產後憂鬱對婦女及家人的福祉有著不利且長期的影響，因此有必要對其進行積極的介 入。由於產後婦女常因哺餵母乳而不願服用藥物，心理治療乃成為產後憂鬱的第一線治 療方法。雖然「人際取向心理治療」已被證實是有效治療產後憂鬱的個別治療法，但至 今有關人際取向團體心理治療之效果研究尚有限，且研究方法多有待改進之處，因此， 本計畫擬對產後憂鬱者進行人際取向團體心理治療之隨機控制性試驗研究。預計以「愛 丁堡產後憂鬱量表」對攜帶嬰兒施打預防針之母親進行初步憂鬱篩檢，再由精神科醫師 對婦女進行診斷性會談，隨機選擇達憂鬱疾患標準者各30名分配為治療組、控制組。以 Reay等人（2012）之治療手冊為依據，對治療組進行共八次之團體治療，由不知研究對 象之組別的研究人員進行前測、後測與治療後三個月之追蹤測量，也由精神科醫師於後 測再次進行診斷性會談。評估工具為憂鬱量表、迷你國際神經精神醫學面談、母嬰連結 量表、配偶適應量表。在憂鬱方面的療效指標為憂鬱症狀嚴重度、憂鬱疾患復原率，在 關係方面的療效指標則為母嬰連結程度、配偶關係適應程度。 Since the longstanding negative effect of postpartum depression on women and their families, active interventions on it are needed. For women who breastfeeding often not willing to take prescriptions, psychotherapy is the treatment of first-choice. Interpersonal psychotherapy (IPT) has been recognized as an effective individual psychotherapy on postpartum depression, but the effects of IPT group psychotherapy on postpartum depression is less investigated. The study aims at the exploration of IPT group psychotherapy on postpartum depression. A randomized controlled trial will be conducted. Mothers who take their infants for the Well Baby Visit will be initially screened by the Edinburgh Postnatal Depression Scale. After the diagnostic interview from a psychiatrist, the women who meet the criteria of depressive disorders will be randomly assigned to treatment group or control group. Base on the therapy manual developed by Reay et al. (2012), we run an 8-session IPT group psychotherapy for the treatment group. Independent researchers who blind to the participants’ group collect data at pre-treatment, post-treatment, and 3-month follow-up. The diagnostic interview holds again on post-treatment. The assessments used in the study are Edinburgh Postnatal Depression Scale, Mini-International Neuropsychiatric Interview, Mother-Infant Bonding Scale, and Dyadic Adjustment Scale. The indexes for treatment outcome are the depression severity, recovery rate of depressive disorders, the extent of mother-infant bonding and dyadic adjustment.
