A depression preventive intervention for rural low-income African-American pregnant women at risk for postpartum depression
A depression preventive intervention for rural low-income African-American pregnant women at risk for postpartum depression
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DOI：
10.1007/s00737-008-0036-3
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发表时间：
2008-12-01
影响因子：
4.5
通讯作者：
Washington, Rosie
中科院分区：
文献类型：
--
作者：
Crockett, Kathy;Zlotnick, Caron;Washington, Rosie
产后抑郁症（PPD）是许多妇女的主要健康问题，包括农村低收入的非洲裔美国妇女。研究人员已经记录了PPD的长期后果。这项试点研究的目的是检查最初的可接受性，可行性和有效性的ROSE计划，一个简短的，基于人际关系的干预一组低收入，农村非洲裔美国孕妇的PPD风险。参与者是36名有患PPD风险的非洲裔美国孕妇，她们参加了一家乡村医院附属的产前诊所。参与者被随机分配到ROSE计划或常规治疗（TAU）。结果包括产后3个月的抑郁症状、产后调整和父母压力的测量。在产后3个月，研究发现这两种情况在抑郁症状程度或父母压力水平方面没有显着差异。干预条件下的妇女在产后3个月时的产后适应能力明显优于TAU组。那些在ROSE项目中的妇女报告说，随着时间的推移，抑郁症状有所改善，而TAU组的妇女没有证据表明这种变化。这些结果为ROSE计划改善一群低收入农村非裔美国孕妇的产后功能提供了初步有效性。
Postpartum depression (PPD) is a major health problem for many women, including rural low-income African-American women. Researchers have documented the long lasting consequences of PPD. The purpose of this pilot study was to examine the initial acceptability, feasibility, and effectiveness of the ROSE Program, a brief, interpersonally-based intervention in a group of low-income, rural African-American pregnant women at risk for PPD. Participants were 36 African-American pregnant women at risk for PPD who attended a rural hospital-affiliated prenatal clinic. Participants were randomly assigned to the ROSE Program or to treatment as usual (TAU). Outcomes included measures of depressive symptoms, postpartum adjustment, and parental stress at 3 months postpartum. At 3 months postpartum, the study found no significant differences between the two conditions in degree of depressive symptoms or level of parental stress. The women in the intervention condition reported significantly better postpartum adjustment at 3 months postpartum than women in the TAU group. Those in the ROSE Program reported improvement in depressive symptoms over time, whereas women in the TAU group did not evidence such changes. These results provide initial effectiveness for the ROSE Program in improving postpartum functioning in a group of low-income, rural African-American pregnant women.