Depression treatment delivered at the point-of-care: a qualitative assessment of the views of low-income US mothers.
Depression treatment delivered at the point-of-care: a qualitative assessment of the views of low-income US mothers.
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DOI：
10.1080/02646838.2015.1101753
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发表时间：
2016
影响因子：
2.5
通讯作者：
Segre LS
中科院分区：
文献类型：
--
作者：
Orengo-Aguayo RE;Segre LS
在美国，19%的母亲在分娩的头几个月里会出现明显的临床抑郁症状，在低收入和少数族裔妇女中更为普遍。矛盾的是，低收入和少数民族母亲面临着独特的障碍，使她们不太可能得到专业的精神保健。为了找到消除这些障碍的方法，美国最近的一项试验扩展了英国干预措施的使用，即倾听访问（LV），这是一种由家庭探访者/办公室护理人员提供的循证治疗。对参与者（开放试验N=19，随机对照试验N=49）对治疗后半结构化访谈的反应进行定性内容分析，评估他们对LV的看法。给出了赞同每个主题准则的参与者的百分比。当提供者首次引入左室干预时，77.9%的女性回顾性报告对尝试这种新方法持积极态度。接受者最常被提及的是LV的两个方面：共情倾听/支持和LV提供者的协作风格。一半的女性（50%）不建议改变LV的输送方式。在建议改变的人中，最常见的（42.6%）建议是增加会议的次数/持续时间。低收入的少数民族母亲认为，倾听访问是一种可接受的抑郁症治疗方法，为这一人群提供服务的保健和社会服务提供者可以使用这种方法。
Within the first months of childbirth, clinically significant depressive symptoms are experienced by 19% of mothers in the US, and are even more prevalent among low-income and ethnic-minority women. Paradoxically, low-income and ethnic-minority mothers are faced with unique barriers that make them less likely to receive professional mental health care. To find ways to remove these barriers, a recent US trial extended use of a United Kingdom intervention, Listening Visits (LV), an evidence-based treatment delivered by home visitors/office nursing staff. A qualitative content analysis was conducted with participants' (N=19 in an open trial and N=49 in a randomized controlled trial) responses to a post-treatment semi-structured interview assessing their views of LV. The percentage of participants endorsing each thematic code is presented. When the provider first introduced the LV intervention, 77.9% of women retrospectively reported having positive views of trying this new approach. Recipients most frequently mentioned as helpful two aspects of LV: empathic listening/support and the collaborative style of the LV provider. Half of the women (50%) did not suggest changes to how LV were delivered. Among those who suggested changes, the most frequent (42.6%) suggestion was to increase the number/duration of sessions. Listening Visits is an acceptable depression treatment approach, as perceived by low-income, ethnic-minority mothers, which health and social service providers who serve this population can use.
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影响因子：
2.5
作者：
Segre, Lisa S.;Losch, Mary E.;O'Hara, Michael W.
通讯作者：
O'Hara, Michael W.
DOI：
10.1080/10503307.2010.518636
发表时间：
2010-11
期刊：
Psychotherapy research : journal of the Society for Psychotherapy Research
影响因子：
--
作者：
Segre LS;Stasik SM;O'Hara MW;Arndt S
通讯作者：
Arndt S
影响因子：
3.8
作者：
Elo, Satu;Kyngaes, Helvi
通讯作者：
Kyngaes, Helvi
DOI：
10.1111/j.1552-6909.2007.00191.x
发表时间：
2007-11-01
影响因子：
1.8
作者：
Mayberry, Linda J.;Horowitz, June Andrews;Declercq, Eugene
通讯作者：
Declercq, Eugene
DOI：
10.1146/annurev-clinpsy-050212-185612
发表时间：
2013-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 9
影响因子：
--
作者：
O'Hara, Michael W.;McCabe, Jennifer E.
通讯作者：
McCabe, Jennifer E.