Cited by 136Maternal Mental Health During Pregnancy and PostpartumIntimate Partner and Family ViolencePosttraumatic Stress Disorder Research

An interpersonally based intervention for low-income pregnant women with intimate partner violence: a pilot study

Open access
Zlotnick, Caron, Capezza, Nicole M., Parker, Donna·2011·Archives of Women s Mental Health

Abstract

This study assessed the initial feasibility, acceptability, and efficacy of an intervention aimed at reducing depression and posttraumatic stress disorder (PTSD) in a sample of low-income pregnant women with recent intimate partner violence (IPV). Fifty-four women were randomly assigned to the intervention or control group. The intervention consisted of four sessions during pregnancy and one "booster" session within 2 weeks of delivery. Based on principles of Interpersonal Psychotherapy, the intervention was designed to help participants improve their interpersonal relationships, including their social support networks, and master their role transition to motherhood. Assessments were administered at four time points (intake, 5-6 weeks post-intake, 2 weeks postpartum, 3 months postpartum) to assess for depression, PTSD, and IPV. The intervention did not significantly reduce the likelihood of a major depressive episode, PTSD, or IPV during pregnancy or up to 3-month postpartum. However, we found moderate effects for the intervention in reducing symptoms of PTSD and depression during pregnancy and a large effect for PTSD symptoms from pregnancy up to 3 months postpartum. This study suggests some initial support for our intervention. Larger randomized trials are needed to further examine the intervention both during and after pregnancy.

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  • Zlotnick et al.'s interpersonal psychotherapy for pregnant IPV survivors produced a moderate reduction in depression and PTSD scores between control and intervention at 5-6 weeks post-intake, but the difference was not sustained postpartum.

    “Though there was a moderate change in depression and PTSD scores (reduction) between the control and intervention groups at post-intake (5–6 weeks), this difference was not sustained at the post-partum period.”

    From A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors (2020) · cites this paper as [31]

    The Discussion and conclusion (page unavailable) reports moderate reductions in depression and PTSD symptoms during pregnancy and no significant reduction in either during the postpartum period. But the paper also reports a large effect for PTSD symptoms from pregnancy through three months postpartum, so saying the difference was not sustained postpartum oversimplifies that finding. The reported moderate effects are for pregnancy generally, not specifically the 5–6-week post-intake assessment. (LLM, conf=0.83)

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  1. Seifer R Dickstein S Sameroff AJ Magee KD Hayden LC 2001 Infant mental health and variability of parental mental illness J Am Acad Child Psy 40 1375 1382 11765282

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Authors
Zlotnick, C., Capezza, N. M., & Parker, D.
Affiliations
Brown University (US)
Corresponding author
Zlotnick, Caron
Venue
Archives of Women s Mental Health
Published
2010-12-11
Volume
14
Issue
1
Pages
55-65
ISSN
  • 1434-1816 (ISSN-L)
  • 1435-1102
OpenAlex
W2130513347
Cited by
136
References
109
Citations by year
2026: 4 · 2025: 9 · 2024: 8 · 2023: 7 · 2022: 7 · 2021: 9 · 2020: 15 · 2019: 8 · 2018: 11 · 2017: 9 · 2016: 8 · 2015: 6 · 2014: 16 · 2013: 9 · 2012: 6
FWCI
5.96
Type
journal article
Language
en
Open access
Locations
  • Archives of Women s Mental Health (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (R34MH075013)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Health › Intimate Partner and Family Violence
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Keywords
intimate partner violence, pregnant women, interpersonal psychotherapy, depression, post-traumatic stress disorder, low-income women, postpartum period, social support, transition to motherhood, interpersonal relationships, intervention feasibility and acceptability
MeSH terms
Adult, Major Depressive Disorder, Female, Humans, Interpersonal Relations, Pilot Projects, Poverty, Pregnancy, Pregnancy Complications, Psychotherapy, Social Support, Stress Disorders, Post-Traumatic, Domestic Violence, Young Adult

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