Research on Social Work Practice, 14(6), November 2004, pp.397-407.
Publisher:
Sage
To minimize barriers to care, ameliorate antenatal depression, and prevent postpartum depression, the authors conducted a pilot study to assess the feasibility of providing brief interpersonal psychotherapy (IPT-B) to depressed, pregnant patients on low incomes in an obstetrics and gynecological (OB/GYN) clinic. Twelve pregnant, depressed women were recruited as a convenience sample from the clinic and were offered a pretreatment engagement interview and eight sessions of IPT-B, followed by monthly maintenance IPT sessions up to 6-months postpartum. Results: Nine of these 12 patients (75%) completed eight sessions of IPT-B. Paired t tests showed that completers of IPT-B displayed significant improvement at posttreatment and 6-months postpartum on three measures of depression, a measure of anxiety, and some aspects of social functioning. These preliminary results suggest that providing depression screening and treatment to this sample in an OB/GYN clinic was feasible and accompanied by high rates of clinical and functional improvement.
To minimize barriers to care, ameliorate antenatal depression, and prevent postpartum depression, the authors conducted a pilot study to assess the feasibility of providing brief interpersonal psychotherapy (IPT-B) to depressed, pregnant patients on low incomes in an obstetrics and gynecological (OB/GYN) clinic. Twelve pregnant, depressed women were recruited as a convenience sample from the clinic and were offered a pretreatment engagement interview and eight sessions of IPT-B, followed by monthly maintenance IPT sessions up to 6-months postpartum. Results: Nine of these 12 patients (75%) completed eight sessions of IPT-B. Paired t tests showed that completers of IPT-B displayed significant improvement at posttreatment and 6-months postpartum on three measures of depression, a measure of anxiety, and some aspects of social functioning. These preliminary results suggest that providing depression screening and treatment to this sample in an OB/GYN clinic was feasible and accompanied by high rates of clinical and functional improvement.
Subject terms:
hospital social work, pregnancy, psychotherapy, research methods, social work methods, depression;
Social Work: A journal of the National Association of Social Workers (NASW), 52(4), October 2007, pp.295-308.
Publisher:
Oxford University Press
Women disadvantaged by poverty, as well as racial or ethnic minority status, are more likely to experience depression than the rest of the U.S. population. At the same time, they are less likely to seek or remain in treatment for depression in traditional mental health settings. This article explores a therapeutic, psychosocial engagement strategy developed to address the barriers to treatment
Women disadvantaged by poverty, as well as racial or ethnic minority status, are more likely to experience depression than the rest of the U.S. population. At the same time, they are less likely to seek or remain in treatment for depression in traditional mental health settings. This article explores a therapeutic, psychosocial engagement strategy developed to address the barriers to treatment engagement and the application of this strategy to a special population - women of colour and white women who are depressed and living on low incomes. The conceptual foundations of this intervention - ethnographic and motivational interviewing - as well as its key techniques and structure are reviewed. Finally, a case example description and promising pilot data demonstrate the usefulness of this strategy.
Subject terms:
interviewing, interviews, mental health services, motivational interviewing, poverty, service uptake, women, black and minority ethnic people, case studies, depression;
Social Work Research, 31(1), March 2007, pp.19-33.
