University of Colorado Boulder, Department of Psychology and Neuroscience, 345 UCB, Boulder, CO 80309, USA.
Emory University, 36 Eagle Row, Atlanta, GA 30322, USA.
Behav Res Ther. 2014 Mar;54:7-11. doi: 10.1016/j.brat.2013.11.008. Epub 2013 Dec 18.
Patient preferences are increasingly recognized as important in clinical research and the delivery of evidence based practice in psychology. Although the prevention of depressive relapse/recurrence among perinatal women is an important public health goal, little is known about pregnant women's preferences and attitudes toward relapse/recurrence prevention interventions. Such information is important given low rates of care seeking among this population, and the potential for a relapse/recurrence prevention to avert negative outcomes among both vulnerable women and their offspring. Pregnant women seeking routine prenatal care in obstetric clinics (n = 200) were surveyed to assess their preferences for and attitudes about psychotherapy and pharmacological approaches to relapse/recurrence prevention. Women preferred psychotherapy (mindfulness based cognitive therapy and interpersonal therapy) more so than pharmacotherapy and reported significantly more favorable perceptions of the psychotherapy as compared to pharmacotherapy approaches to depression relapse/recurrence prevention. Results suggest also that depression history is important to consider in evaluating women's preferences and attitudes. Clinical and research implications of these findings are discussed.
患者偏好在临床研究和循证实践的提供中越来越被认为是重要的。尽管预防围产期妇女的抑郁复发/再发是一个重要的公共卫生目标，但对于孕妇对复发/再发预防干预的偏好和态度知之甚少。鉴于该人群寻求护理的比率较低，以及复发/再发预防可能避免脆弱妇女及其后代的负面后果，因此，这种信息很重要。在妇产科诊所接受常规产前护理的孕妇（n=200）接受调查，以评估她们对复发/再发预防的心理治疗和药物治疗方法的偏好和态度。与药物治疗相比，女性更倾向于心理治疗（正念认知疗法和人际治疗），并报告说，与药物治疗方法相比，她们对预防抑郁复发/再发的心理治疗方法有更有利的看法。结果还表明，评估女性的偏好和态度时，抑郁史很重要。讨论了这些发现的临床和研究意义。
