title: A depression preventive intervention for rural low-income African-American pregnant women at risk for postpartum depression.
abstract: Postpartum depression (PPD) is a major health problem for many women, including rural low-income African-American women. Researchers have documented the long lasting consequences of PPD. The purpose of this pilot study was to examine the initial acceptability, feasibility, and effectiveness of the ROSE Program, a brief, interpersonally-based intervention in a group of low-income, rural African-American pregnant women at risk for PPD. Participants were 36 African-American pregnant women at risk for PPD who attended a rural hospital-affiliated prenatal clinic. Participants were randomly assigned to the ROSE Program or to treatment as usual (TAU). Outcomes included measures of depressive symptoms, postpartum adjustment, and parental stress at 3 months postpartum. At 3 months postpartum, the study found no significant differences between the two conditions in degree of depressive symptoms or level of parental stress. The women in the intervention condition reported significantly better postpartum adjustment at 3 months postpartum than women in the TAU group. Those in the ROSE Program reported improvement in depressive symptoms over time, whereas women in the TAU group did not evidence such changes. These results provide initial effectiveness for the ROSE Program in improving postpartum functioning in a group of low-income, rural African-American pregnant women.
authors.affiliation: Department of Psychology, Jackson State University, Jackson, MS 39216-4500, USA. kcrockett@familymed.umsmed.edu
authors.forename: Kathy
authors.initials: K
authors.lastname: Crockett
authors.forename: Caron
authors.initials: C
authors.lastname: Zlotnick
authors.forename: Melvin
authors.initials: M
authors.lastname: Davis
authors.forename: Nanetta
authors.initials: N
authors.lastname: Payne
authors.forename: Rosie
authors.initials: R
authors.lastname: Washington
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000704:Analysis of Variance; D019052:Depression, Postpartum / Q000208:ethnology / Q000517:prevention & control* / Q000628:therapy; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008922:Mississippi; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D010865:Pilot Projects; D011203:Poverty; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology*; D011314:Preventive Health Services / Q000379:methods*; D012424:Rural Population; D012647:Self-Assessment; D016896:Treatment Outcome; D055815:Young Adult