title: Role of Mediators in Reducing Antepartum Depressive Symptoms in Rural Low-Income Women Receiving a Culturally Tailored Cognitive Behavioral Intervention.
abstract: Although cognitive behavioral interventions (CBIs) have demonstrated effectiveness for reducing depressive symptoms in the general population, the mechanism for reducing antepartum depressive symptoms (APDS) in rural low-income and minority women is unknown. This study tested the hypothesis that reducing stress and negative thinking, enhancing self-esteem, and increasing social-support will mediate the effect of a CBI on reducing APDS in rural low-income and minority women. Our findings show that CBI may work through reducing stress and negative thinking and enhancing self-esteem, but not social support. The findings also suggest that mental health care providers should emphasize these activities to reduce antepartum depressive symptoms.
authors.affiliation: a East Carolina University, College of Nursing , Greenville , North Carolina , USA.
authors.forename: D Elizabeth
authors.initials: DE
authors.lastname: Jesse
authors.affiliation: b East Carolina University, Office for Faculty Excellence , Greenville , North Carolina , USA.
authors.forename: Hui
authors.initials: H
authors.lastname: Bian
authors.affiliation: c East Carolina University, Family Medicine , Greenville , North Carolina , USA.
authors.forename: Elizabeth C
authors.initials: EC
authors.lastname: Banks
authors.affiliation: d University of North Carolina Chapel Hill , Department of Psychiatry, Research Training and Education , Chapel Hill , North Carolina , USA.
authors.forename: Bradley N
authors.initials: BN
authors.lastname: Gaynes
authors.affiliation: e Vanderbilt University, College of Arts and Science , Nashville , Tennessee , USA.
authors.forename: Steve D
authors.initials: SD
authors.lastname: Hollon
authors.affiliation: f Brody School of Medicine, Obstetrics & Gynecology , Greenville , North Carolina , USA.
authors.forename: Edward R
authors.initials: ER
authors.lastname: Newton
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D015928:Cognitive Behavioral Therapy; D003430:Cross-Sectional Studies; D019052:Depression, Postpartum / Q000208:ethnology* / Q000628:therapy*; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D011203:Poverty; D012424:Rural Population; D012649:Self Concept; D044465:White People; D055815:Young Adult