A randomised controlled trial evaluating the effect of a brief motivational intervention to promote breastfeeding in postpartum depression

AbstractPostpartum depression (PPD) is the most frequent psychiatric complication during the postnatal period. According to existing evidence, an association exists between the development of PPD and the maintenance of breastfeeding. A brief motivational intervention (bMI), based on the motivational interview, seems effective in promoting breastfeeding. The objective of this study was to analyse the impact of a bMI aiming to promote breastfeeding on the development of PPD and explore the mediating/moderating roles of breastfeeding and breastfeeding self-efficacy in the effect of the intervention on developing PPD. Eighty-eight women who gave birth by vaginal delivery and started breastfeeding during the immediate postpartum period were randomly assigned to the intervention group (bMI) or control group (breastfeeding education). Randomisation by minimisation was carried out. The breastfeeding duration was longer in the intervention group (11.06 (± 2.94) weeks vs 9.02 (± 4.44), p = 0.013). The bMI was associated with a lower score on the Edinburgh Postnatal Depression Scale, with a regression β coefficient of − 2.12 (95% CI − 3.82; − 0.41). A part of this effect was mediated by the effect of the intervention on the duration of breastfeeding (mediation/moderation index β = − 0.57 (95% CI − 1.30; − 0.04)). These findings suggest that a bMI aiming to promote breastfeeding has a positive impact preventing PPD mainly due to its effectiveness in increasing the duration of breastfeeding.

Download Full-text

Effects of a psychological nursing intervention on prevention of anxiety and depression in the postpartum period: a randomized controlled trial

Annals of General Psychiatry ◽

10.1186/s12991-020-00320-4 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Hongling Liu ◽

Yang Yang

Keyword(s):

Postpartum Depression ◽

Controlled Trial ◽

Intervention Group ◽

Depression Scale ◽

Behavior Intervention ◽

Anxiety And Depression ◽

Control Group ◽

Cognitive Behavior ◽

Randomized Controlled ◽

Primiparous Women

Abstract Background Anxiety and postpartum depression are the most common psychological problems in women after delivery. Cognitive behavior intervention has been reported to have an effect in the therapy of postpartum depression. This research aimed to investigate whether cognitive behavior intervention could prevent the pathogenesis of postpartum depression in primiparous women. Methods In this randomized controlled trial, primiparous women who were prone to postpartum depression were recruited. Participates in the control group received routine postpartum care and those in the intervention group received both routine postpartum care and cognitive behavior intervention. Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), Edinburgh Postpartum Depression Scale (EPDS) and Pittsburgh Sleep Quality Index (PSQI) were evaluated before and after the intervention. Results In the intervention group, the post-intervention scores of HAMA, HAMD, EPDS and PSQI were all significantly lower than the baseline scores (p = 0.034, p = 0.038, p = 0.004, p = 0.014, respectively). The proportion of participants with postpartum depression in the intervention group (11.5%) was significantly lower than the control group (24.3%) after the 6-week intervention. Participants in the intervention group were significantly more satisfied with the care than those in the control group (p = 0.032). Conclusion This research provided evidence that cognitive behavioral intervention in postpartum period could alleviate anxiety and depression in primiparous women, and inhibit the pathogenesis of postpartum depression. Trial registry This clinical trial was registered in the Chinese Clinical Trial Registry (ChiCTR2000040076).

Download Full-text

The Impact of Breastfeeding Duration on the Development of Normal Occlusal Features of the Primary Dentition among Baghdad Preschool Children

Journal of Baghdad College of Dentistry ◽

10.26477/jbcd.v30i4.2553 ◽

2018 ◽

Vol 30 (4) ◽

pp. 37-44

Author(s):

Munad J AL_Duliamy

Keyword(s):

