Art Therapy in High-risk Obstetric Patients

Overview

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

Full Title of Study: “The Impact of Art Therapy on Maternal Depression and Mother-infant Bonding in High-risk Pregnancies”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Supportive Care
    • Masking: Single (Participant)
  • Study Primary Completion Date: June 30, 2023

Interventions

  • Other: art therapy
    • six sessions of art therapy with licensed therapists
  • Other: nothing
    • no intervention to this group

Arms, Groups and Cohorts

  • Experimental: Intervention
    • Engage in six art therapy sessions
  • Placebo Comparator: Control
    • Engage in usual activities

Clinical Trial Outcome Measures

Primary Measures

  • changes in Edinburgh Postnatal Depression Scale scores
    • Time Frame: start, middle, and end of intervention period, time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum
    • raw score on scale
  • change in maternal-infant bonding scores
    • Time Frame: start, middle, and end of intervention period, time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum
    • raw score on scale
  • utilization of behavioral health/psychology/psychiatry services during pregnancy and postpartum
    • Time Frame: 12-16 months
    • chart review to see if patients utilized services “yes” vs. “no”
  • use of psychiatry medications during and after pregnancy
    • Time Frame: 12-16 months
    • chart review to see if patients utilized services “yes” vs. “no”

Secondary Measures

  • obstetrical complications (postpartum hemorrhage, OASIS, ICU admission)
    • Time Frame: one month postpartum
    • chart review
  • gestational age at time of delivery
    • Time Frame: one month postpartum
    • chart review
  • mode of delivery
    • Time Frame: one month postpartum
    • chart review
  • reason for delivery (iatrogenic vs spontaneous)
    • Time Frame: one month postpartum
    • chart review
  • birth weight
    • Time Frame: one month postpartum
    • chart review
  • APGAR scores
    • Time Frame: one month postpartum
    • chart review
  • NICU admissions
    • Time Frame: one month postpartum
    • chart review
  • delivery complications (shoulder dystocia, low birth weight)
    • Time Frame: one month postpartum
    • chart review

Participating in This Clinical Trial

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, and plan to deliver at Washington Hospital Center Exclusion Criteria:

  • Women who do not meet those criteria will be excluded from recruitment

Gender Eligibility: Female

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Medstar Health Research Institute
  • Provider of Information About this Clinical Study
    • Principal Investigator: Sara N. Iqbal, Primary Investigator – Medstar Health Research Institute
  • Overall Official(s)
    • Sara N Iqbal, MD, Principal Investigator, Medstar
  • Overall Contact(s)
    • Fatimah Fahimuddin, MD, 202-877-3067, fatimah.z.fahimuddin@medstar.net

References

Ciasca EC, Ferreira RC, Santana CLA, Forlenza OV, Dos Santos GD, Brum PS, Nunes PV. Art therapy as an adjuvant treatment for depression in elderly women: a randomized controlled trial. Braz J Psychiatry. 2018 Jul-Sep;40(3):256-263. doi: 10.1590/1516-4446-2017-2250. Epub 2018 Feb 1.

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