Developing a family-based depression prevention program in urban community mental health clinics: A qualitative investigation
Developing a family-based depression prevention program in urban community mental health clinics: A qualitative investigation
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DOI：
10.1111/j.1545-5300.2006.00090.x
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发表时间：
2006-06-01
期刊：
影响因子：
3.9
通讯作者：
Bourjolly, Joretha N.
中科院分区：
文献类型：
--
作者：
Boyd, Rhonda C.;Diamond, Guy S.;Bourjolly, Joretha N.
大量研究表明，抑郁母亲的孩子比非抑郁母亲的孩子患各种社会情感障碍的风险要高得多。然而，针对这一人群的预防研究很少，低收入、少数民族和城市家庭也很少被包括在内。为了解决这一问题，我们正在制定“保护家庭计划”（PFP），这是一个以家庭为基础的多成分抑郁症预防计划，面向在城市社区精神卫生机构接受治疗的母亲及其学龄儿童。为了解干预措施的发展情况并开始与各机构建立关系，在参与机构开展了患者和工作人员焦点小组。18位患有抑郁症的母亲参与了研究，确定了8个主要主题：(1)抑郁症状，(2)代际遗产，(3)养育困难，(4)儿童问题，(5)社会支持，(6)压力生活事件，(7)治疗和其他有益活动，(8)期望的治疗。在10个心理健康提供者的焦点小组中，确定了五个主要主题：养育困难、缺乏社会支持、生活压力、目前的心理健康做法和干预措施的发展。研究结果支持PFP的多成分设计，该设计侧重于增加对抑郁症的了解，增强社会支持和提高育儿技能。这项研究有助于澄清在社区精神卫生系统中进行研究的许多挑战。
Extensive research documents that children of depressed mothers are at a significantly higher risk for developing a variety of socioemotional difficulties than children of nondepressed mothers. Yet, little prevention research has been conducted for this population, and low-income, minority, and urban families are rarely included. To address this deficit, we are developing the Protecting Families Program (PFP), a family-based multicomponent depression prevention program for mothers in treatment at urban community mental health agencies and their school-aged children. To inform intervention development and begin relationship building with the agencies, patient and staff focus groups were conducted in the participating agencies. Eighteen mothers with depression participated, and eight major themes were identified: (1) depression symptoms, (2) generational legacy, (3) parenting difficulties, (4) child problems, (5) social support, (6) stressful life events, (7) therapy and other helpful activities, and (8) desired treatment. In the focus groups with 10 mental health providers, the five major themes identified were parenting difficulties, lack of social support, life stress, current mental health practices, and intervention development. The findings support the multicomponent design of PFP, which focuses on increasing knowledge of depression, enhancing social support, and improving parenting skills. The study helped clarify many of the challenges of conducting research in a community mental health system.