title: Randomized controlled trial to prevent postpartum depression in adolescent mothers.
abstract: OBJECTIVE
  The purpose of this study was to estimate the effect of an interpersonally oriented intervention on the reduction of the risk of postpartum depression in primiparous adolescents.
  
  
  METHODS
  We conducted a randomized controlled trial of 106 pregnant primiparous adolescents who were ≤17 years old at their first prenatal visit. Participants were assigned randomly to the intervention program (n = 54) or the attention and dose-matched control program (n = 52). Each program included 5 sessions that were delivered during the prenatal period. A structured diagnostic interview was administered to assess for the primary outcome and depression at 6 weeks, 3 months, and 6 months after delivery.
  
  
  RESULTS
  Participants included Hispanic (53%), non-Hispanic black (17%), and non-Hispanic white (16%) adolescents. The overall rate of depression in the intervention group (12.5%) was lower than the control group (25%) with a hazard rate ratio of 0.44 (95% confidence interval, 0.17-1.15) at 6 months after delivery.
  
  
  CONCLUSIONS
  An intervention that is delivered during the prenatal period has the potential to reduce the risk for postpartum depression in primiparous adolescent mothers.
authors: Department of Obstetrics and Gynecology, Providence, RI, USA.
authors: Maureen G
authors: MG
authors: Phipps
authors: Christina A
authors: CA
authors: Raker
authors: Crystal F
authors: CF
authors: Ware
authors: Caron
authors: C
authors: Zlotnick
mesh_terms: D000293:Adolescent; D019052:Depression, Postpartum / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D006801:Humans; D009035:Mothers / Q000523:psychology*; D011247:Pregnancy; D011253:Pregnancy in Adolescence / Q000523:psychology*; D011295:Prenatal Care; D011613:Psychotherapy / Q000379:methods*; D016896:Treatment Outcome