Perinatal Dyadic Psychotherapy: Design, Implementation, and Acceptability
Open accessAbstract
Maternal postpartum depression (PPD) and mother–infant relationship dysfunction have reciprocal effects on each other and thus an integrated approach that addresses both problems simultaneously may lead to improved outcomes. This study aimed to determine the feasibility, acceptability, and preliminary efficacy of a new intervention, Perinatal Dyadic Psychotherapy (PDP), for the early treatment of maternal PPD. PDP is designed to promote maternal mental health and facilitate optimal mother–infant relationships via (a) a supportive, relationship-based, mother–infant psychotherapeutic component, and (b) a developmentally based infant-oriented component focused on promoting positive mother–infant interactions. This paper describes the pilot use of PDP with six acutely depressed postpartum women. Nurses delivered the intervention over eight home visits. Results indicate that PDP is a feasible, acceptable, and safe intervention with this population. All participants achieved remission of depression with significant reduction of depression and anxiety symptoms, suggesting that PDP is a promising treatment for PPD.
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Before delivering the intervention, nurse interventionists completed a 10-day training and met a reliability criterion of at least 90% on an interventionist skills checklist during role play.
“Prior to providing the intervention, the nurse interventionists completed a 10-day training in the PDP intervention and met reliability criteria for providing the intervention based on attainment of at least 90% on interventionist skills checklist during role play evaluation (see Goodman et al. 2013 for details).”
From Perinatal Dyadic Psychotherapy for postpartum depression: a randomized controlled pilot trial (2015) · cites this paper as Goodman et al. 2013
Prior work demonstrated the feasibility, acceptability, safety, and preliminary efficacy of the PDP intervention with depressed postpartum women and their infants.
“Prior work has demonstrated the feasibility, acceptability, safety, and preliminary efficacy of the PDP intervention with depressed postpartum women and their infants (Goodman et al. 2013).”
From Perinatal Dyadic Psychotherapy for postpartum depression: a randomized controlled pilot trial (2015) · cites this paper as Goodman et al. 2013
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- Authors
- Goodman, J. H., Guarino, A. J., & Prager, J. E.
- Affiliations
- MGH Institute of Health Professions (US)
- ORCID
- Goodman, Janice H.
- Venue
- Journal of Family Nursing
- Publisher
- SAGE Publications
- Published
- 2013-04-05
- Volume
- 19
- Issue
- 3
- Pages
- 295-323
- ISSN
- 1074-8407 (ISSN-L)
- 1552-549X
- PMC
- PMC4144803
- OpenAlex
- W2121152802
- Cited by
- 20
- References
- 101
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 1 · 2016: 2 · 2015: 2 · 2014: 1
- FWCI
- 1.70
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Family Nursing (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21HD065156)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Keywords
- postpartum depression, mother-infant relationship, mother-infant psychotherapy, home-based intervention, nurse-led intervention, feasibility and acceptability, depression remission, anxiety symptoms, maternal mental health
- MeSH terms
- Adult, Education, Nursing, Continuing, Feasibility Studies, Female, Humans, Infant, Mother-Child Relations, Object Attachment, Pilot Projects, Psychotherapy, Self Concept, Program Development, Treatment Outcome, Depression, Postpartum, Family Nursing
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