响应式育儿干预对黑人母亲产后抑郁症状的影响：一项随机临床试验的二次分析
Effects of a responsive parenting intervention on Black mothers' depressive symptoms postpartum: Secondary analysis of a randomized clinical trial.
作者信息
Adesogan Olutosin, Beach Steven R H, Carter Sierra E, Metzger Isha W, Lavner Justin A
机构信息
Department of Psychology, University of Georgia.
Department of Psychology and Center for Family Research, University of Georgia.
出版信息
J Consult Clin Psychol. 2024 Dec;92(12):828-835. doi: 10.1037/ccp0000926.
OBJECTIVE
This study examined whether a responsive parenting (RP) intervention for first-time Black mothers had secondary benefits for their mental health by reducing their postpartum depressive symptoms.
METHOD
In total, 212 first-time Black mothers participated in the Sleep Strong African American Families randomized control trial. Mothers were randomized to the RP condition or a safety control condition at 1-week postpartum. Participants reported their depressive symptoms at 1-, 8-, and 16-week postpartum. Data were analyzed using linear regression and moderation analyses.
RESULTS
There was not a significant main effect of the intervention condition on mothers' depressive symptoms at 8- or 16-week postpartum. However, at 8-week postpartum, the main effect of the condition was significantly moderated by mothers' depressive symptoms at baseline: Mothers in the RP condition reported significantly lower levels of 8-week depressive symptoms than mothers in the safety control condition if they initially had clinically significant depressive symptoms but did not differ from controls if they did not initially have clinically significant depressive symptoms. This interaction effect was not significant at 16-week postpartum. Effects remained consistent, controlling for demographic variables, which did not significantly moderate condition effects at 8- or 16-week postpartum.
CONCLUSION
Participation in the Sleep Strong African American Families responsive parenting intervention led to a more rapid reduction in depressive symptoms among first-time Black mothers with clinically significant depressive symptoms at baseline relative to the control condition. Findings suggest that family-focused responsive parenting interventions may serve as forms of "constructed resilience" that promote positive mental health early in the postpartum period. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
目的
本研究探讨了针对初为人母的黑人母亲的响应式育儿（RP）干预措施是否能通过减轻她们的产后抑郁症状，对其心理健康产生附带益处。
方法
共有212位初为人母的黑人母亲参与了“非裔美国家庭睡眠良好”随机对照试验。母亲们在产后1周被随机分配到RP组或安全对照组。参与者在产后1周、8周和16周报告了她们的抑郁症状。数据采用线性回归和调节分析进行分析。
结果
干预组在产后8周或16周对母亲抑郁症状没有显著的主效应。然而，在产后8周，该组的主效应受到母亲基线抑郁症状的显著调节：如果最初有临床显著抑郁症状，RP组的母亲报告的8周抑郁症状水平显著低于安全对照组的母亲，但如果最初没有临床显著抑郁症状，则与对照组没有差异。这种交互效应在产后16周不显著。在控制人口统计学变量后，效应仍然一致，这些变量在产后8周或16周对组效应没有显著调节作用。
结论
相对于对照组，参与“非裔美国家庭睡眠良好”响应式育儿干预措施，使基线时有临床显著抑郁症状的初为人母的黑人母亲的抑郁症状得到更快缓解。研究结果表明，以家庭为重点的响应式育儿干预措施可能作为“构建复原力”的形式，在产后早期促进积极的心理健康。（PsycInfo数据库记录（c）2024美国心理学会，保留所有权利）
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