Patient education to reduce postpartum depressive symptons amoung minority women

产后抑郁症是一个主要的健康问题，对低收入少数族裔妇女的影响不成比例。 黑人和西班牙裔母亲患产后抑郁症状的可能性是 白人母亲。如果不治疗，高达50%的母亲在接下来的一年里仍然抑郁 送货。产后抑郁症对女性的生活质量和功能能力有负面影响。更进一步说，它是 与母婴互动以及认知、社交和情感方面的不良影响密切相关 婴儿的发育。 最近的研究已经开始检查产后早期的背景环境，并确定 产后抑郁症状的潜在可改变决定因素。研究表明，情境性 身体症状引起的痛苦(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。而治标治本的研究 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 产后妇女的经验。关于特定情景触发因素的准备和教育 产后抑郁症状可能会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)来评估患者教育干预。 在黑人和西班牙裔产后母亲中通过以下方式减少抑郁症状的频率 准备和教育妇女有关产后症状和经历，加强患者的社会交往 和个人资源，并加强自我管理技能，以缓冲产后需求。我们的特定 目标是： 1.评估患者教育干预在随机对照试验中减少抑郁的有效性 黑人和西班牙裔产后妇女的症状。 2.评价干预措施对改善儿童精神分裂症二次结局的有效性 母乳喂养延长率、身体功能和自我健康评估。

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.