Graduate College of Social Work, University of Houston, Houston, USA.
School of Social Work, The University of Texas at Arlington, Arlington, USA.
Soc Work Public Health. 2024 Feb 17;39(2):141-155. doi: 10.1080/19371918.2024.2319862. Epub 2024 Mar 6.
Research shows that U.S. Latinas are at risk for high rates of postpartum depression (PPD) but have low rates of treatment compared to non-Hispanic White mothers. This study examined the feasibility of a multi-site home-visiting intervention (PST4PPD) conducted by bilingual community health workers (CHW) among low-income Latina mothers. A one-group, pre/posttest design and paired sample's t-test were used to measure changes in depressive symptoms and self-efficacy for participants ( = 76) across five sites. The Edinburgh Postnatal Depression Scale (EPDS) and the Patient Health Questionnaire (PHQ-9) were used to assess depression; the New General Self-Efficacy Scale and the Maternal Efficacy Questionnaire measured general self-efficacy and parenting self-efficacy. Depression scores decreased significantly from pretest to posttest. Participants' general self-efficacy, maternal self-efficacy, and PPD knowledge increased. With a 76% completion rate, demonstrable improvements were seen in participants' depression and self-efficacy. Implications for addressing modifiable factors such as self-efficacy and stress management are discussed.
研究表明，与非西班牙裔白人母亲相比，美国拉丁裔女性产后抑郁（PPD）的发病率较高，但接受治疗的比例较低。本研究考察了由双语社区卫生工作者（CHW）在低收入拉丁裔母亲中进行的多地点家庭访问干预（PST4PPD）的可行性。采用单组前后测设计和配对样本 t 检验，对五个地点的 76 名参与者的抑郁症状和自我效能感的变化进行了测量。采用爱丁堡产后抑郁量表（EPDS）和患者健康问卷（PHQ-9）评估抑郁程度；新一般自我效能感量表和母亲效能感问卷衡量一般自我效能感和育儿自我效能感。抑郁评分从测试前到测试后显著下降。参与者的一般自我效能感、母亲自我效能感和 PPD 知识有所增加。完成率为 76%，参与者的抑郁和自我效能感明显改善。讨论了针对可改变的因素（如自我效能感和压力管理）的影响。
