TY - JOUR
T1 - Promoting responsiveness between mothers with depressive symptoms and their infants
AU - Horowitz, June Andrews
AU - Bell, Margaret
AU - Trybulski, Jo Ann
AU - Munro, Barbara Hazard
AU - Moser, Deborah
AU - Hartz, Shelley A.
AU - McCordic, Lisa
AU - Sokol, Elyse Shirley
PY - 2001/1/1
Y1 - 2001/1/1
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
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U2 - 10.1111/j.1547-5069.2001.00323.x
DO - 10.1111/j.1547-5069.2001.00323.x
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 -