Preschool Children ◽

Positive Impact ◽

Dental Health ◽

Primary Dentition ◽

Breastfeeding Duration ◽

Chi Square ◽

Second Molar ◽

Duration Of Breastfeeding ◽

Relationship Of ◽

The Impact

Background: Normal occlusal features of primary dentition are crucial for normal development of the permanent dentition. Breastfeeding is an important factor for both general and dental health of children. Aim: The aim of the present study is to assess the impact of the breastfeeding duration on the prevalence of normal occlusal features of the primary dentition among preschool children in Baghdad. Materials and Methods: The sample was 630 Iraqi children (270- boys, 360 girls), aged 3-5 years selected from four kindergartens in Baghdad city. The study was carried out through questionnaire and clinical examination. Normal occlusal features were examined as the presence or absence of interincisive spaces (IS) and primate spaces (PS), terminal relationship of the primary second molar that classified as: Flush terminal (FT), mesial step (MS) and distal step (DS). The presence or absence of ideal incisor overbite was also recorded. Data were statistically analyzed using SPSS (version 21). Chi square and z test were used in data analysis. Result:s A significant relation was present between the duration of breastfeeding and the presence of: primate and interincisive spaces, flush terminal plane, mesial terminal plane and ideal incisor overbite. Conclusion Breastfeeding duration has a positive impact on the development of normal occlusal features of the primary dentition. Efforts should be taken to enhance the knowledge of the community, especially the mothers, about this impact to encourage them to practice exclusive breastfeeding for more than 12 months.

Download Full-text

The effect of ketamine on preventing postpartum depression

Journal of Medicine and Life ◽

10.25122/jml-2020-0116 ◽

2021 ◽

Vol 14 (1) ◽

pp. 87-92

Author(s):

Mina Alipoor ◽

◽

Marzeyeh Loripoor ◽

Majid Kazemi ◽

Farshid Farahbakhsh ◽

...

Keyword(s):

Body Weight ◽

Postpartum Depression ◽

Repeated Measures ◽

Intervention Group ◽

Depression Scale ◽

Caesarian Section ◽

Depression Score ◽

Control Group ◽

Chi Square ◽

Double Blind

Postpartum depression is a common disabling psychosocial disorder that could have adverse effects on the life of the mother, infant, and family. The present study was conducted to evaluate the effect of ketamine on preventing postpartum depression in women undergoing caesarian sections considering the relatively known positive effect of ketamine on major depression. The present double-blind, randomized clinical trial was conducted on 134 women undergoing scheduled caesarian sections. Participants were randomly allocated into two groups of control and intervention. To induce anesthesia, 1–2 mg/kg of body weight of Nesdonal and 0.5 mg/kg of body weight of ketamine were used in the intervention group, while only 3–5 mg/kg of body weight Nesdonal was administered in the control group. Data were gathered using the Edinburgh Postnatal Depression Scale (EPDS) in three stages: before the caesarian section and two and four weeks after the caesarian section. Data were analyzed using variance analysis with repeated measures and the Chi-square test. Results of the present study showed that the mean (± standard deviation) of the depression score in the intervention and control groups were 13.78±3.87 and 13.79±4.78(p = 0.98) before the caesarian section, 11.82±3.41 and 14.34±4.29 (p < 0.001) two weeks after and 10.84±3.48 and 13.09±3.79 (p = 0.001) four weeks after the caesarian section, respectively. Using ketamine in the induction of general anesthesia could be effective in preventing postpartum depression. However, further studies are required to strengthen these findings.

Download Full-text

The Impact of Maryam Exercise Towards the Stress Level and Cortisol Serum Level among Primiparous Pregnant Women

International Journal of Nursing and Health Services (IJNHS) ◽

10.35654/ijnhs.v3i5.338 ◽

2020 ◽

Vol 3 (5) ◽

pp. 598-607

Author(s):

Maya Erisna ◽

Runjati Runjati ◽

Apoina Kartini ◽

Mahalul Azam ◽

Donny Kristanto Mulyantoro

Keyword(s):

Pregnant Women ◽

Positive Impact ◽

Intervention Group ◽

Serum Levels ◽

Control Group ◽

Significant Difference ◽

Stress Levels ◽

Before And After ◽

The Impact ◽

Experimental Group

Women are more at risk to stress in pregnancy than during the puerperium. One method of coping with stress is through physical exercise. Maryam Exercise can be used as an alternative to the development of pregnancy exercises in Indonesia because it covers the holistic aspects and easy to do. It is a combination of basic pregnancy exercises, Islamic prayer (Salat) movements and dhikr. The purpose of this study was to examine the impact of Maryam exercise on the stress levels and cortisol serum levels among primiparous pregnant women. This study used a quasi-experimental study design, pre-test and post-test with non-equivalent control group. In the third trimester of 40 primiparous women were randomly assigned into two groups such the experimental group (n=20) and the control group (n=20). The experimental group received the Maryam exercise while the control group received the standard antenatal exercise. There was a significant difference in stress levels between the intervention group and the control group before and after receiving the intervention (p <0.05). The cortisol levels also showed the significance difference between the intervention group and the control group before and after receiving the intervention (p <0.05). The findings of this study suggest that Maryam Exercise has a positive impact on stress levels and cortisol serum levels of primiparous pregnant women.

