Section Project Summary Postpartum depression is one of the most pervasive types of psychopathology postpartum, with detrimental effects for both mothers and their infants. There are a limited number of non-pharmacological interventions at present, particularly interventions developed to reduce risk of postpartum depression in at-risk samples (e.g., women with a prior history of depression). Elucidating the mechanisms of action of efficacious treatments that reduce postpartum depression is critical, as it will facilitate understanding what mechanisms are engaged and how intervention during pregnancy can optimize engagement of these mechanisms. This pilot translational fMRI study proposes to examine whether cognitive control and emotion regulation are potential mechanisms of action during the postpartum period, both at the behavioral and neural level, of Mindfulness-Based Cognitive Therapy ? Perinatal Depression (MBCT-PD). MBCT-PD is a group-based therapy that focuses on developing mindfulness and cognitive behavioral skills and has been shown to be efficacious in reducing depressive symptoms and emergence of major depressive disorder postpartum. Additionally, the study proposes to explore whether engagement of potential mechanisms of action effect intergenerational transmission of risk, namely reported negative infant emotionality.

Public Health Relevance

Mindfulness-Based Cognitive Therapy ? Perinatal Depression (MBCT-PD) is a group-based therapy that focuses on developing mindfulness and cognitive behavioral skills and has been shown to be efficacious in reducing depressive symptoms and emergence of major depressive disorder postpartum. This pilot translational fMRI study proposes to examine whether cognitive control and emotion regulation are potential neural mechanisms of action of MBCT-PD. Additionally, the study proposes to explore whether these proposed mechanisms of action may effect intergenerational transmission of risk, namely reported negative infant emotionality.

Agency
National Institute of Health (NIH)
Institute
National Center for Complementary & Alternative Medicine (NCCAM)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21AT010292-01
Application #
9607047
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Sabri, Merav
Project Start
2018-08-08
Project End
2020-07-31
Budget Start
2018-08-08
Budget End
2019-07-31
Support Year
1
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Oregon Health and Science University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
096997515
City
Portland
State
OR
Country
United States
Zip Code
97239