[Interactional therapy program for mothers with postpartum mental disorders. First results of a pilot project]

Nervenarzt. 2007 Jun;78(6):679-84. doi: 10.1007/s00115-006-2251-3.
[Article in German]

Abstract

Background: The period around delivery frequently causes psychiatric diseases that may disturb maternal competence and influence bonding behaviour with the child. Until now only a few possibilities have existed for inpatient treatment and therapy for these problems. The therapy program developed in Wiesloch, Germany, is especially well suited to such patients.

Methods: Fifty-three mothers with postpartum disorders (33 depressive, 20 psychotic) were examined before and after therapy. Psychopathologic severity, psychosocial level of functioning, and parameters of the mother-child interaction were assessed and compared.

Results: Overall the results showed clear improvements in the assessed parameters at the end of treatment for both psychotic mothers and those with affective disorders.

Conclusion: The interactional treatment program for postpartum mental disorders leads to a significant reduction in psychic/psychiatric severity and the associated psychosocial impairment and disturbed mother-child interaction. Considerations of the effects of therapy were not possible due to the study design.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Behavior Therapy / methods
  • Combined Modality Therapy
  • Depression, Postpartum / diagnosis
  • Depression, Postpartum / psychology
  • Depression, Postpartum / therapy*
  • Education / methods
  • Family Therapy / methods
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Infant, Newborn
  • Mother-Child Relations
  • Object Attachment
  • Patient Care Team
  • Patient Satisfaction
  • Psychotherapy / methods*
  • Psychotherapy, Group / methods
  • Psychotic Disorders / diagnosis
  • Psychotic Disorders / psychology
  • Psychotic Disorders / therapy*