Department of Medical Social Sciences and Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, 750 N. Lake Shore Drive, 6th Floor, Chicago, IL, 60611, USA.
Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA.
J Behav Med. 2018 Oct;41(5):641-652. doi: 10.1007/s10865-018-9934-7. Epub 2018 May 15.
Postpartum depression is highly prevalent in low-income women and has significant health effects on mother and child. This pilot study tested the effectiveness of the newly adapted Mothers and Babies (MB) 1-on-1 intervention. A cluster randomized trial was conducted with 8 programs using trained home visitors to deliver MB 1-on-1 and 6 delivering usual home visiting. One hundred twenty pregnant women not experiencing major depression were enrolled. Outcomes were assessed at baseline and 3- and 6-months postpartum. The rate of change in depressive and anxiety symptoms between groups was significant at 6 months, but not 3 months. No statistically significant differences between groups were found on secondary outcomes except perceptions of social support at 6 months. There was variability in use of MB skills, with fewer women using cognitive restructuring techniques. Although larger studies should be conducted, MB 1-on-1 appears promising in using home visitors to deliver a cognitive behavioral intervention to women at risk for postpartum depression.
产后抑郁症在低收入妇女中高发，对母婴健康有重大影响。本试点研究旨在测试新改编的母亲和婴儿（MB）1 对 1 干预措施的有效性。采用聚类随机试验，8 个项目使用经过培训的家访员提供 MB 1 对 1 服务，6 个项目提供常规家访服务。共招募了 120 名未出现重度抑郁的孕妇。在基线、产后 3 个月和 6 个月评估结局。在 6 个月时，两组间抑郁和焦虑症状的变化率有显著差异，但在 3 个月时无显著差异。除了 6 个月时的社会支持感知外，两组间在次要结局上无统计学差异。对 MB 技能的使用存在差异，认知重构技术的使用率较低。虽然应开展更大规模的研究，但 MB 1 对 1 似乎很有前景，可以利用家访员为有产后抑郁风险的妇女提供认知行为干预。
