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Title: A therapeutic playgroup for depressed mothers and their infants: feasability study and pilot randomised trial of Community HUGS
Austin Authors: Ericksen, Jennifer ;Loughlin, Elizabeth ;Holt, Charlene ;Rose, Natalie;Hartley, Eliza ;Buultjens, Melissa;Gemmill, Alan W ;Milgrom, Jeannette 
Affiliation: Parent-Infant Research Institute, Austin Health, Heidelberg, Victoria, Australia
Melbourne Children's Trial Centre, Murdoch Children's Research Institute, Melbourne, Australia
La Trobe University, Melbourne, Australia
University of Melbourne, Melbourne, Australia
Issue Date: Jul-2018
Date: 2018-06-28
Publication information: Infant mental health journal 2018; 39(4): 396-409
Abstract: Symptoms of depression negatively impact on mother-infant relationships and child outcomes. We evaluated a novel, 10-session mother-infant therapeutic playgroup-Community HUGS (CHUGS)-which combines cognitive and experiential components through psychoeducation, play, music, and movement. Participants were mothers experiencing a range of postnatal mental health difficulties, including depression, with infants ≤12 months of age. However, the aim was not to treat maternal depression but to ameliorate associated problems in the mother-infant interaction. In the feasibility study, all participants received CHUGS. In the pilot randomized controlled trial (RCT), participants were randomized between intervention and a wait-list. Outcomes were the Parenting Stress Index (PSI; R.R. Abidin, 1995), Parenting Sense of Competency Scale (Self-Efficacy subscale; J. Gibaud-Wallston & L.P. Wandersman, 1978), and the Depression, Anxiety, Stress Scales (P.F. Lovibond & S.H. Lovibond, 1995). In the feasibility study (n = 74), PSI scores dropped on all subscales, all ps < .01. Depression, p < .001, anxiety, p = .01, stress, p = .01, and self-efficacy, p < .001, all showed improvements, as did observer-rated mother-infant interactions, p < .001. In the RCT, depression, p < .001, anxiety, p = .005, and stress, p < .001, symptoms were significantly reduced for intervention participants (n = 16), as compared to wait-list participants (n = 15). The CHUGS program had high participant satisfaction and produced improvements in self-efficacy, depression, anxiety, stress, and mother-infant interactions that supported the program's acceptability and the utility of further rollout.
DOI: 10.1002/imhj.21723
ORCID: 0000-0002-4082-4595
Journal: Infant mental health journal
PubMed URL: 29953626
Type: Journal Article
Subjects: Angst
analyse de faisabilité
anxiété postnatale
depresión postnatal
dépression postnatale
ensayo controlado al azar
essai contrôlé randomisé
estudio de factibilidad
feasibility study
interacción madre-infante
interaction mère-bébé
mother−infant interaction
postnatal depression
postnatale Depression
randomisierte kontrollierte Studie
randomized controlled trial
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