Publisher:
Oxford University Press
In the present study, the authors predicted that the individual protective factors of optimism and perceived control over acute and chronic stressors would buffer the relations between acute and chronic stress exposure and severity of depression, controlling for household income, in a sample of financially disadvantaged women. Ninety-seven African American women and 97 white women with low incomes were recruited from an obstetric/gynaecological clinic of a large urban hospital. They completed the following measures: optimism (Life Orientation Test), a perceived control scale, the Women's Stress Scale, and the Beck Depression Inventory-II. The results supported the predictions and are consistent with a risk and resilience theoretical perspective. Hierarchical regression analyses showed that among women experiencing a high number of exposures to acute and chronic stressors, optimism and perceived control were associated with less severe depression that fell within the nonclinical range of functioning. The authors did not observe any racial differences in the extent to which optimism and perceived control functioned as stress buffers. Implications for enhancing optimism and perceived
In the present study, the authors predicted that the individual protective factors of optimism and perceived control over acute and chronic stressors would buffer the relations between acute and chronic stress exposure and severity of depression, controlling for household income, in a sample of financially disadvantaged women. Ninety-seven African American women and 97 white women with low incomes were recruited from an obstetric/gynaecological clinic of a large urban hospital. They completed the following measures: optimism (Life Orientation Test), a perceived control scale, the Women's Stress Scale, and the Beck Depression Inventory-II. The results supported the predictions and are consistent with a risk and resilience theoretical perspective. Hierarchical regression analyses showed that among women experiencing a high number of exposures to acute and chronic stressors, optimism and perceived control were associated with less severe depression that fell within the nonclinical range of functioning. The authors did not observe any racial differences in the extent to which optimism and perceived control functioned as stress buffers. Implications for enhancing optimism and perceived control through culturally relevant social work practice are discussed.
Research on Social Work Practice, 16(2), March 2006, pp.109-120.
Publisher:
Sage
This meta-analysis evaluates treatment effects for nonpsychotic major depression during pregnancy and postpartum comparing interventions by type and timing. Studies for decreasing depressive severity during pregnancy and postpartum applying treatment trials and standardized measures were included. Standardized mean differences were calculated for continuous variable outcome data. Thirteen
This meta-analysis evaluates treatment effects for nonpsychotic major depression during pregnancy and postpartum comparing interventions by type and timing. Studies for decreasing depressive severity during pregnancy and postpartum applying treatment trials and standardized measures were included. Standardized mean differences were calculated for continuous variable outcome data. Thirteen interventions reported positive effect sizes, one reported marginally positive effect size, one reported no effect, and the remaining reported marginally negative effect size. By type of treatment, medication with cognitive behavioural therapy and medication alone reported largest effect size, followed by group therapy (CBT, educational, and transactional analysis), interpersonal psychotherapy, CBT, psychodynamic, counselling, and educational. Postpartum implementation produced larger effect size than implementation during pregnancy. Preliminary findings suggest medication, alone or with CBT; group therapy with CBT, educational, and transactional analysis components; interpersonal psychotherapy; and CBT produce largest effect sizes in this population among interventions tested.
Subject terms:
intervention, medication, postnatal depression, pregnancy, psychotherapy, treatment, therapy and treatment, behaviour therapy, counselling, depression, evaluation, group therapy;
Clinical Social Work Journal, 32(3), 2004, pp.327-347.
Publisher:
Springer
Place of publication:
New York
To minimize barriers to care, ameliorate antenatal depression, and prevent postpartum depression in low-income women, we propose that a culturally relevant version of brief interpersonal psychotherapy (IPT-B) may be an effective approach. IPT-B is a modified form of Interpersonal Psychotherapy (IPT), an efficacious treatment for depression that we have altered to address the needs of women who
To minimize barriers to care, ameliorate antenatal depression, and prevent postpartum depression in low-income women, we propose that a culturally relevant version of brief interpersonal psychotherapy (IPT-B) may be an effective approach. IPT-B is a modified form of Interpersonal Psychotherapy (IPT), an efficacious treatment for depression that we have altered to address the needs of women who have difficulty adhering to longer courses of psychotherapy. Culturally relevant additions to IPT-B include (1) a pre-treatment engagement strategy consisting of an ethnographic interview accompanied by psychoeducation to engage women in treatment; (2) convenient delivery of IPT-B in a public care Ob/Gyn clinic where the women receive prenatal services; (3) flexible scheduling of treatment sessions at the clinic or on the phone; and 4) facilitation of access to social services.
Subject terms:
medical social work, medical social workers, medical treatment, mothers, postnatal depression, psychoanalysis, psychotherapy, socioeconomic groups, treatment compliance, women, childbirth, depression;