Supportive Listening with Depressed Low-Income mothers

与抑郁的低收入母亲进行支持性倾听

• 批准号: 7260104
• 负责人: LISA Sharon SEGRE
• 金额: $ 11.18万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-19 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7260104
• 关键词: Adherence; Affect; African American; American; British; Case Management; Case Manager; Child; Child Development; Client; Clinical; Clinical Research; Cognitive; Counseling; Depressed mood; Depression screen; Development; Disease; Effectiveness; Emotional; Evaluation; Evaluation Studies; Feedback; Funding; Grant; Health Personnel; Health Professional; Health Visitors; Healthcare Systems; Home environment; Home visitation; House Call; Intervention; Investigation; K-Series Research Career Programs; Logistics; Low income; Measurement; Measures; Mental Depression; Mental Health; Mental Health Services; Mentors; Modification; Morbidity - disease rate; Mothers; Outcome; Perinatal; Phase; Phase I Clinical Trials; Population; Positioning Attribute; Postpartum Women; Preparation; Problem Solving; Procedures; Process; Public Health Nurses; Public Health Nursing; Randomized Controlled Trials; Reading; Relative (related person); Research; Risk; Schedule; Scientist; Services; Social Adjustment; Social Health Services; Social Work; Standards of Weights and Measures; Supervision; System; Testing; Training; Treatment Effectiveness; Trust; United Kingdom; Woman; base; career; clinically significant; depressive symptoms; ethnic minority population; experience; follow-up; health care service utilization; health training; improved; instrument; maternal depression; member; patient oriented; programs; social

DESCRIPTION (provided by applicant): The final resubmission of a Mentored Patient-Oriented Career Development Award Application (K23) to support Dr. Lisa Segre's development as an academic research scientist with expertise in the development of perinatal depression treatments for low-income and ethnic minority women. Dr. Segre intends to obtain additional training through formal coursework, directed readings under supervision of her mentor, and direct interactions with members of her external advisory panel while pursuing a program of research to develop new treatments for perinatal depression. Perinatal depression is a serious disorder affecting approximately 13% of new mothers, with low-income and African-American women particularly at risk. Depression also has a pervasive and long-lasting impact on the physical, social-emotional, and cognitive development of children of depressed mothers. Dr. Segre's research will focus on the implementation and subsequent evaluation of supportive listening/problem solving (SUPS), a treatment with established effectiveness in the United Kingdom. This treatment is provided by non-threatening professionals, delivered in the home, and conveys an important sense of mutual respect. Dr. Segre intends to import, implement, and evaluate the effectiveness of this treatment for depressed low- income and ethnic minority women who are unlikely, unwilling, or unable to seek more traditional treatment from mental health professionals. A special emphasis will be placed on adapting the treatment to the context of the US mental health and social service system, as well as evaluating the treatment's effectiveness. The central hypotheses of the Phase II treatment evaluation trial are (1) that supportive listening/problem solving (SL/PS) will be significantly more effective than standard enhanced case management in reducing depressive symptoms at the end of treatment and follow-up, (2) SL/PS will be significantly more effective than standard enhanced case management in improving social adjustment at the end of treatment and follow-up, (3) clients and case managers will find SL/PS to be an acceptable treatment, and (4) participation in SL/PS will be associated with significantly more use of professional mental health services than participation in standard enhanced case management.

描述(由申请人提供)：最终重新提交以患者为导向的指导职业发展奖申请(K23)，以支持Lisa Segre博士发展成为一名学术研究科学家，在为低收入和少数民族妇女开发围产期抑郁症治疗方面具有专业知识。赛格雷博士打算通过正式的课程作业、在导师的指导下进行指导阅读、以及在她的外部顾问小组中直接与成员互动来获得额外的培训，同时进行一项研究项目，以开发治疗围产期抑郁症的新方法。围产期抑郁症是一种严重的疾病，影响着大约13%的新妈妈，低收入和非裔美国女性尤其危险。抑郁对抑郁母亲的孩子的身体、社会情绪和认知发展也有普遍而持久的影响。Segre博士的研究将集中在支持性倾听/问题解决(SUPS)的实施和后续评估上，这是一种在英国公认有效的治疗方法。这种治疗是由不具威胁性的专业人员提供的，在家中提供，并传达了一种重要的相互尊重的感觉。赛格雷博士打算引进、实施和评估这种疗法对不太可能、不愿意或无法从心理健康专业人员那里寻求更传统治疗的抑郁低收入和少数民族妇女的有效性。将特别强调使治疗适应美国精神健康和社会服务系统的背景，以及评估治疗的有效性。第二阶段治疗评估试验的中心假设是(1)支持性倾听/解决问题(SL/PS)在治疗结束和随访时在减少抑郁症状方面将比标准强化病例管理显著更有效，(2)SL/PS在改善治疗结束和随访时的社会适应方面将比标准强化病例管理显著更有效，(3)患者和病例经理将发现SL/PS是可接受的治疗，以及(4)参与SL/PS将显著比参与标准强化病例管理更多地使用专业精神卫生服务。