Impact of a preventive intervention for perinatal depression on mood regulation, social support, and coping

被引:22
作者
Mendelson, Tamar [1 ]
Leis, Julie A. [2 ]
Perry, Deborah F. [3 ]
Stuart, Elizabeth A. [1 ]
Tandon, S. Darius [1 ,2 ]
机构
[1] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Sch Med, Baltimore, MD 21287 USA
[3] Georgetown Univ, Ctr Child & Human Dev, Washington, DC 20007 USA
关键词
Perinatal depression; Prevention; Mood regulation expectancy; Social support; Coping; Mothers and Babies Course; RANDOMIZED CONTROLLED-TRIAL; POSTPARTUM DEPRESSION; POSTNATAL DEPRESSION; PREGNANT-WOMEN; GENERALIZED EXPECTANCIES; PSYCHOLOGICAL DISTRESS; RISK; METAANALYSIS; CHILDBIRTH; ANXIETY;
D O I
10.1007/s00737-013-0332-4
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Perinatal depression prevention trials have rarely examined proximal outcomes that may be relevant for understanding long-term risk for depression. The Mothers and Babies (MB) Course is a cognitive-behavioral depression prevention intervention, which has been shown to prevent depressive symptoms among at-risk perinatal women of color. This study examined intervention impact on three proximal outcomes that are theoretically linked with the intervention's model of change and have been empirically linked with risk for depression: mood regulation expectancies, perceived social support, and coping. The study used data from a randomized intervention trial of the MB Course with 78 low-income, predominantly African-American perinatal women enrolled at one of four home visitation programs in Baltimore City. Mood regulation expectancies, perceived social support, and coping were assessed with self-report instruments at baseline, post-intervention, and 3- and 6-month follow-ups. The intervention group experienced 16 % greater growth in mood regulation from baseline to 6-month follow-up compared to the usual care group, suggesting a prevention effect. The pattern of findings was similar, although not statistically significant, for social support. Contrary to prediction, the control group experienced less growth in avoidant coping than the intervention group. Findings indicate the MB Course enhances mood regulation, which may facilitate prevention of depression over time. Assessment of intervention effects on proximal outcomes is beneficial for understanding how interventions may enhance protective factors relevant to successful long-term outcomes.
引用
收藏
页码:211 / 218
页数:8
相关论文
共 32 条
[1]   Psychosocial and behavioral correlates of depression among HIV-infected pregnant women [J].
Blaney, NT ;
Fernandez, MI ;
Ethier, KA ;
Wilson, TE ;
Walter, E ;
Koenig, LJ .
AIDS PATIENT CARE AND STDS, 2004, 18 (07) :405-415
[2]   Universal prevention of depression in women postnatally: cluster randomized trial evidence in primary care [J].
Brugha, T. S. ;
Morrell, C. J. ;
Slade, P. ;
Walters, S. J. .
PSYCHOLOGICAL MEDICINE, 2011, 41 (04) :739-748
[3]   You want to measure coping but your protocol's too long: Consider the brief COPE [J].
Carver, CS .
INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, 1997, 4 (01) :92-100
[4]   MOOD REGULATION EXPECTANCIES, ANXIETY SENSITIVITY, AND EMOTIONAL DISTRESS [J].
CATANZARO, SJ .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1993, 102 (02) :327-330
[5]   MEASURING GENERALIZED EXPECTANCIES FOR NEGATIVE MOOD REGULATION - INITIAL SCALE DEVELOPMENT AND IMPLICATIONS [J].
CATANZARO, SJ ;
MEARNS, J .
JOURNAL OF PERSONALITY ASSESSMENT, 1990, 54 (3-4) :546-563
[6]   Coping-related expectancies and dispositions as prospective predictors of coping responses and symptoms [J].
Catanzaro, SJ ;
Wasch, HH ;
Kirsch, I ;
Mearns, J .
JOURNAL OF PERSONALITY, 2000, 68 (04) :757-788
[7]   POSITIVE EVENTS AND SOCIAL SUPPORTS AS BUFFERS OF LIFE CHANGE STRESS [J].
COHEN, S ;
HOBERMAN, HM .
JOURNAL OF APPLIED SOCIAL PSYCHOLOGY, 1983, 13 (02) :99-125
[8]   SOCIAL-FACTORS AND PSYCHOPATHOLOGY - STRESS, SOCIAL SUPPORT, AND COPING PROCESSES [J].
COYNE, JC ;
DOWNEY, G .
ANNUAL REVIEW OF PSYCHOLOGY, 1991, 42 :401-425
[9]   A depression preventive intervention for rural low-income African-American pregnant women at risk for postpartum depression [J].
Crockett, Kathy ;
Zlotnick, Caron ;
Davis, Melvin ;
Payne, Nanetta ;
Washington, Rosie .
ARCHIVES OF WOMENS MENTAL HEALTH, 2008, 11 (5-6) :319-325
[10]   Pre- and postnatal depression and coping:: A comparative approach [J].
de Tychey, C ;
Spitz, E ;
Briançon, S ;
Lighezzolo, J ;
Girvan, F ;
Rosati, A ;
Thockler, A ;
Vincent, S .
JOURNAL OF AFFECTIVE DISORDERS, 2005, 85 (03) :323-326