title: Short-term in-home intervention reduces depressive symptoms in Early Head Start Latina mothers of infants and toddlers.
abstract: Depressive symptoms may compromise the ability of low-income Latina mothers with limited English language proficiency to parent their infants or toddlers. Eighty Early Head Start Latina mothers with limited English language proficiency were randomized to an advanced practice nurse-delivered, culturally tailored, in-home psychotherapy intervention, or to usual care. Repeated measures regression analysis showed a significantly greater decrease in depressive symptoms for intervention mothers compared to the usual care group at 22 and 26 weeks (4 weeks post intervention). Intervention mothers' reports of their child's aggression diminished significantly from T1 to T4 compared to usual care mothers (p = .03). Self-efficacy appeared to only partially mediate the intervention effect, and maternal health moderated the intervention impact. Results indicate that the intervention reduced depressive symptoms and, compared to previous studies in this population, retention of mothers in both intervention and control conditions was improved.
authors.affiliation: School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7460, USA.
authors.forename: Linda S
authors.initials: LS
authors.lastname: Beeber
authors.forename: Diane
authors.initials: D
authors.lastname: Holditch-Davis
authors.forename: Krista
authors.initials: K
authors.lastname: Perreira
authors.forename: Todd A
authors.initials: TA
authors.lastname: Schwartz
authors.forename: Virginia
authors.initials: V
authors.lastname: Lewis
authors.forename: Hjordis
authors.initials: H
authors.lastname: Blanchard
authors.forename: Regina
authors.initials: R
authors.lastname: Canuso
authors.forename: Barbara Davis
authors.initials: BD
authors.lastname: Goldman
mesh_terms: D000328:Adult; D003863:Depression / Q000517:prevention & control* / Q000523:psychology; D018479:Early Intervention, Educational / Q000379:methods*; D005260:Female; D006630:Hispanic or Latino / Q000523:psychology*; D006701:Home Nursing / Q000379:methods*; D006801:Humans; D007223:Infant; D008297:Male; D009035:Mothers / Q000523:psychology*; D011568:Psychiatric Nursing / Q000379:methods*; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D020377:Self Efficacy