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Completed

NCT Number: NCT05503056

Art Therapy in Obstetric Patients

This is a prospective study examining the potential impact art therapy has on postpartum depression and mother-baby bonding in women. Women who receive care at Washington Hospital Center's will be recruited for this study.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Washington Hospital Center

Washington D.C., District of Columbia, 20010, United States

About this study

The purpose of this research study is to assess whether alternative mental health interventions positively impacts maternal-infant bonding and postpartum depression rates in women. Postpartum depression continues to be a prevalent concern for mothers and families in the United States, with current estimates demonstrating 10-20% of women being diagnosed within one year of birth. The risks of developing postpartum depression are not well known, with maternal anxiety and stress during pregnancy being one of the proposed predisposing factors. Women with high-risk pregnancies are particularly susceptible to higher levels of stress and depression, during their pregnancy thus leaving them at great risk for postnatal depression. Given this association, finding ways to alleviate stressors is important.

Music therapy is a known intervention linked with improved outcomes in women undergoing procedural interventions, including labor and delivery. Art therapy is also associated with improved outcomes, though outside of obstetrics. In elderly women with depression and those with breast cancer diagnoses, visual art therapy has been shown to be superior to other non-medicinal interventions in improving mood. Current data is both qualitative as well as quantitative, demonstrating positive impacts on patients.

While evidence exists to support the utilization of these alternative forms of therapy, they have not been adequately applied to pregnant and postpartum women outside of music therapy. With the understanding that other art forms are tied with improvement in anxiety, depression, and quality of life, the implementation in this special patient population is paramount. Investigating how a relatively benign intervention can possibly promote improvement in maternal mental health, thus allowing for better mother-baby bonding in the first year of life, is key in finding ways to support the growth and development of healthy families.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participants will have to be eighteen years of age or older
  • in the second trimester of pregnancy at time of recruitment
  • speak and read English as their primary language
  • have access to a reliable internet/wifi connection to participate in therapy sessions
  • plan to deliver at Washington Hospital Center

Exclusion criteria

  • Women who do not meet those criteria

Treatment and study plan

Art therapy

Other

six sessions of art therapy with licensed therapists

nothing

Other

no intervention to this group

Primary outcomes

  1. changes in Edinburgh Postnatal Depression Scale scores

    Time frame: start, and end of intervention period; time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum

    raw score on scale

  2. change in maternal-infant bonding scores

    Time frame: start, and end of intervention period; time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum

    raw score on scale

  3. utilization of behavioral health/psychology/psychiatry services during pregnancy and postpartum

    Time frame: start, and end of intervention period; time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum

    chart review to see if patients utilized services "yes" vs. "no"

  4. use of psychiatry medications during and after pregnancy

    Time frame: start, and end of intervention period; time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum

    chart review to see if patients utilized services "yes" vs. "no"

Secondary outcomes

  1. obstetrical complications (postpartum hemorrhage, OASIS, ICU admission)

    Time frame: up to 3 months postpartum

    chart review

  2. gestational age at time of delivery

    Time frame: delivery

    chart review

  3. mode of delivery

    Time frame: delivery

    chart review

  4. reason for delivery (iatrogenic vs spontaneous)

    Time frame: delivery

    chart review

  5. birth weight

    Time frame: delivery

    chart review

  6. APGAR scores

    Time frame: delivery

    chart review

  7. NICU admissions

    Time frame: delivery

    chart review

  8. delivery complications (shoulder dystocia, low birth weight)

    Time frame: delivery

    chart review

Sponsors and collaborators

Lead sponsor

Medstar Health Research Institute

Other

Registry information

Official study title

The Utilization of Art Therapy During Pregnancy to Reduce the Incidence of Postpartum Depression

Important dates

Study start
2022
Primary completion
2023
Study completion
2024
First posted
Aug 16, 2022
Registry last updated
Apr 17, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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