Abstract
Purpose: To test the efficacy of an interactive coaching intervention to promote responsiveness between mothers experiencing postpartum depressive symptoms (PPDS) and their infants. Design: An experimental design with 117 postpartum women in the Northeastern United States. Methods: Participants were randomly assigned either to the treatment or control group. Both groups had home visits at 4-8 weeks, 10-14 weeks, and 14-18 weeks postpartum and mother-infant interaction was videotaped and coded for responsiveness. The treatment group also received a coached behavioral intervention designed to promote maternal-infant responsiveness. Measures included the Edinburgh Postnatal Depression Scale, the Beck Depression Inventory-II, and the Dyadic Mutuality Code. Findings: The hypothesis, that the treatment group would show significantly higher maternal-infant responsiveness after the intervention, was supported. No effect of the intervention on depression scores was found. A significant increase in responsiveness and a significant decrease in depression scores occurred over time for both treatment and control groups. No interaction between group and time was detected. Conclusions: The study showed that a coaching strategy had a positive effect on maternal-infant interaction in this sample. Future research is needed to test coaching interventions in conjunction with other strategies targeted to promote maternal-infant responsiveness and to reduce PPDS.
| Original language | English |
|---|---|
| Pages (from-to) | 323-329 |
| Number of pages | 7 |
| Journal | Journal of Nursing Scholarship |
| Volume | 33 |
| Issue number | 4 |
| State | Published - Dec 1 2001 |
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Keywords
- Behavioral-interactive coaching
- Depressive symptoms
- Maternal-infant interaction
- Postpartum depression
- Responsiveness
ASJC Scopus subject areas
- Nursing(all)
Cite this
Promoting responsiveness between mothers with depressive symptoms and their infants. / Horowitz, June Andrews; Bell, Margaret; Trybulski, JoAnn; Munro, Barbara Hazard; Moser, Deborah; Hartz, Shelley A.; McCordic, Lisa; Sokol, Elyse Shirley.
In: Journal of Nursing Scholarship, Vol. 33, No. 4, 01.12.2001, p. 323-329.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Promoting responsiveness between mothers with depressive symptoms and their infants
AU - Horowitz, June Andrews
AU - Bell, Margaret
AU - Trybulski, JoAnn
AU - Munro, Barbara Hazard
AU - Moser, Deborah
AU - Hartz, Shelley A.
AU - McCordic, Lisa
AU - Sokol, Elyse Shirley
PY - 2001/12/1
Y1 - 2001/12/1
N2 - Purpose: To test the efficacy of an interactive coaching intervention to promote responsiveness between mothers experiencing postpartum depressive symptoms (PPDS) and their infants. Design: An experimental design with 117 postpartum women in the Northeastern United States. Methods: Participants were randomly assigned either to the treatment or control group. Both groups had home visits at 4-8 weeks, 10-14 weeks, and 14-18 weeks postpartum and mother-infant interaction was videotaped and coded for responsiveness. The treatment group also received a coached behavioral intervention designed to promote maternal-infant responsiveness. Measures included the Edinburgh Postnatal Depression Scale, the Beck Depression Inventory-II, and the Dyadic Mutuality Code. Findings: The hypothesis, that the treatment group would show significantly higher maternal-infant responsiveness after the intervention, was supported. No effect of the intervention on depression scores was found. A significant increase in responsiveness and a significant decrease in depression scores occurred over time for both treatment and control groups. No interaction between group and time was detected. Conclusions: The study showed that a coaching strategy had a positive effect on maternal-infant interaction in this sample. Future research is needed to test coaching interventions in conjunction with other strategies targeted to promote maternal-infant responsiveness and to reduce PPDS.
AB - Purpose: To test the efficacy of an interactive coaching intervention to promote responsiveness between mothers experiencing postpartum depressive symptoms (PPDS) and their infants. Design: An experimental design with 117 postpartum women in the Northeastern United States. Methods: Participants were randomly assigned either to the treatment or control group. Both groups had home visits at 4-8 weeks, 10-14 weeks, and 14-18 weeks postpartum and mother-infant interaction was videotaped and coded for responsiveness. The treatment group also received a coached behavioral intervention designed to promote maternal-infant responsiveness. Measures included the Edinburgh Postnatal Depression Scale, the Beck Depression Inventory-II, and the Dyadic Mutuality Code. Findings: The hypothesis, that the treatment group would show significantly higher maternal-infant responsiveness after the intervention, was supported. No effect of the intervention on depression scores was found. A significant increase in responsiveness and a significant decrease in depression scores occurred over time for both treatment and control groups. No interaction between group and time was detected. Conclusions: The study showed that a coaching strategy had a positive effect on maternal-infant interaction in this sample. Future research is needed to test coaching interventions in conjunction with other strategies targeted to promote maternal-infant responsiveness and to reduce PPDS.
KW - Behavioral-interactive coaching
KW - Depressive symptoms
KW - Maternal-infant interaction
KW - Postpartum depression
KW - Responsiveness
UR - http://www.scopus.com/inward/record.url?scp=0035752604&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035752604&partnerID=8YFLogxK
M3 - Article
C2 - 11775301
AN - SCOPUS:0035752604
VL - 33
SP - 323
EP - 329
JO - Journal of Nursing Scholarship
JF - Journal of Nursing Scholarship
SN - 1527-6546
IS - 4
ER -