A Family-Based Collaborative Care Model for Treatment of Depressive and Anxiety Symptoms in Perinatal Women: Results From a Pilot Study.
A Family-Based Collaborative Care Model for Treatment of Depressive and Anxiety Symptoms in Perinatal Women: Results From a Pilot Study.
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DOI：
10.2196/45616
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发表时间：
2023-04-13
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
未经治疗的围产期抑郁症和焦虑症可能对家庭功能产生有害后果。物流障碍使许多围产期妇女无法获得治疗，这些障碍对居住在农村地区的妇女来说更为严重。本文介绍了一种以家庭为基础的协作护理模式（FBCCM），旨在绕过障碍，以增加获得护理的抑郁症和焦虑的围产期妇女在美国农村地区。该方案包括以下两个组成部分：（1）针对围产期抑郁和焦虑的10次视频家庭治疗;（2）针对抑郁和焦虑母亲的育儿需求的视频婴儿护理提供者培训。本文介绍了实施FBCCM与家庭和婴儿护理提供者的可行性。结果提出的初步有效性的视频提供的家庭治疗治疗在减少产妇抑郁和焦虑症状，和家庭冲突。本试点研究采用实施-有效性混合试验设计进行，无对照组。在治疗后、3个月和6个月后测量母亲抑郁症状、母亲焦虑症状和家庭冲突的变化。平均而言，母亲（n=24）参加了9.79（SD 1.02）次会议。平均而言，他们的家庭成员（n=24）参加了9.42（SD 1.28）次会议。共有31名婴儿护理人员参加了关于解决抑郁和焦虑母亲育儿需求的培训。母亲们报告说，从基线到6个月的随访，抑郁症状（P<0.001）和焦虑症状（P<0.001）显著减少。母亲报告冲突显着减少（P<0.001），他们的家庭成员也报告冲突显着减少（P= 0.007），从基线到6个月的随访。本研究的结果为FBCCM的可行性和初步有效性提供了支持。研究结果将用于为FBCCM的更大研究提供信息。
Untreated perinatal depression and anxiety can have detrimental consequences on family function. Logistical barriers prevent many perinatal women from accessing treatment, and these barriers are compounded for women residing in rural areas. This paper describes a Family-Based Collaborative Care Model (FBCCM) that is designed to bypass barriers to increase access to care for depressed and anxious perinatal women in rural regions of the United States. The FBCCM includes the following two components: (1) a 10-session video-delivered family therapy treatment for perinatal depression and anxiety and (2) a video-delivered infant care provider training on addressing the parenting needs of depressed and anxious mothers. This paper describes the feasibility of implementing the FBCCM with families and infant care providers. Findings are presented on the preliminary effectiveness of the video-delivered family therapy treatment in reducing maternal depressive and anxiety symptoms, and family conflict. This pilot study was carried out using an implementation-effectiveness hybrid trial design without a comparison group. Changes in maternal depressive symptoms, maternal anxiety symptoms, and family conflict were measured at posttreatment, 3 months, and 6 months later. On average, mothers (n=24) attended 9.79 (SD 1.02) sessions. On average, their family members (n=24) attended 9.42 (SD 1.28) sessions. A total of 31 infant care providers attended the training on addressing the parenting needs of depressed and anxious mothers. Mothers reported a significant reduction in depressive symptoms (P<.001) and anxiety symptoms (P<.001) from baseline to the 6-month follow-up. Mothers reported a significant reduction in conflict (P<.001), and their family members also reported a significant reduction in conflict (P=.007) from baseline to the 6-month follow-up. The findings from this study provide support for the feasibility and preliminary effectiveness of the FBCCM. The findings will be used to inform a larger study of the FBCCM.
影响因子：
2.2
作者：
Cluxton-Keller, Fallon;Hegel, Mark T.
通讯作者：
Hegel, Mark T.