Reducing maternal depressive symptoms through promotion of parenting in pediatric primary care.
Reducing maternal depressive symptoms through promotion of parenting in pediatric primary care.
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DOI：
10.1177/0009922814528033
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发表时间：
2014-05
影响因子：
1.6
通讯作者：
Mendelsohn AL
中科院分区：
文献类型：
--
作者：
Berkule SB;Cates CB;Dreyer BP;Huberman HS;Arevalo J;Burtchen N;Weisleder A;Mendelsohn AL
我们研究了两种儿科初级保健干预措施之间的关联，促进父母的反应和母亲的抑郁症状低收入母亲。该随机对照试验包括两种干预措施（视频互动项目[VIP]，积木[BB]）和一个对照组。VIP是一种基于关系的干预措施，使用母子二人组的录像来加强互动优势。BB通过育儿通讯、学习材料和问卷与家长沟通。在平均（SD）儿童年龄6.9（1.2）个月时，使用PHQ-9评估抑郁症状，使用StimQ-I评估父母反应。共评估了407对二分体。VIP组（20.6%）和BB组（21.1%）的轻度抑郁症状发生率低于对照组（32.1%，p= 0.04）。VIP组的中度抑郁症状（4.0%）低于对照组（9.7%，p= 0.031）。3组的平均PHQ-9评分不同（F=3.8，p= 0.02）：VIP母亲的评分低于对照组（Tukey hsd的p= 0.02）。亲子互动部分介导了VIP相关抑郁症状的减轻（间接效应-0.17，95%CI-0.36，-0.03）。
We studied associations between two pediatrics primary care interventions promoting parental responsiveness and maternal depressive symptoms among low-income mothers. This RCT included two interventions (Video Interaction Project [VIP], Building Blocks [BB]) and a control group. VIP is a relationship-based intervention, using video-recordings of mother-child dyads to reinforce interactional strengths. BB communicates with parents via parenting newsletters, learning materials and questionnaires. At mean (SD) child age 6.9 (1.2) months, depressive symptoms were assessed with the PHQ-9, parental responsiveness was assessed with StimQ-I. 407 dyads were assessed. Rates of mild depressive symptoms were lower for VIP (20.6%) and BB (21.1%) than Controls (32.1%, p=.04). Moderate depressive symptoms were lower for VIP (4.0%) compared to Controls (9.7%, p=.031). Mean PHQ-9 scores differed across 3 groups (F=3.8, p=.02): VIP mothers scored lower than controls (p=.02 by Tukey hsd). Parent-child interactions partially mediated VIP-associated reductions in depressive symptoms (indirect effect −.17, 95% CI −.36, −.03).
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