Le Huynh-Nhu, Perry Deborah F, Mendelson Tamar, Tandon S Darius, Muñoz Ricardo F
George Washington University, Washington, DC, USA.
Georgetown University, Washington, DC, USA.
Matern Child Health J. 2015 Oct;19(10):2102-10. doi: 10.1007/s10995-015-1729-7.
A growing research literature highlights the public health need for preventive interventions to reduce symptoms and incidence of perinatal depression among vulnerable populations. The Mothers and Babies (MB) course is a cognitive-behavioral intervention designed to teach mood regulation skills to English- and Spanish-speaking low-income women at high risk for perinatal depression. We describe the development of the MB course and evaluate the extent to which research findings support efficacy, effectiveness, and dissemination based on the Society for Prevention Research Standards Committee's standards of evidence. Our review of research and implementation activities suggests that the MB intervention demonstrates promising evidence for efficacy in reducing depressive symptoms; empirical support for prevention of major depressive episodes is still preliminary. Work is in progress to evaluate program effectiveness and prepare for broad dissemination and implementation. The MB course shows promise as an intervention for low-income women at risk for perinatal mood issues. Spanish and English intervention materials have been developed that can be delivered in different settings (hospitals, home visiting), in different dosages (6, 8, or 12 sessions), and via different modalities (group, individual). Evaluating the MB course against current standards is intended to inform other prevention intervention development research.
越来越多的研究文献强调了预防性干预措施对弱势群体围产期抑郁症症状和发病率的公共卫生需求。母婴（MB）课程是一种认知行为干预措施，旨在向处于围产期抑郁症高风险的英语和西班牙语低收入女性传授情绪调节技能。我们描述了MB课程的开发过程，并根据预防研究协会标准委员会的证据标准，评估研究结果在多大程度上支持其有效性、效果和传播情况。我们对研究和实施活动的审查表明，MB干预措施在减轻抑郁症状方面显示出了有前景的有效性证据；预防重度抑郁发作的实证支持仍处于初步阶段。目前正在进行评估项目效果的工作，并为广泛传播和实施做准备。MB课程有望成为针对有围产期情绪问题风险的低收入女性的一种干预措施。已经开发了西班牙语和英语的干预材料，可以在不同环境（医院、家访）、不同剂量（6、8或12节课程）以及通过不同方式（小组、个体）提供。根据当前标准评估MB课程旨在为其他预防干预措施开发研究提供信息。
