Enhancing parenting skills for pregnant women with depressive symptoms: a randomised controlled trial of triple P for baby in Kenya

IF 4.3 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy Pub Date : 2025-12-01 Epub Date: 2025-10-09 DOI:10.1016/j.brat.2025.104886

Japheth Adina , Alina Morawska , Amy E. Mitchell , Divna Haslam , David Ayuku

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引用次数: 0

Abstract

Despite the evidence in favour of Triple P for Baby (TPB), a parenting intervention to support parents at the transition to parenthood in high-income countries, little is known about whether the program would be efficacious in enhancing parenting skills and alleviating psychological distress among women in low-and middle-income countries. This randomised controlled trial evaluated the efficacy of TPB in Kenya with an urban-based sample of 82 pregnant women with depressive symptoms randomly assigned to the intervention (TPB) or standard care as usual (CAU) conditions. The intervention was delivered prenatally in four group sessions, and postnatally through four individually tailored telephone sessions. Participants were assessed at three-time points, and 90 % of participants were retained at follow-up. We applied intention-to-treat analysis and found improvements in maternal responsiveness and parental confidence and reductions in depressive and anxiety symptoms for mothers in the TPB group relative to the CAU group. There were no between-group differences in maternal self-efficacy. Infants of mothers in the TPB group had better outcomes for attaining fine motor and receptive language milestones compared to infants of mothers allocated to CAU. The findings of this trial indicate that Triple P for Baby is an efficacious early parenting intervention for women with depressive symptoms in low-resource settings.

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提高有抑郁症状孕妇的育儿技能：肯尼亚婴儿3p随机对照试验

尽管有证据支持“婴儿三重P”（Triple P for Baby， TPB），这是一种在高收入国家支持父母向为人父母过渡的育儿干预措施，但人们对该计划是否能有效提高低收入和中等收入国家妇女的育儿技能和减轻心理困扰知之甚少。这项随机对照试验评估了TPB在肯尼亚的疗效，以城市为基础的82名有抑郁症状的孕妇为样本，随机分配到干预组（TPB）或常规标准治疗组（CAU）。干预在产前通过四组会议进行，在产后通过四次单独定制的电话会议进行。参与者在三个时间点进行评估，90%的参与者在随访中被保留。我们应用意向治疗分析发现，与CAU组相比，TPB组母亲的反应性和父母信心有所改善，抑郁和焦虑症状有所减轻。母亲自我效能感组间无差异。与母亲被分配到CAU组的婴儿相比，母亲被分配到TPB组的婴儿在达到精细运动和接受性语言里程碑方面有更好的结果。本试验的结果表明，婴儿三重P是一个有效的早期育儿干预妇女抑郁症状在低资源环境。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

7.30%

发文量

148

期刊介绍： The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.