[Interactional therapy program for mothers with postpartum mental disorders. First results of a pilot project].
BACKGROUND
The period around delivery frequently causes psychiatric diseases that may disturb maternal competence and influence bonding behaviour with the child. Until now only a few possibilities have existed for inpatient treatment and therapy for these problems. The therapy program developed in Wiesloch, Germany, is especially well suited to such patients.


METHODS
Fifty-three mothers with postpartum disorders (33 depressive, 20 psychotic) were examined before and after therapy. Psychopathologic severity, psychosocial level of functioning, and parameters of the mother-child interaction were assessed and compared.


RESULTS
Overall the results showed clear improvements in the assessed parameters at the end of treatment for both psychotic mothers and those with affective disorders.


CONCLUSIONS
The interactional treatment program for postpartum mental disorders leads to a significant reduction in psychic/psychiatric severity and the associated psychosocial impairment and disturbed mother-child interaction. Considerations of the effects of therapy were not possible due to the study design.
Hornstein
C
C
Allgemeinpsychiatrie und Psychotherapie 1, Mutter-Kind Behandlung (Station 43), Psychiatrisches Zentrum Nordbaden, Akademisches Lehrkrankenhaus der Universität Heidelberg, Heidelberger Strasse 1a, 69168 Wiesloch. Christiane.Hornstein@PZN-Wiesloch.de
Trautmann-Villalba
P
P
Hohm
E
E
Rave
E
E
Wortmann-Fleischer
S
S
Schwarz
M
M
D000328:Adult; D001521:Behavior Therapy / Q000379:methods; D003131:Combined Modality Therapy; D019052:Depression, Postpartum / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D004493:Education / Q000379:methods; D005196:Family Therapy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009034:Mother-Child Relations; D009769:Object Attachment; D010348:Patient Care Team; D017060:Patient Satisfaction; D011613:Psychotherapy / Q000379:methods*; D011615:Psychotherapy, Group / Q000379:methods; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*