A Pilot Study to Reduce Risk for Antepartum Depression Among Women in A Public Health Prenatal Clinic

Jesse, D. Elizabeth; Blanchard, Amy; Bunch, Shelia G.; Dolbier, Christyn L.; Hodgson, Jennifer L.; Swanson, Melvin

doi:10.3109/01612840903427831

Cited by 13 publications

(22 citation statements)

References 34 publications

(38 reference statements)

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“…Most studies required women to have elevated symptoms of depression (Crockett, Zlotnick, Davis, Payne, & Washington, ; Grote et al, ; Jesse et al, . ; Le, Perry, & Stuart, ; Muñoz et al, ; Sampson, Villarreal, & Rubin, ) or meet a clinically significant cut‐off for depression (Field et al, ; Jesse et al, ; Lenze & Potts, ; McKee, Zayas, Fletcher, Boyd, & Nam, ). None of the 13 eligible studies required women to meet any anxiety symptom cut‐off.…”

Section: Resultsmentioning

confidence: 99%

Psychological interventions for depression and anxiety in pregnant Latina and Black women in the United States: A systematic review

Ponting

Mahrer

Zelcer

et al. 2020

Clin Psychology and Psychoth

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Black women and Latinas have more symptoms of depression and anxiety during pregnancy than do their non‐Latina White counterparts. Although effective interventions targeting internalizing disorders in pregnancy are available, they are primarily tested with White women. This article reviews randomized controlled trials and non‐randomized studies to better understand the effectiveness of psychological interventions for anxiety and depression during pregnancy in Latinas and Black women. Additionally, this review summarizes important characteristics of interventions such as intervention format, treatment modality, and the use of cultural adaptations. Literature searches of relevant research citation databases produced 68 studies; 13 of which were included in the final review. Most studies were excluded because their samples were not majority Latina or Black women or because they did not test an intervention. Of the included studies, three interventions outperformed a control group condition and showed statistically significant reductions in depressive symptoms. An additional two studies showed reductions in depressive symptoms from pretreatment to post‐treatment using non‐controlled designs. The remaining eight studies (seven randomized and one non‐randomized) did not show significant intervention effects. Cognitive behavioral therapy was the modality with most evidence for reducing depressive symptoms in pregnant Black and Latina women. No intervention was found to reduce anxiety symptoms, although only two of the 13 measured anxiety as an outcome. Five studies made cultural adaptations to their treatment protocols. Future studies should strive to better understand the importance of cultural modifications to improve engagement and clinical outcomes with pregnant women receiving treatment for anxiety and depression.

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Section: Resultsmentioning

confidence: 99%

Psychological interventions for depression and anxiety in pregnant Latina and Black women in the United States: A systematic review

Ponting

Mahrer

Zelcer

et al. 2020

Clin Psychology and Psychoth

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“…Nevertheless, the trial addresses the need for more efficient ways to treat antenatal depression. Cognitive approaches to treatment also have been tested in a few trials for the prevention of perinatal depression [74][75][76][77], for smoking cessation [78][79][80], and for specific phobia [81]. A larger number of investigations of CBT for postpartum depression are available, but the consensus is that, similar to IPT, CBT has not been adequately investigated in perinatal samples [82,83].…”

Section: Cognitive-behavioral Therapymentioning

confidence: 97%

When She Says “No” to Medication: Psychotherapy for Antepartum Depression

Brandon

Freeman

2011

Curr Psychiatry Rep

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Many women suffering from major depressive disorder during pregnancy are hesitant to initiate or continue antidepressant treatment during preconception planning, conception, pregnancy, and lactation (perinatal period). Over the past few decades, various psychotherapeutic approaches have been found to be efficacious for depression in general population research. Several observational and quasi-experimental studies also suggest that psychotherapy can be a safe first-line treatment for perinatal women with mild to moderate depression. This article summarizes findings to date regarding the use of psychotherapy for depression occurring during pregnancy and describes the adaptations made to tailor the treatment to the unique needs of women in the perinatal period.

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“…However our findings echoed other literature in highlighting the need for service providers to be cognizant of the fact that many women may have had negative experiences previously, and thus have negative perceptions of services [ 24 , 25 ]. Yet there remains a strong field of research about the usefulness of formal treatments [ 10 ], including their ability to be culturally adapted for use [ 11 , 12 ], and more work needs to be done to address the barriers women face in accessing services.…”

Section: Discussionmentioning

confidence: 99%

“…Cognitive behavioral therapy (CBT) has been shown to improve depression [ 10 ]. Additionally, there is evidence that CBT depression treatments can be culturally adapted to improve their effectiveness with cultural minorities and low socioeconomic groups [ 11 , 12 ]. CBT and pharmacological interventions may offer effective treatment, but can increase costs of services [ 13 ], which may be a barrier for providing care [ 4 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

Addressing perinatal depression in a group of underserved urban women: a focus group study

Raymond

Pratt²,

Godecker

et al. 2014

BMC Pregnancy Childbirth

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BackgroundPerinatal mental health problems are common complications of pregnancy that can go undetected and untreated. Research indicated that mental health complications are more prevalent in women from disadvantaged communities, yet women from these communities often experience barriers to accessing treatments and interventions. Untreated depression during pregnancy can lead to poor self-care, increased substance abuse, poor obstetrical outcomes, developmental delay in children, and increased risk of postpartum depression. In this study we investigated the perceived perinatal mental health needs of our participants and they wanted to address their perceived needs.MethodsIn this qualitative study, we invited women who resided in an underserved, urban community who were pregnant or who delivered within the past year to participate in focus groups.ResultsThirty-seven women participated in seven focus groups. Thirteen themes emerged which were described in relation to mental health needs, help currently accessed and the type of support wanted. The themes included the various mental health needs including dealing with changing moods, depression, feelings of isolation, worrying and a sense of being burdened. Women described using a limited range of supports and help. Participants expressed a preference for mental health support that was empowerment focused in its orientation, including peer support. Women also described the compounding effect that social and economic stresses had on their mental health.ConclusionsParticipants wanted access to a greater range of supports for mental health than were currently available to them, including peer support, and wanted assistance in addressing social and economic needs. These findings offer a challenge to further broaden the types of services offered to women, and demonstrate that those services need to be responsive to the challenging contexts of women’s lives. Integrating women’s views and experiences into the development of services may help to overcome barriers to care.

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A Pilot Study to Reduce Risk for Antepartum Depression Among Women in A Public Health Prenatal Clinic

Cited by 13 publications

References 34 publications

Psychological interventions for depression and anxiety in pregnant Latina and Black women in the United States: A systematic review

Psychological interventions for depression and anxiety in pregnant Latina and Black women in the United States: A systematic review

When She Says “No” to Medication: Psychotherapy for Antepartum Depression

Addressing perinatal depression in a group of underserved urban women: a focus group study

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