Download Full-text

Preventing postpartum depression using an educational video on infant crying

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.558 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

S Doi ◽

T Fujiwara ◽

A Isumi ◽

A Nakai ◽

K Ogita ◽

...

Keyword(s):

Depressive Symptoms ◽

Postpartum Depression ◽

Intervention Group ◽

Control Group ◽

Educational Video ◽

Young Mothers ◽

Infant Crying ◽

Postpartum Depressive Symptoms ◽

Significant Difference ◽

The Impact

Abstract Background Perception of and reactive behaviors towards infant crying is one of the modifiable risk factors for postpartum depression. The aim of this study was to examine the impact of watching an educational video on infant crying within 1 week of age after delivery at maternity wards to reduce the prevalence of postpartum depressive symptoms at 1 month after giving birth. Methods Study design was a cluster randomized controlled trial (UMIN000015558). The intervention hospitals were randomly assigned, stratified by area and function of the hospital. Participants included 47 obstetrics hospitals or clinics out of 150 hospitals or clinics in Osaka Prefecture, Japan. In total, 44 hospitals or clinics completed the trial and 2,601 (intervention group=1,040, control group=1,561) caregivers responded to the questionnaire on postpartum depression. Mothers in the intervention group watched a 11-minute educational video, within 1 week of age, during hospitalization at maternity wards. Primary outcome in this study was postpartum depression assessed by the Edinburgh Postnatal Depression Scale as 9+, and assessed via questionnaire at a 1-month health checkup. Results In the intervention group, 142 (13.7%) mothers reported postpartum depression compared to 250 (16.0%) in the control group. Intention-to-treat analysis showed no significant difference in the prevalence of postpartum depression between the groups. However, among young mothers (<25 years old), the analysis showed a 67% reduction in postpartum depression (OR:0.33, 95%CI:0.15-0.72). Conclusions Watching an educational video on infant crying did not reduce postpartum depression at 1 month after giving birth, but it was effective for young mothers aged less than 25 years old. It may be easier to introduce our approach to any opportunity for meeting mothers during perinatal period because it does not require specialized manpower and a significant amount of time for the intervention. Key messages The educational video on infant crying, “Baby Doesn't Stop Crying,” had no effect in preventing postpartum depressive symptoms. Among young mothers aged <25 years, the educational video had a protective effect on postpartum depressive symptoms, which was not observed for mothers aged ≥25 years.

Download Full-text

Clinical trial for the control of water intake of patients undergoing hemodialysis treatment

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.2694.3091 ◽

2018 ◽

Vol 26 (0) ◽

Author(s):

Graziella Allana Serra Alves de Oliveira Oller ◽

Marília Pilotto de Oliveira ◽

Cláudia Bernardi Cesarino ◽

Carla Regina de Souza Teixeira ◽

José Abrão Cardeal da Costa ◽

...

Keyword(s):

Clinical Trial ◽

Weight Loss ◽

Water Intake ◽

Intervention Group ◽

Control Group ◽

Motivational Intervention ◽

Hemodialysis Treatment ◽

Quasi Experimental ◽

Clinical Trials Registry ◽

The Impact

ABSTRACT Objective: to analyze the impact of an educational and motivational intervention for patients with a chronic kidney disease, undergoing hemodialysis treatment, on the control of fluid intake during interdialytic periods. Method: a quasi-experimental, non-randomized clinical trial with patients from a Nephrological Unit of the State of São Paulo. Participants were included in two groups: Control Group with 106 patients and Intervention Group with 86 patients, totaling 192 participants. The used intervention was an educational and motivational video to control liquid intake, based on the Bandura’s Theory. The measure of control of water intake was the percentage of lost weight, also considered the variable outcome of the research. For the data analysis, descriptive analyses and regression analysis of the Inflated Beta Model were used. Results: patients who participated in the intervention had a decrease in the pattern of weight gain in interdialytic periods, with a 3.54 times more chance of reaching the goal of 100% of weight loss when compared to participants from the control group. Conclusion: the educational and motivational intervention was effective in reducing the percentage of weight loss in patients undergoing hemodialysis. Brazilian Clinical Trials Registry (ReBEC) under the opinion RBR-4XYTP6.

