Jesse D Elizabeth, Bian Hui, Banks Elizabeth C, Gaynes Bradley N, Hollon Steve D, Newton Edward R
a East Carolina University, College of Nursing , Greenville , North Carolina , USA.
b East Carolina University, Office for Faculty Excellence , Greenville , North Carolina , USA.
Issues Ment Health Nurs. 2016 Nov;37(11):811-819. doi: 10.1080/01612840.2016.1229821. Epub 2016 Oct 14.
Although cognitive behavioral interventions (CBIs) have demonstrated effectiveness for reducing depressive symptoms in the general population, the mechanism for reducing antepartum depressive symptoms (APDS) in rural low-income and minority women is unknown. This study tested the hypothesis that reducing stress and negative thinking, enhancing self-esteem, and increasing social-support will mediate the effect of a CBI on reducing APDS in rural low-income and minority women. Our findings show that CBI may work through reducing stress and negative thinking and enhancing self-esteem, but not social support. The findings also suggest that mental health care providers should emphasize these activities to reduce antepartum depressive symptoms.
尽管认知行为干预（CBI）已证明对减轻普通人群的抑郁症状有效，但农村低收入和少数族裔妇女中减轻产前抑郁症状（APDS）的机制尚不清楚。本研究检验了以下假设：减轻压力和消极思维、增强自尊以及增加社会支持将介导CBI对减轻农村低收入和少数族裔妇女APDS的作用。我们的研究结果表明，CBI可能通过减轻压力和消极思维以及增强自尊起作用，但不是通过社会支持。研究结果还表明，心理健康护理提供者应强调这些活动以减轻产前抑郁症状。
