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Influence of Adjuvant Detached Mindfulness and Stress Management Training Compared to Pharmacologic Treatment in Primiparae With Postpartum Depression Publisher Pubmed



Ahmadpanah M1 ; Nazaribadie M1 ; Aghaei E2 ; Ghaleiha A1 ; Bakhtiari A3 ; Haghighi M1 ; Bahmani DS4 ; Akhondi A5 ; Bajoghli H6 ; Jahangard L1 ; Holsboertrachsler E4 ; Brand S4, 7
Authors
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Authors Affiliations
  1. 1. Research Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medial Sciences, Hamadan, Iran
  2. 2. Department of Psychology, School of Human Sciences, Shahed University, Tehran, Iran
  3. 3. Department of Psychology and Educational Sciences, University of Isfahan, Isfahan, Iran
  4. 4. University of Basel, Psychiatric Clinics (UPK), Center for Affective, Stress and Sleep Disorders (ZASS), Basel, Switzerland
  5. 5. Hamadan Educational Organization, Ministry of Education, Hamadan, Iran
  6. 6. Iranian National Center for Addiction Studies (INCAS), Tehran University of Medical Sciences, Tehran, Iran
  7. 7. University of Basel, Department of Sport, Exercise, and Health
  8. 8. Division of Sport and Psychosocial Health, Basel, Switzerland
  9. 9. Kermanshah University of Medical Sciences (KUMS), Psychiatry Department, Kermanshah, Iran

Source: Archives of Women's Mental Health Published:2018


Abstract

Ten to 15% of mothers experience postpartum depression (PPD). If untreated, PPD may negatively affect mothers’ and infants’ mental health in the long term. Accordingly, effective treatments are required. In the present study, we investigated the effect of detached mindfulness (DM) and stress management training (SMT) as adjuvants, compared to pharmacologic treatment only, on symptoms of depression in women with PPD. Forty-five primiparae (mean age: M = 24.5 years) with diagnosed PPD and treated with an SSRI (citalopram; CIT) took part in the study. At baseline, they completed questionnaires covering socio-demographic data and symptoms of depression. Experts rated also symptoms of depression. Next, participants were randomly assigned to one of the following study conditions: adjuvant detached mindfulness (CIT+DM); adjuvant stress management training (CIT+SMT); control condition (CIT). Self- and experts’ ratings were completed at the end of the study 8 weeks later, and again at 8 weeks follow-up. Symptoms of depression decreased significantly over time, but more so in the CIT+DM and CIT+SMT group, compared to the control condition. The pattern of results remained stable at follow-up. In primiparae with PPD and treated with a standard SSRI, adjuvant psychotherapeutic interventions led to significant and longer-lasting improvements. © 2017, Springer-Verlag GmbH Austria.
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