Supportive Listening with Depressed Low-Income mothers

与抑郁的低收入母亲进行支持性倾听

• 批准号: 7653714
• 负责人: LISA Sharon SEGRE
• 金额: $ 11.72万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-19 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7653714
• 关键词: Affect; African American; American; British; Case Management; Case Manager; Child; Child Development; Client; Clinical; Clinical Research; Cognitive; Counseling; Depression screen; Development; Disease; Effectiveness; Emotional; Evaluation; Evaluation Studies; Feedback; Funding; Grant; Health Personnel; Health Professional; Health Visitors; Healthcare Systems; Home environment; Home visitation; House Call; Intervention; Investigation; K-Series Research Career Programs; Logistics; Low income; Measurement; Measures; Mental Health; Mental Health Services; Mentors; Modification; Morbidity - disease rate; Mothers; Outcome; Perinatal; Phase; Phase I Clinical Trials; Population; Positioning Attribute; Postpartum Women; Preparation; Problem Solving; Procedures; Process; Public Health Nurses; Public Health Nursing; Randomized Controlled Trials; Reading; Relative (related person); Research; Risk; Schedule; Scientist; Services; Social Adjustment; Social Health Services; Social Work; Supervision; System; Testing; Training; Treatment Effectiveness; Trust; United Kingdom; Woman; base; career development; clinically significant; depressed; depression; depressive symptoms; ethnic minority population; experience; follow-up; improved; instrument; maternal depression; member; patient oriented; programs; social; treatment adherence

DESCRIPTION (provided by applicant): The final resubmission of a Mentored Patient-Oriented Career Development Award Application (K23) to support Dr. Lisa Segre's development as an academic research scientist with expertise in the development of perinatal depression treatments for low-income and ethnic minority women. Dr. Segre intends to obtain additional training through formal coursework, directed readings under supervision of her mentor, and direct interactions with members of her external advisory panel while pursuing a program of research to develop new treatments for perinatal depression. Perinatal depression is a serious disorder affecting approximately 13% of new mothers, with low-income and African-American women particularly at risk. Depression also has a pervasive and long-lasting impact on the physical, social-emotional, and cognitive development of children of depressed mothers. Dr. Segre's research will focus on the implementation and subsequent evaluation of supportive listening/problem solving (SUPS), a treatment with established effectiveness in the United Kingdom. This treatment is provided by non-threatening professionals, delivered in the home, and conveys an important sense of mutual respect. Dr. Segre intends to import, implement, and evaluate the effectiveness of this treatment for depressed low- income and ethnic minority women who are unlikely, unwilling, or unable to seek more traditional treatment from mental health professionals. A special emphasis will be placed on adapting the treatment to the context of the US mental health and social service system, as well as evaluating the treatment's effectiveness. The central hypotheses of the Phase II treatment evaluation trial are (1) that supportive listening/problem solving (SL/PS) will be significantly more effective than standard enhanced case management in reducing depressive symptoms at the end of treatment and follow-up, (2) SL/PS will be significantly more effective than standard enhanced case management in improving social adjustment at the end of treatment and follow-up, (3) clients and case managers will find SL/PS to be an acceptable treatment, and (4) participation in SL/PS will be associated with significantly more use of professional mental health services than participation in standard enhanced case management.

描述（由申请人提供）：最终重新提出指导的注重患者的职业发展奖（K23），以支持Lisa Segre博士作为一名学术研究科学家的发展，该科学家在围产期抑郁症治疗方面具有专业知识少数民族妇女。 Segre博士打算通过正式课程进行额外的培训，在其导师的监督下进行定向阅读，并与她的外部咨询小组的成员进行直接互动，同时追求一项研究计划，以开发新的围产期抑郁症治疗方法。围产期抑郁症是一种严重的疾病，影响了大约13％的新妈妈，低收入和非裔美国妇女尤其处于危险之中。抑郁症还对沮丧母亲的孩子的身体，社会情感和认知发展产生了普遍和持久的影响。 Segre博士的研究将重点介绍对支持性听力/解决问题（SUP）的实施和评估，这是英国既定有效性的治疗方法。这种治疗方法是由无威胁的专业人员提供的，在家庭中交付，并传达了一种重要的相互尊重感。 Segre博士打算进口，实施和评估这种治疗方法对不太可能，不愿意或无法从精神卫生专业人员那里寻求更多传统待遇的低收入和少数民族妇女的有效性。将特别重点放在将治疗适应美国心理健康和社会服务系统的背景下，并评估治疗的有效性。 II期治疗评估试验的中心假设是（1）在减少治疗和随访结束时减少抑郁症状的支持性听力/解决问题（SL/PS）（SL/PS）的有效性要高得多，（（（ 2）SL/PS在治疗和随访结束时改善社会调整方面的SL/PS将比标准增强案件管理更有效，（3）客户和案例经理将发现SL/PS是可接受的治疗方法，以及（4 ）与参与标准增强案件管理相比，参与SL/PS的专业心理健康服务的使用将明显更多。