Patient education to reduce postpartum depressive symptons amoung minority women

产后抑郁症是一个严重的健康问题，对低收入少数民族妇女的影响尤为严重。 黑人和西班牙裔母亲患产后抑郁症的可能性是黑人和西班牙裔母亲的两倍。 白色母亲。如果不进行治疗，这些母亲中高达50%的人在一年后仍然抑郁。 交付.产后抑郁症对妇女的生活质量和功能产生负面影响。进一步应 与母婴互动以及认知、社会和情感方面的不利影响密切相关 婴儿的发展。 最近的研究已经开始检查产后早期的背景环境， 产后抑郁症状的潜在可改变的决定因素。研究表明， 身体症状（如出血和疼痛）、婴儿绞痛和缺乏社交能力等因素 支持是产后抑郁症状的诱因。虽然研究准备的症状和 在卫生服务研究中，经验很少，但研究确实表明，准备工作可以改善 女性分娩后的经历。关于特定情境触发因素的准备和教育 产后抑郁症状可能导致抑郁症状报告的减少。 我们建议进行一项随机对照试验（RCT），以评估患者教育干预 在黑人和西班牙裔产后母亲中， 准备和教育妇女产后症状和经验，支持患者的社会 和个人资源，以及提高自我管理技能，以缓冲产后需求。我们的具体 目标是： 1.评价一项RCT中患者教育干预降低抑郁的有效性 黑人和西班牙裔产后妇女的症状。 2.评价干预措施对改善老年性痴呆患者的次要结局的有效性。 母乳喂养继续率、身体功能和自我评估的健康状况。

Postpartum depression is a major health problem that disproportionately affects low-income minority women. Black and Hispanic mothers are up to twice as likely to suffer from postpartum depressive symptoms as White mothers. If left untreated, up to 50% of these mothers remain depressed at one year following delivery. Postpartum depression negatively affects women's quality of life and ability to function. Further, it is strongly linked to adverse impacts upon maternal infant interaction and the cognitive, social, and emotional development of infants. Recent studies have begun to examine the contextual setting of the early postpartum period and identify potentially modifiable determinants of postpartum depressive symptoms. Studies suggest that situational factors such as distress from physical symptoms (e.g. bleeding and pain), infant colic, and lack of social support are triggers for postpartum depressive symptoms. While research on preparation for symptoms and experiences is sparse in health services research, studies do suggest that preparation improves the experiences of women after delivery. Preparation and education about specific situational triggers of postpartum depressive symptoms may lead to a decrease in the reporting of depressive symptoms. We propose to conduct a randomized controlled trial (RCT) to evaluate a patient education intervention among Black and Hispanic postpartum mothers to reduce the frequency of depressive symptoms by preparing and educating women about postpartum symptoms and experiences, bolstering patients' social and personal resources, and enhancing self-management skills to buffer postpartum demands. Our specific aims are: 1. To evaluate the effectiveness in a RCT of a patient education intervention to reduce depressive symptoms among Black and Hispanic postpartum women. 2. To evaluate the effectiveness of the intervention on improving the secondary outcomes of breastfeeding continuation rates, physical function, and self-assessed health.