Jane Fisher|Karen Wynter|Heather Rowe
Innovative psycho-educational program to prevent common postpartum mental disorders in primiparous women: a before and after controlled study
University of Melbourne|University of Melbourne|University of Melbourne
universal interventions prevent postnatal mental disorders women limited success perhaps insufficiently theorised genderinformed overlooked relevant risk factors study aimed determine whether innovative brief psychoeducational program mothers fathers first newborns addressed salient learning needs infant behaviour management adjustment tasks intimate partner relationship prevented postpartum mental health problems primiparous women controlled study conducted primary care seven local government areas victoria australia englishspeaking couples oneweek old infants invited consecutively participate maternal child health nurse universal first home visit two groups recruited followed sequentially completed telephone interviews four weeks six months postpartum received standard health care intervention group participants also invited attend halfday program five couples one month old infants facilitated trained supervised nurses main outcome composite international diagnostic interview cidi diagnosis depression anxiety adjustment disorder depressed mood anxiety mixed anxiety depressed mood first six months postpartum factors associated outcome established logistic regression controlling potential confounders analysis intention treat total 399646 62 women recruited 210 received standard care 189 also offered intervention 364 91 retained follow six months postpartum women without psychiatric history 232364 64 36125 29 diagnosed depression anxiety adjustment disorder depressed mood anxiety mixed anxiety depressed mood control group compared 16107 15 intervention group without psychiatric history adjusted odds ratio diagnosis common postpartum mental disorder 043 95 ci 021 089 intervention group compared control group universal brief psychoeducational group program englishspeaking first time parents babies primary care reduces de novo postpartum mental disorders women universal approach supplemented additional program may improve effectiveness women psychiatric history australia new zealand clinical trials register anzctr actrn12605000567628