title: A pilot study to reduce risk for antepartum depression among women in a public health prenatal clinic.
abstract: This pilot study evaluated the feasibility, effectiveness, and helpfulness of Insight-Plus, a brief culturally-tailored cognitive behavioral intervention for African-American and Caucasian rural low-income women at risk for APD [Edinburgh Postnatal Depression Scale (EPDS) > or = 10]. Forty two percent (63/149) of women in this non-randomized study were at risk for APD and 41% (26/63) of women, who met all eligibility criteria, initially agreed to participate. Seventeen participants completed all six intervention sessions. Ninety-four percent (16/17) who completed their one-month post-intervention interviews had an antepartum recovery rate of 81% (13/16, EPDS < or = 10). Participants reported that many aspects of the program were helpful and they continued to use the intervention exercises after the sessions ended.
authors.affiliation: East Carolina University, College of Nursing, Greenville, North Carolina 27858-4353, USA. jessed@ecu.edu
authors.forename: D Elizabeth
authors.initials: DE
authors.lastname: Jesse
authors.forename: Amy
authors.initials: A
authors.lastname: Blanchard
authors.forename: Shelia
authors.initials: S
authors.lastname: Bunch
authors.forename: Christyn
authors.initials: C
authors.lastname: Dolbier
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hodgson
authors.forename: Melvin S
authors.initials: MS
authors.lastname: Swanson
mesh_terms: D000328:Adult; D001741:Black or African American / Q000193:education / Q000208:ethnology* / Q000706:statistics & numerical data; D001294:Attitude to Health / Q000208:ethnology; D015928:Cognitive Behavioral Therapy / Q000458:organization & administration*; D054521:Cultural Competency; D003863:Depression / Q000175:diagnosis / Q000208:ethnology / Q000517:prevention & control*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D009657:North Carolina; D015404:Nursing Methodology Research; D010865:Pilot Projects; D011203:Poverty / Q000523:psychology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000208:ethnology / Q000517:prevention & control*; D011295:Prenatal Care / Q000458:organization & administration* / Q000523:psychology; D016730:Program Development; D015397:Program Evaluation; D011569:Psychiatric Status Rating Scales; D015980:Public Health Practice; D040242:Risk Reduction Behavior; D019035:Rural Health Services / Q000458:organization & administration; D044465:White People / Q000193:education / Q000208:ethnology* / Q000706:statistics & numerical data