingShingle | J. Mattheß M. Eckert K. Richter G. Koch T. Reinhold P. Vienhues A. Berghöfer S. Roll T. Keil F. Schlensog-Schuster K. von Klitzing C. Ludwig-Körner L. Kuchinke Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project Trials Randomized controlled trial Parent-infant-psychotherapy Attachment Maternal sensitivity Postpartum mental disorder Inpatient psychiatric department |
| title | Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project |
| title_full | Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project |
| title_fullStr | Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project |
| title_full_unstemmed | Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project |
| title_short | Efficacy of Parent-Infant-Psychotherapy with mothers with postpartum mental disorder: study protocol of the randomized controlled trial as part of the SKKIPPI project |
| title_sort | efficacy of parent infant psychotherapy with mothers with postpartum mental disorder study protocol of the randomized controlled trial as part of the skkippi project |
| topic | Randomized controlled trial Parent-infant-psychotherapy Attachment Maternal sensitivity Postpartum mental disorder Inpatient psychiatric department |
| url | http://link.springer.com/article/10.1186/s13063-020-04443-7 |
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