Effective Treatments for Underserved Perinatal Women

描述(申请人提供)：围产期妇女在怀孕期间和产后继续遭受精神疾病的折磨。尽管治疗选择在一定程度上有所增加，但很少有实证研究评估产褥期治疗的疗效。此外，对于如何向贫困和未得到充分服务的妇女提供可接受和可行的经验性服务，几乎一无所知。这份提案概述了我计划继续在这些直接患者护理研究领域的工作，以及我鼓励和促进初级临床医生-科学家的发展的计划，他们正在或将直接与我合作进行这项研究。这些活动都与K-24职业生涯中期以患者为中心的研究人员奖的计划描述一致，该奖项强调了该奖项的目标是鼓励职业生涯中期的临床科学家将更多的时间投入到以患者为导向的研究中，并使职业生涯中期的临床科学家能够投入时间指导开始的临床研究人员。具体目标包括：1)指导从事以患者为中心的研究的初级临床研究人员。2)扩大我目前在围产期心理健康方面的治疗结果和服务研究，重点是心理社会干预和那些将心理社会干预与药物相结合的干预措施。3)扩展我目前的治疗发展和结果研究在人际心理治疗的新应用。4)扩展我目前对躯体化障碍患者的治疗和管理的研究，重点是心理社会和综合治疗干预。

DESCRIPTION (provided by applicant): Perinatal women continue to suffer from psychiatric illnesses during pregnancy and the postpartum. Though treatment options have increased to some degree, there are few empirical studies evaluating the efficacy of treatments during the puerperium. Moreover, almost nothing is known about how to provide acceptable and feasible empirically based services to indigent and underserved women. This proposal outlines my plans to continue to my work in these areas of direct patient care research, and my plans to encourage and facilitate the development of junior clinician-scientists who are, or who will be, working directly with me to conduct this research. These activities are all consistent with the program description for the K-24 Mid-Career Investigator Award in Patient-Oriented Research, which highlights that the objectives of the award are to encourage mid-career clinician scientists to devote more time to patient oriented research, and to enable mid-career clinician scientists to devote time to mentoring beginning clinical investigators. Specific Aims include: 1) Mentoring beginning clinical investigators who are engaged in patient-oriented research. 2) Extending my current treatment outcome and services research in perinatal mental health, with an emphasis on psychosocial interventions and those which combine psychosocial interventions with medication. 3) Extending my current treatment development and outcome research in new applications of Interpersonal Psychotherapy. 4) Extending my current research regarding the treatment and management of patients with somatizing disorders, with an emphasis on psychosocial and combined treatment interventions.