Supportive Listening with Depressed Low-Income mothers

描述（由申请人提供）：指导患者为导向的职业发展奖申请（K23）的最终重新提交，以支持博士丽莎塞格雷的发展作为一个学术研究科学家在围产期抑郁症治疗的低收入和少数民族妇女的发展的专业知识。塞格雷博士打算通过正式的课程作业，在导师的监督下进行指导性阅读，以及与她的外部咨询小组成员直接互动来获得额外的培训，同时进行一项研究计划，以开发围产期抑郁症的新疗法。围产期抑郁症是一种严重的疾病，影响大约13%的新妈妈，低收入和非洲裔美国妇女尤其面临风险。抑郁症对抑郁母亲的孩子的身体，社会情感和认知发展也有广泛而持久的影响。塞格雷博士的研究将集中在支持性倾听/解决问题（SUPS）的实施和随后的评估，这是一种在英国已确立有效性的治疗方法。这种治疗由非威胁性的专业人员提供，在家中进行，并传达了相互尊重的重要意义。塞格雷博士打算进口，实施，并评估这种治疗的有效性，为抑郁的低收入和少数民族妇女谁不太可能，不愿意，或无法寻求更传统的治疗，从心理健康专业人员。将特别强调使治疗适应美国精神卫生和社会服务体系的背景，以及评估治疗的有效性。II期治疗评价试验的中心假设是（1）在治疗结束和随访时，支持性倾听/问题解决（SL/PS）在减少抑郁症状方面比标准增强型病例管理显著更有效，（2）在治疗结束和随访时，SL/PS在改善社会适应方面比标准增强型病例管理显著更有效，（3）客户和个案管理者会发现SL/PS是一种可接受的治疗，（4）参与SL/PS将与更多的专业精神卫生服务的使用比参与标准的增强个案管理。

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.