About this trial
This randomized controlled trial compares a novel psychotherapy, Engage \& Connect, with a Symptom Review and Psychoeducation intervention, tailored to reduce postpartum depression. The study includes 9-weeks interventions, delivered remotely. It will examine changes in social isolation, processing of social rewards and depression severity over 9 weeks of treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Up to 1 year post-delivery
Edinburgh Postnatal Depression Scale (EPDS) score ≥ 10.
Off antidepressants or on a stable dose of an antidepressant for 8 weeks and do not intend to change the dose in the next 10 weeks.
Capacity to provide consent for research assessment and treatment.
Disqualifiers
Intent or plan to attempt suicide in the near future
Ongoing psychotherapy (no more than once every 8 weeks or during the duration of the intervention)
Active substance abuse or dependence
Severe fetal anomalies, stillbirth or infant death at time of enrollment for index pregnancy
Trial design
Single group
Treatments tested in this trial
Engage & Connect (E&C)
BehavioralEngage \& Connect, is a remotely-delivered extension of Engage psychotherapy. It is aimed to increase engagement in rewarding social activities and in turn, reduce postpartum depression. In each session, the therapist will work with the patient to develop "action plans" to pursue rewarding social activities of their choice with the goal of reducing social isolation.
Symptom Review and Psychoeducation (SRP)
BehavioralSPR is a remotely-delivered intervention aimed to increase knowledge of postpartum depression and monitor mental health changes. In each session, the therapist will review the participant's symptoms and discuss information related to postpartum depression and changes after birth.
Treatment groups
Trial outcomes
Primary outcomes
Change in Edinburgh Postnatal Depression Scale (EPDS)
Measure of depression Severity. Scores range from 0 (no depression severity) to 30 (high depression severity)
Secondary outcomes
Change in Behavioral Activation for Depression Scale (BADS)
25-item measure self-report measure of behavioral activation. Scores range from 0 (very low behavioral activation) to 150 (high behavioral activation).
Change in Social Reward Processing on STAR task
Performance on the "Social Task for Assessment of Reward" \[STAR\]. Measured by reaction time to social feedback during reward trials on the task. Higher values of reaction time indicate slower response to social feedback.
Sponsors and contacts
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