Controlled trial of the short- and long-term effect of psychological treatment of post-partum depression 2. Impact on the mother-child relationship and child outcome

被引:264
作者
Murray, L
Cooper, PJ
Wilson, A
Romaniuk, H
机构
[1] Winnicott Research Unit, Department of Psychology, University of Reading, Reading
[2] Centre for Family Research, Fac. of Social and Political Science, Cambridge University, Cambridge
[3] Winnicott Research Unit, Department of Psychology, University of Reading, Reading RG6 6AL, Whiteknights
关键词
D O I
10.1192/bjp.182.5.420
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Postnatal depression is associated with adverse child cognitive and socio-emotional outcome. It is not known whether psychological treatment affects the quality of the mother-child relationship and child outcome. Aims To evaluate the effect of three psychological treatments on the mother-child relationship and child outcome. Method Women with post-partum depression (n=193) were assigned randomly to routine primary care, non-directive counselling, cognitive-behavioural therapy or psychodynamic therapy The women and their children, were assessed at 43, [8 and 60 months post-partum. Results indications of a positive benefit were limited. All three treatments had a significant benefit on maternal reports of early difficulties in relationships with the infants, counselling gave better infant emotional and behaviour ratings at 18 months and more sensitive early mother-infant interactions. The treatments had no significant impact on maternal management of early infant behaviour problems, security of infant-mother attachment. Infant cognitive development or any child outcome at 5 years. Conclusions Early intervention was of short-term benefit to the mother-child relationship and infant behaviour problems. More-prolonged intervention may be needed. Health visitors could deliver this. Declaration of interest None. Funding detailed in Acknowledgements.
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收藏
页码:420 / 427
页数:8
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