Download Full-text

Listening to Javanese Gamelan Can Reduce Depression Score in Institutionalized Elderly

Jurnal Keperawatan Soedirman ◽

10.20884/1.jks.2020.15.1.1155 ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Wahyu Rochdiat M ◽

Elfiana Dewi Lestari

Keyword(s):

Nursing Home ◽

Intervention Group ◽

Depression Scale ◽

Sampling Technique ◽

Depression Score ◽

Wilcoxon Test ◽

Control Group ◽

P Value ◽

Institutionalized Elderly ◽

The Impact

ABSTRACTElderlies who lives in nursing home conceive a high risk of experiencing depression. Music that is usually heard by the elderly in Java Province is Javanese gamelan and there was a few of research that examined its effect on the elderlies depression. The purpose of this study was to assess the impact of listening to Javanese gamelan on the depression score of institutionalized elderly. This research used a quasi-experimental design with a pretest-posttest control group approach. The researchers screened 88 elderlies who live in one of nursing home in Yogyakarta with GDS (Geriatric Depression Scale), which acquired 49 depressed elderlies. A purposive sampling technique (criteria: Javanese, not experiencing the hearing loss, cooperative, and not in an isolation room) conduced 26 elderlies as samples. The subjects were divided into two groups with same proportion of ages in each group. Wilcoxon test indicated that there was a decreasing of the depression score in the intervention group (p-value 0.000). The depression score in the control group increased from 7.46 to 9.46. Javanese gamelan is effective in reducing the depression score in institutionalized elderlies.Keywords: Depression, elderly, Javanese gamelan

Download Full-text

Live music intervention for cancer inpatients: The Music Givers format

Palliative & Supportive Care ◽

10.1017/s1478951517000165 ◽

2017 ◽

Vol 16 (6) ◽

pp. 777-784

Author(s):

Alessandro Toccafondi ◽

Andrea Bonacchi ◽

Andrea Mambrini ◽

Guido Miccinesi ◽

Roberto Prosseda ◽

...

Keyword(s):

Cancer Patients ◽

Low Cost ◽

Intervention Group ◽

Depression Scale ◽

Well Being ◽

Control Group ◽

Music Intervention ◽

Psychological Burden ◽

Live Music ◽

The Impact

ABSTRACTObjective:The present study intended to evaluate the impact of a standardized format—called the “Music Givers,” based on a single session of music intervention followed by a buffet—on the psychological burden and well-being of hospitalized cancer patients.Method:The Distress Thermometer (DT), the Hospital Anxiety and Depression Scale (HADS), and self-reported visual analogue scales (score range = 1–10) to assess pain, fatigue, and five areas of well-being (i.e., physical, psychological, relational, spiritual, and overall well-being) were administered to 242 cancer patients upon admission to and at discharge from the hospital. Among them, 103 were hospitalized during which time a live concert took place (intervention group), whereas 139 patients were hospitalized when it did not (control group).Results:Compared to the control group, patients in the intervention group demonstrated less distress at discharge according to the DT (adjusted estimate of difference = –0.8,p = 0.001), lower HADS–Anxiety (–1.7,p < 0.001) and HADS–Depression scores (–1.3,p = 0.001), and higher scores on all the well-being scales, with the exception of spiritual well-being. In addition, no between-group differences were found in terms of pain and fatigue scores at discharge.Significance of results:The one-session format of the Music Givers intervention is an effective, standardized, easy-to-replicate, and low-cost intervention that reduces psychological burden and improves the well-being of hospitalized cancer patients. Listening to live music and the opportunity to establish better relationships between patients and staff could explain these results.

Download Full-text

Checklists for Complications During Systemic Cancer Treatment Shared by Patients, Friends, and Health Care Professionals: Prospective Interventional Cohort Study (Preprint)

10.2196/preprints.19225 ◽

2020 ◽

Author(s):

Helen V Jones ◽

Harry Smith ◽

Tim Cooksley ◽

Philippa Jones ◽

Toby Woolley ◽

...

