Early Diagnosis of PPD Through Self-portraits (ppd)

Sheba Medical Center

Status: Completed

Conditions: Postpartum Depression

Treatments: Diagnostic Test: Traumatic Events Questionnaire (TEQ); Diagnostic Test: Edinburgh Postnatal Depression Scale (EPDS); Diagnostic Test: Beck Depression Inventory- II (BDI-II); Diagnostic Test: draw a person (DAP)

Study type: Observational

Funder types: Other

Identifiers

NCT03791021

5651-18-SMC

Details and patient eligibility

About

the target of the research is development of a predictive tool for early identification of women which are at higher risk for development of postpartum depression.

the evaluating tools include self portraits and questionnaire during the third trimester of pregnancy.

The suggested research aims to evaluate if and how it would be possible to predict the potential for postpartum mood swing disorders in pregnant women while in the third trimester. The later to prevent the mother from enduring such a detrimental experience, which influences the child development, the family as well as the mother's intimate relationship.

The aim is to identify indicators to predict such potential, using questionnaires and self-portraits during pregnancy, to allow early intervention and treatment. Early diagnosis and quick treatment of pregnant women or post-partum mothers will allow them a higher level of functioning and may even prevent eventually infant neurological and developmental delays and hardships.

Full description

the target of the research is to evaluate a method based on self portraits and targeted questionnaire done in the third trimester and three months later in order to identify pregnant women in higher risk to develop PPD.

the minimal number of objectives participating in the research would be 100 pregnant women during the third trimester of pregnancy.

the Draw A Person (DAP) test was described by Machover in 1949. it is still considered a reliable and well recognized test for evaluation of mental stress and disorders (Gilory, 2012).

in the research approximately 100 pregnant women in the third trimester would be asked to draw a self portrait in two different time points (during the third trimester and three to six months postpartum). in addition to the self portraits the participants would be asked to fill a set of questionnaires to evaluate the degree of depression, self esteem, personal history of traumatic events, and demographic data.

the self portraits would be evaluated by three judges. the reliability between judges would be tested using KAPPA test.

Enrollment: 100 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• third trimester pregnant women

Exclusion criteria

• pregnant women with established diagnosis of mental disorders
• still birth or intra uterine disorders

Trial design

100 participants in 1 patient group

third trimester pregnant women

Description:

the group of participants in this research would include approximately 100 subjects in the third trimester of their pregnancy. the participants would be collected in the central area of Israel from various socioeconomic groups. each participant would be asked to make draw a person (DAP) test, and answer a number of questionnaires including Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory II (BDI-II), and Traumatic Events Questionnaire (TEQ).

Treatment:

Diagnostic Test: Edinburgh Postnatal Depression Scale (EPDS)

Diagnostic Test: draw a person (DAP)

Diagnostic Test: Traumatic Events Questionnaire (TEQ)

Diagnostic Test: Beck Depression Inventory- II (BDI-II)