Effect of the Healthy MOMs Lifestyle Intervention on Reducing Depressive Symptoms Among Pregnant Latinas
Effect of the Healthy MOMs Lifestyle Intervention on Reducing Depressive Symptoms Among Pregnant Latinas
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DOI：
10.1007/s10464-012-9523-9
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发表时间：
2013-03-01
影响因子：
3.1
通讯作者：
Guzman, J. Ricardo
中科院分区：
文献类型：
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作者：
Kieffer, Edith C.;Caldwell, Cleopatra H.;Guzman, J. Ricardo
产前和产后期间的抑郁症与孕产妇、围产期和儿童的不良结局有关。本研究探讨了由受过培训的社区卫生工作者领导的文化和语言定制的，基于社会支持的健康生活方式干预在减少怀孕和产后早期拉丁裔抑郁症状方面的有效性。将275名拉丁裔孕妇随机分为健康MOMs健康生活方式干预组（MOMs）或健康妊娠教育组（对照组）。超过三分之一的参与者在基线时有患抑郁症的风险。MOMs参与者在随访时患抑郁症的风险低于对照组参与者。在基线和产后6周之间，MOMs参与者的抑郁症状显著下降;对照组参与者的抑郁症状略有下降。对于MOMs参与者，这种下降大部分发生在怀孕干预期间，而对照参与者没有发生变化。在此期间，MOMs中抑郁症状的变化大于对照组参与者（“干预效应”）。从基线到产后，仅在非英语女性中有显著的干预效果。这些研究结果提供了证据，表明由社区卫生工作者领导的社区计划的，文化上定制的健康生活方式干预可以减少怀孕的西班牙语拉丁美洲人的抑郁症状。
Depression during the prenatal and postpartum periods is associated with poor maternal, perinatal and child outcomes. This study examines the effectiveness of a culturally and linguistically tailored, social support-based, healthy lifestyle intervention led by trained community health workers in reducing depressive symptoms among pregnant and early postpartum Latinas. A sample of 275 pregnant Latinas was randomized to the Healthy MOMs Healthy Lifestyle Intervention (MOMs) or the Healthy Pregnancy Education (control) group. More than one-third of participants were at risk for depression at baseline. MOMs participants were less likely than control group participants to be at risk for depression at follow-up. Between baseline and 6 weeks postpartum, MOMs participants experienced a significant decline in depressive symptoms; control participants experienced a marginally significant decline. For MOMs participants, most of this decline occurred during the pregnancy intervention period, a time when no change occurred for control participants. The change in depressive symptoms during this period was greater among MOMs than control participants ("intervention effect"). From baseline to postpartum, there was a significant intervention effect among non-English-speaking women only. These findings provide evidence that a community-planned, culturally tailored healthy lifestyle intervention led by community health workers can reduce depressive symptoms among pregnant, Spanish-speaking Latinas.