A Problem-Solving Therapy Intervention for Low-Income, Pregnant Women at Risk for Postpartum Depression

Postpartum Depression (PPD) occurs at higher rates among impoverished mothers than the general population. Depression during pregnancy is one of the strongest predictors of developing PPD. Research indicates that non-pharmacological interventions are effective in reducing depressive symptoms but engaging and retaining low-income mothers remains a challenge. A brief, educational intervention delivered through home visits may be an ideal setting for low-income pregnant mothers at risk for PPD. Problem Solving Therapy (PST) is an effective treatment for depression. However, its effectiveness has not been tested among low-income mothers at risk of postpartum depression. This research tests the feasibility and pretest to posttest outcome of an adaptation of PST among a sample of low-income, expectant mothers. This research used a pre-post pilot study. Fourteen pregnant women at risk for postpartum depression were provided 5 home visits of motivational interviewing introduction for engagement and PST for symptom reduction. The intervention had a 93% retention rate. Analysis revealed statistically significant improvements on measures of depression symptoms after intervention This pilot study demonstrates the feasibility of implementation of a home visiting PPD intervention in a community based agency and provides the grounds for optimism about the effectiveness of a PST intervention for low-income women at risk for postpartum depression.