Cowell Julia Muennich, McNaughton Diane, Ailey Sarah, Gross Deborah, Fogg Louis
Rush University College of Nursing, 600 South Paulina (1080 AAC), Chicago, IL 60612,
Hisp Health Care Int. 2009;7(4):179-189. doi: 10.1891/1540-4153.7.4.178.
Depression among Mexican immigrant women and children exceeds national prevalence rates. Given the influence of maternal depression on children, a clinical trial testing the effects of the Mexican American Problem Solving (MAPS) program was designed to address depression symptoms of Mexican immigrant women and their fourth and fifth grade children (302 dyads) through a linked home visiting and after school program compared to peers in a control group. Schools were randomized to intervention and control groups. There were statistically significant improvements in the children's health conceptions and family problem solving communication, factors predictive of mental health. Improvements in children's depression symptoms in the intervention group approached statistical significance. These promising results suggest that refined school based nursing interventions be included in community strategies to address the serious mental health problems that Mexican immigrants face.
墨西哥移民妇女和儿童的抑郁症患病率超过全国平均水平。鉴于母亲抑郁对孩子的影响，一项临床试验设计了墨西哥裔美国人解决问题（MAPS）项目，通过家庭访问和课后项目相结合的方式，来解决墨西哥移民妇女及其四、五年级孩子（302对）的抑郁症状，并与对照组的同龄人进行比较。学校被随机分为干预组和对照组。在儿童的健康观念和家庭问题解决沟通方面有统计学意义的改善，这些因素可预测心理健康。干预组儿童抑郁症状的改善接近统计学意义。这些有前景的结果表明，在社区策略中应纳入完善的学校护理干预措施，以解决墨西哥移民面临的严重心理健康问题。
