Linda S. Beeber|Todd A. Schwartz|Diane Holditch?Davis|Regina Canuso|Virginia Lewis|Helen Wilde Hall
Parenting Enhancement, Interpersonal Psychotherapy to Reduce Depression in Low-Income Mothers of Infants and Toddlers
University of North Carolina at Chapel Hill|Council of State Archivists|Duke University|University of North Carolina at Chapel Hill|Council of State Archivists|Duke University|University of North Carolina at Chapel Hill|Council of State Archivists|Duke University|University of North Carolina at Chapel Hill|Council of State Archivists|Duke University|University of North Carolina at Chapel Hill|Council of State Archivists|Duke University|University of North Carolina at Chapel Hill|Council of State Archivists|Duke University
background depressive symptoms clinical depression highly prevalent lowincome mothers negatively affect infants toddlers objectives aim study test interpersonal psychotherapy combined parenting enhancement depressive symptoms parenting behavior compared equal attentioncontrol condition methods mothers n 226 early head start infants toddlers southeastern northeastern united states randomized intervention delivered inhome psychiatric mental health advanced practice nurses equal attentioncontrol condition delivered generalist nurses rigorous clinical depressive symptom depression assessments videotaped coded motherchild interactions used baseline 14 22 26week postintervention measures results intervention control groups significantly reduced hamilton rating scale depression scores subsequent time point compared baseline p 0001 however mothers receiving intervention showed significant increase positive involvement child measured closeness positive effect affection warm touch t4 222 df 156 p 03 discussion intervention control conditions resulted symptom reduction intervention mothers showed significant interaction changes child essential step reducing negative child outcomes associated maternal depressive symptoms results suggest combination generalist specialist nurses could used treat depressive symptoms mothers study longer postintervention observation needed see time intervention led longerlasting symptom reduction