Keyword(s):

Health Economic ◽

Cancer Therapy ◽

Functional Assessment ◽

Intervention Group ◽

Depression Scale ◽

Anxiety And Depression ◽

Control Group ◽

General Version ◽

Hospital Anxiety ◽

The Impact

BACKGROUND Advances in cancer management have been associated with an increased incidence of emergency presentations with disease- or treatment-related complications. OBJECTIVE This study aimed to measure the ability of patients and members of their social network to complete checklists for complications of systemic treatment for cancer and examine the impact on patient-centered and health-economic outcomes. METHODS A prospective interventional cohort study was performed to assess the impact of a smartphone app used by patients undergoing systemic cancer therapy and members of their network to monitor for common complications. The app was used by patients, a nominated “safety buddy,” and acute oncology services. The control group was made up of patients from the same institution. Measures were based on process (completion of checklists over 60 days), patient experience outcomes (Hospital Anxiety and Depression Scale and the General version of the Functional Assessment of Cancer Therapy at baseline, 1 month, and 2 months) and health-economic outcomes (usage of appointments in primary care and elective and unscheduled hospital admissions). RESULTS At the conclusion of the study, 50 patients had completed 2882 checklists, and their 50 “safety buddies” had completed 318 checklists. Near daily usage was maintained over the 60-day study period. When compared to a cohort of 50 patients with matching disease profiles from the same institution, patients in the intervention group had comparable changes in Hospital Anxiety and Depression Scale and General version of the Functional Assessment of Cancer Therapy. Patients in the Intervention Group required a third (32 vs 97 nights) of the hospital days with overnight stay compared to patients in the Control Group, though the difference was not significant. The question, “I feel safer with the checklist,” received a mean score of 4.27 (SD 0.87) on a Likert scale (1-5) for patients and 4.55 (SD 0.65) for family and friends. CONCLUSIONS Patients undergoing treatment for cancer and their close contacts can complete checklists for common complications of systemic treatments and take an active role in systems supporting their own safety. A larger sample size will be needed to assess the impact on clinical outcomes and health economics.

Download Full-text

Checklists for Complications During Systemic Cancer Treatment Shared by Patients, Friends, and Health Care Professionals: Prospective Interventional Cohort Study

JMIR mhealth and uhealth ◽

10.2196/19225 ◽

2020 ◽

Vol 8 (9) ◽

pp. e19225 ◽

Cited By ~ 1

Author(s):

Helen V Jones ◽

Harry Smith ◽

Tim Cooksley ◽

Philippa Jones ◽

Toby Woolley ◽

...

Keyword(s):

Health Economic ◽

Cancer Therapy ◽

Functional Assessment ◽

Intervention Group ◽

Depression Scale ◽

Anxiety And Depression ◽

Control Group ◽

General Version ◽

Hospital Anxiety ◽

The Impact

Background Advances in cancer management have been associated with an increased incidence of emergency presentations with disease- or treatment-related complications. Objective This study aimed to measure the ability of patients and members of their social network to complete checklists for complications of systemic treatment for cancer and examine the impact on patient-centered and health-economic outcomes. Methods A prospective interventional cohort study was performed to assess the impact of a smartphone app used by patients undergoing systemic cancer therapy and members of their network to monitor for common complications. The app was used by patients, a nominated “safety buddy,” and acute oncology services. The control group was made up of patients from the same institution. Measures were based on process (completion of checklists over 60 days), patient experience outcomes (Hospital Anxiety and Depression Scale and the General version of the Functional Assessment of Cancer Therapy at baseline, 1 month, and 2 months) and health-economic outcomes (usage of appointments in primary care and elective and unscheduled hospital admissions). Results At the conclusion of the study, 50 patients had completed 2882 checklists, and their 50 “safety buddies” had completed 318 checklists. Near daily usage was maintained over the 60-day study period. When compared to a cohort of 50 patients with matching disease profiles from the same institution, patients in the intervention group had comparable changes in Hospital Anxiety and Depression Scale and General version of the Functional Assessment of Cancer Therapy. Patients in the Intervention Group required a third (32 vs 97 nights) of the hospital days with overnight stay compared to patients in the Control Group, though the difference was not significant. The question, “I feel safer with the checklist,” received a mean score of 4.27 (SD 0.87) on a Likert scale (1-5) for patients and 4.55 (SD 0.65) for family and friends. Conclusions Patients undergoing treatment for cancer and their close contacts can complete checklists for common complications of systemic treatments and take an active role in systems supporting their own safety. A larger sample size will be needed to assess the impact on clinical outcomes and health economics.

Download Full-text