Pevention of Depression among Mothers of Young Children with Developmental Delay

发育迟缓幼儿母亲抑郁症的预防

基本信息

批准号：
7627184
负责人：
EMILY FEINBERG
金额：
$ 11.63万
依托单位：
BOSTON MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-28 至 2011-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7627184
关键词：
Address Administrator Affect Attitude Award Behavioral Birth Child Chronic Cognitive Communities Development Developmental Delay Disorders Discipline of Nursing Early treatment Effectiveness Emotional Enrollment Environment Family Focus Groups Foundations Funding Goals Health Heart Research Home environment Incidence Infant Intervention Interview Learning Life Experience Massachusetts Maternal and Child Health Mental Health Mental Health Services Methods Modeling Mood Disorders Mothers Nurses Outcome Parenting behavior Parents Participant Perception Population Prevention Preventive Preventive Intervention Problem Solving Qualitative Methods Randomized Clinical Trials Randomized Controlled Trials Research Research Personnel Risk Self Management Services Social Functioning Stress Structure Testing Training Woman Work base career depression depressive symptoms design evidence base experience improved informant maternal depression prevent primary outcome programs psychosocial research study skills

项目摘要

DESCRIPTION (provided by applicant): As a nurse, throughout my career, I have seen the effects of depression on both mothers and children. Children of depressed mothers are at risk for a vast range of poor physical, cognitive, and emotional problems. Community-based programs that target vulnerable families consistently identify maternal depression as a factor that negatively impacts maternal and child outcomes. These women have been found to be an increased risk for depression. Therefore, identifying and treating depressed mothers represents an opportunity not only to help the women affected, but also to improve developmental and behavioral outcomes for their children. The proposed K-application is designed to establish the candidate as an independent researcher whose work focuses on building community-based preventive interventions to address maternal depressive symptoms among mothers of young children who are enrolled in Early Intervention (El), a national home based program that serves approximately 280,000 at-risk children birth to three. I will use the award to 1) develop a strong foundation in maternal affective disorders; 2) enhance my understanding of problem solving approaches to depression prevention and self-management; and 3) develop expertise in the design, adaptation, and testing of community-based preventive mental health interventions. While effective preventative psychosocial treatments for depression exist, none have been delivered and evaluated in the contest of a home-based program specifically for mothers of infants and children with developmental and other chronic health conditions. Three studies are planned to adapt and test a specific problem solving intervention, Problem Solving Treatment (PST), to prevent the onset and reoccurrence of depressive symptoms among mothers whose children are enrolled in the Massachusetts El Program. I will use qualitative methods to explore both maternal and staff perceptions about addressing maternal mental health in El. The second study, using both qualitative and quantitative methods, will adapt PST to the El environment. The last project will be a quasi-experimental study, in which 6 El case workers, trained in PST, will treat 24 families, to test the effectiveness of PST to impact maternal depressive symptoms, the study's primary outcome, as well as maternal social function, parenting stress, and quality of maternal-child interactions. This project will be used to define the methodological parameters necessary to design a subsequent; appropriately powered cluster randomized clinical trial. My goal is use the information gained from these studies to design and seek funding for a longitudinal cluster RCT to test my hypothesis that integrating an evidenced-based preventive mental health intervention in El programs can decrease the burden of depressive symptoms among at-risk mothers.

描述（由申请人提供）：作为一名护士，在我的职业生涯中，我看到了抑郁症对母亲和孩子的影响。抑郁母亲的孩子面临着一系列身体、认知和情感问题的风险。针对弱势家庭的社区项目始终将孕产妇抑郁症视为对孕产妇和儿童结局产生负面影响的一个因素。研究发现这些女性患抑郁症的风险增加。因此，识别和治疗抑郁的母亲不仅是帮助受影响的妇女的机会，而且也是改善其孩子的发育和行为结果的机会。拟议的 K-申请旨在将候选人确立为独立研究人员，其工作重点是建立基于社区的预防干预措施，以解决参加早期干预 (El) 的国家家庭计划的幼儿母亲的孕产妇抑郁症状该项目为大约 280,000 名三岁以下的高危儿童提供服务。我将利用该奖项来 1) 为孕产妇情感障碍奠定坚实的基础； 2）增强我对抑郁症预防和自我管理的问题解决方法的理解； 3) 发展基于社区的预防性心理健康干预措施的设计、调整和测试方面的专业知识。虽然存在针对抑郁症的有效预防性心理社会治疗方法，但在专门针对患有发育障碍和其他慢性健康问题的婴儿和儿童的母亲的家庭计划竞赛中，还没有提供和评估任何治疗方法。计划进行三项研究来调整和测试特定的问题解决干预措施，即问题解决治疗（PST），以防止孩子参加马萨诸塞州 El 计划的母亲出现和复发抑郁症状。我将使用定性方法来探讨母亲和工作人员对解决 El 孕产妇心理健康问题的看法。第二项研究使用定性和定量方法，使 PST 适应 El 环境。最后一个项目将是一项准实验性研究，其中 6 名接受过 PST 培训的 El 案例工作者将治疗 24 个家庭，以测试 PST 对孕产妇抑郁症状影响的有效性、该研究的主要结果以及孕产妇社会功能、养育压力以及母子互动的质量。该项目将用于定义设计后续项目所需的方法参数；适当动力的集群随机临床试验。我的目标是利用从这些研究中获得的信息来设计一项纵向整群随机对照试验并寻求资金，以检验我的假设，即在 El 项目中整合基于证据的预防性心理健康干预措施可以减轻高危母亲的抑郁症状负担。