Psychoeducational Intervention to Reduce Depressive Symptoms and Strengthen Mother-Infant Bonding

Yasemin Ozhuner88 enrolled

Overview

The study aims to evaluate the effectiveness of a psychoeducational intervention designed within the framework of the Watson Human Caring Model in reducing postpartum depressive symptoms and creating a stronger mother-infant bond. Specifically, it aims to investigate whether a person-centered approach based on the principles of Watson's caring science can significantly increase the psychological well-being of postpartum mothers and improve the quality of their relationship with their babies.

The pregnant women included in the sample were informed about the study and their written consent was obtained. Six interviews were conducted with the pregnant women, four at one-week intervals before birth and one on the seventh day and fourth week after birth. These interviews were conducted with the women one-on-one and face-to-face. The women in the control group did not receive any treatment other than routine care at family health centers. The psychoeducation program was applied to the women in the intervention group in six interviews.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Postpartum Depression Psychoeducation

Interventions

the psychoeducation intervention programOTHER

The content of the psychoeducation intervention program based on the Watson Human Caring Model will consist of the postpartum process and care, maternal blues, postpartum psychosis, postpartum depression, frequency, causes, predisposing factors, symptoms, effects on mother, child and community health, diagnosis and treatment, preventive practices, social support, adaptation to the role of motherhood, mother and baby bonding, practices that will strengthen mother-baby bonding, breast milk and breastfeeding, nutrition and baby care, problems encountered in baby care and solution suggestions.

routine careOTHER

routine care

Eligibility

Sex: FEMALEMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * • Women in their 20-35th week of pregnancy, * Volunteers, * Over 18 years of age, * Literate, * No visual, hearing or mental disabilities, * Having a healthy baby weighing over 2500 grams, * Being in the same environment with their baby after birth, * Having a healthy fetus on ultrasound will be included in the study. Exclusion Criteria: * • Those diagnosed with depression or other mental illnesses by a physician, * Those taking medication for mental illness, * Women who have given birth prematurely, * Stillbirth, * Those who have not participated in more than one interview will not be included in the study.

Outcomes

Primary Outcomes

Prenatal Attachment Scale

Prenatal Attachment Scale The scale consists of 21 items in total. The highest score on the scale is 84, the lowest score is 21, and the increase in the total score obtained from the scale indicates that prenatal attachment is positive.

Time frame: 1 day (first meeting during pregnancy)

Edinburgh Postpartum Depression Scale

It is a 10-item self-report scale that measures maternal depressive symptoms over the past seven days. Higher scores reflect more depressive symptoms. Symptoms are rated on a 4-point Likert scale with scores ranging from 0 to 30. The cut-off score of the scale was determined as ≥13. If the total score of the scale is 12 or less, the participant is not at risk for PPD, but if he scores 13 or more, he is at risk.

Time frame: 1 day (first meeting during pregnancy and at the fourth week postpartum)

Mother-Infant Attachment Scale

Mother-Infant Attachment Scale This scale, which is used from the first day after birth, allows the mother to describe her feelings towards her baby in one word. The lowest score that can be obtained from the scale is 0 and the highest score is 24. As the score increases, attachment is negatively affected.

Time frame: fourth week postpartum