The Effect of Peer Support on Postpartum Depression: A Pilot Randomized Controlled Trial
Abstract
Objective: To evaluate the effect of peer support (mother-to-mother) on depressive symptomatology among mothers identified as high-risk for postpartum depression (PPD). Method: Forty-two mothers in British Columbia were identified as high-risk for PPD according to the Edinburgh Postnatal Depression Scale (EPDS) and randomly assigned to either a control group (that is, to standard community postpartum care) or an experimental group. The experimental group received standard care plus telephone-based peer support, initiated within 48 to 72 hours of randomization, from a mother who previously experienced PPD and attended a 4-hour training session. Research assistants blind to group allocation conducted follow-up assessments on diverse outcomes, including depressive symptomatology, at 4 and 8 weeks postrandomization. Results: Significant group differences were found in probable major depressive symptomatology (EPDS > 12) at the 4-week (χ 2 = 5.18, df = 1; P = 0.02) and 8-week (χ 2 = 6.37, df = 1; P = 0.01) assessments. Specifically, at the 4-week assessment 40.9% ( n = 9) of mothers in the control group scored > 12 on the EPDS, compared with only 10% ( n = 2) in the experimental group. Similar findings were found at the 8-week assessment, when 52.4% ( n = 11) of mothers in the control group scored > 12 on the EPDS, compared with 15% ( n = 3) of mothers in the experimental group. Of the 16 mothers in the experimental group who evaluated the intervention, 87.5% were satisfied with their peer-support experience. Conclusions: Telephone-based peer support may effectively decrease depressive symptomatology among new mothers. The high maternal satisfaction with, and acceptance of, the intervention suggests that a larger trial is feasible.
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Peers have been successfully used in the delivery of maternal mental health care, but most studies were conducted in high-income countries and focus on quantitative outcomes.
“Peers have been successfully used in the delivery of maternal mental health care, but most studies were conducted in high-income countries and focus on quantitative outcomes [24, 26, 27].”
From Barefoot therapists: barriers and facilitators to delivering maternal mental health care through peer volunteers in Pakistan: a qualitative study (2016) · cites this paper as [24]
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Letourneau, N., Stewart, M., Dennis, C.-L., Hegadoren, K., Duffett-Leger, L., & Watson, B. (2011) · International Journal of Mental Health Nursing · doi:10.1111/j.1447-0349.2010.00736.x · Cited by 97 · see citing works
Self-citationGroup treatment for postpartum depression: a systematic review
Goodman, J. H., & Santangelo, G. (2011) · Archives of Women's Mental Health · doi:10.1007/s00737-011-0225-3 · Cited by 74 · see citing works
Baker-Ericzén, M. J., Connelly, C. D., Hazen, A. L., Dueñas, C., Landsverk, J. A., & Horwitz, S. M. (2012) · Families, Systems, & Health · doi:10.1037/a0028750 · Cited by 78 · see citing works
Repetitive transcranial magnetic stimulation treats postpartum depression
Garcia, K. S., Flynn, P., Pierce, K. J., & Caudle, M. (2010) · Brain Stimulation · doi:10.1016/j.brs.2009.06.001 · Cited by 63 · see citing works
Dennis, C.-L. (2013) · Health Promotion International · doi:10.1093/heapro/das003 · Cited by 51 · see citing works
Self-citationStevenson, M., Scope, A., Sutcliffe, P., Booth, A., Slade, P., Parry, G., Saxon, D., & Kalthenthaler, E. (2010) · Health Technology Assessment · doi:10.3310/hta14440 · Cited by 57 · see citing works
“…a research study Cuijpers (2008) Journal of Clinical Psychology Review article Currie (2001) Australian College of Midwives incorporated Not a depressed sample Dennis (2003) The Canadian Journal of Psychiatry Not a group intervention Dennis (2004) Canadian Journal of Psychiatry – Revue Canadienne…”
BackgroundMaycock, B. R., Scott, J. A., Hauck, Y. L., Burns, S. K., Robinson, S., Giglia, R., Jorgensen, A., White, B., Harries, A., Dhaliwal, S., et al. (2015) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-015-0601-5 · Cited by 35 · see citing works
Wozney, L., Olthuis, J., Lingley-Pottie, P., McGrath, P. J., Chaplin, W., Elgar, F., Cheney, B., Huguet, A., Turner, K., & Kennedy, J. (2017) · Archives of Women's Mental Health · doi:10.1007/s00737-017-0732-y · Cited by 33 · see citing works
Supporting parents following pregnancy loss: a cross-sectional study of telephone peer supporters
Boyle, F. M., Mutch, A. J., Barber, E. A., Carroll, C., & Dean, J. H. (2015) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-015-0713-y · Cited by 28 · see citing works
Effect of health care as the "home visiting" on postpartum depression: a controlled clinical trial
Milani, H. S., Amiri, P., Mohsey, M., Monfared, E. D., Vaziri, S. M., Malekkhahi, A., & Salmani, F. (2017) · International Journal of Preventive Medicine · doi:10.4103/2008-7802.204003 · Cited by 18 · see citing works
- Authors
- Dennis, C.-L.
- Affiliations
- University of Toronto (CA)
- Corresponding author
- Dennis, Cindy-Lee
- ORCID
- Dennis, Cindy-Lee
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2003-03
- Volume
- 48
- Issue
- 2
- Pages
- 115-124
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- OpenAlex
- W2172005526
- Cited by
- 249
- References
- 92
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 10 · 2023: 16 · 2022: 8 · 2021: 11 · 2020: 8 · 2019: 13 · 2018: 10 · 2017: 18 · 2016: 9 · 2015: 10 · 2014: 12 · 2013: 10 · 2012: 20
- FWCI
- 8.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- postpartum depression, peer support, mother-to-mother support, telephone-delivered intervention, high-risk mothers, depressive symptoms, Edinburgh Postnatal Depression Scale, maternal satisfaction, postpartum care
- MeSH terms
- Adolescent, Adult, Child Care, Child, Preschool, Female, Humans, Loneliness, Peer Group, Pilot Projects, Surveys and Questionnaires, Self Concept, Social Support, Stress, Psychological, Depression, Postpartum
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