Suzanne Dworak-Peck School of Social Work, University of Southern California, 669 W 34th St, Los Angeles, CA 90089.
Suzanne Dworak-Peck School of Social Work, University of Southern California.
J Affect Disord. 2021 Feb 1;280(Pt B):39-48. doi: 10.1016/j.jad.2020.11.074. Epub 2020 Nov 11.
Maternal depression is known to be a serious problem with higher rates among poor and racial/ethnic minority mothers that can have numerous negative impacts on their children. These mothers have less access to effective care and may be wary of traditional mental health care because of the stigma. The purpose of this study was to test whether an adaptation of an Interpersonal Psychotherapy group for perinatal depression could be effective in reducing depressive symptoms of mothers whose children were enrolled in Head Start.
Forty-nine mothers, randomized by site, were recruited into the intervention group, 70 into the control group. They were measured on depressive symptoms, parenting stress, parenting behavior, and parent child interaction at intake, at end of the group, and 6 months following.
The intervention group was lower in depressive symptoms at the end of treatment with a further decrease 6 months post intervention. There was no change in the control group. The intervention group also improved in parenting stress.
The sample size for the intervention group was smaller than desired.
This study supports the effectiveness of this 12 session IPT group which was highly effective for a population of Head Start mothers. It is a strategy that can be adapted to other settings that serve low income mothers.
众所周知，产妇抑郁是一个严重的问题，贫困和少数族裔/族裔母亲的发病率更高，这可能对她们的孩子产生许多负面影响。这些母亲获得有效护理的机会较少，并且由于耻辱感，可能对传统的心理健康护理持谨慎态度。本研究的目的是检验对围产期抑郁症的人际心理治疗团体进行改编是否可以有效减轻其子女参加“头啖汤”（Head Start）的母亲的抑郁症状。
通过站点随机招募了 49 名母亲进入干预组，70 名母亲进入对照组。在入组时、团体结束时和 6 个月后，对母亲的抑郁症状、育儿压力、育儿行为和亲子互动进行了测量。
干预组在治疗结束时的抑郁症状较低，干预后 6 个月进一步下降。对照组没有变化。干预组的育儿压力也有所改善。
干预组的样本量小于预期。
本研究支持这种 12 节 IPT 团体的有效性，它对“头啖汤”的母亲群体非常有效。这是一种可以适应服务低收入母亲的其他环境的策略。
