دانلود مقاله : 

A Clinical Trial of In-Home CBT for Depressed Mothers in Home Visitation 2013 

نویسندگان : 

Robert T. Ammerman Frank W. Putnam Mekibib Altaye Jack Stevens Angelique R. Teeters Judith B. Van Ginkel

چکیده : 

Despite negative outcomes for depressed mothers and their

children, no treatment specifically designed to address

maternal depression in the context of home visitation has

emerged. In-Home Cognitive Behavioral Therapy (IH-CBT)

is an adapted treatment that is delivered in the home, focuses

on the needs of new mothers, and leverages ongoing home

visiting to optimize engagement and outcomes. This study

examined the efficacy of IH-CBT using a randomized

clinical trial. Subjects were 93 new mothers in a home visiting

program. Mothers with major depressive disorder identified

at 3 months postpartum were randomized into IH-CBT and

ongoing home visitation () or standard home visitation

(SHV; ) in which they received home visitation alone

and could obtain treatment in the community. Depression

was measured at pre- and posttreatment, and 3-month

follow-up using interviews, clinician ratings, and self-report.

Mothers receiving IH-CBT showed improvements in all

indicators of depression relative to the SHV condition

and these gains were maintained at follow-up. For example,

70.7% of mothers receiving IH-CBT were no longer

depressed at posttreatment in terms of meeting criteria for

major depressive disorder compared to 30.2% in the

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