Effects of a responsive parenting intervention on Black mothers' depressive symptoms postpartum: Secondary analysis of a randomized clinical trial.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2024-12-01 DOI:10.1037/ccp0000926

Olutosin Adesogan, Steven R H Beach, Sierra E Carter, Isha W Metzger, Justin A Lavner

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引用次数: 0

Abstract

Objective: This study examined whether a responsive parenting (RP) intervention for first-time Black mothers had secondary benefits for their mental health by reducing their postpartum depressive symptoms.

Method: In total, 212 first-time Black mothers participated in the Sleep Strong African American Families randomized control trial. Mothers were randomized to the RP condition or a safety control condition at 1-week postpartum. Participants reported their depressive symptoms at 1-, 8-, and 16-week postpartum. Data were analyzed using linear regression and moderation analyses.

Results: There was not a significant main effect of the intervention condition on mothers' depressive symptoms at 8- or 16-week postpartum. However, at 8-week postpartum, the main effect of the condition was significantly moderated by mothers' depressive symptoms at baseline: Mothers in the RP condition reported significantly lower levels of 8-week depressive symptoms than mothers in the safety control condition if they initially had clinically significant depressive symptoms but did not differ from controls if they did not initially have clinically significant depressive symptoms. This interaction effect was not significant at 16-week postpartum. Effects remained consistent, controlling for demographic variables, which did not significantly moderate condition effects at 8- or 16-week postpartum.

Conclusion: Participation in the Sleep Strong African American Families responsive parenting intervention led to a more rapid reduction in depressive symptoms among first-time Black mothers with clinically significant depressive symptoms at baseline relative to the control condition. Findings suggest that family-focused responsive parenting interventions may serve as forms of "constructed resilience" that promote positive mental health early in the postpartum period. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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响应性育儿干预对黑人母亲产后抑郁症状的影响：一项随机临床试验的二次分析

目的：本研究探讨了反应性育儿（RP）干预是否通过减少产后抑郁症状对黑人母亲的心理健康有二次益处。方法：共有212名首次成为黑人母亲的女性参加了“睡眠充足的非裔美国家庭”随机对照试验。在产后1周，母亲被随机分配到RP条件或安全对照条件。参与者在产后1周、8周和16周报告了他们的抑郁症状。数据分析采用线性回归和适度分析。结果：干预条件对产后8周和16周母亲抑郁症状无显著主影响。然而，在产后8周，这种情况的主要影响被母亲在基线时的抑郁症状显著缓解：RP条件下的母亲报告的8周抑郁症状水平显著低于安全对照条件下的母亲，如果她们最初有临床显著的抑郁症状，但如果她们最初没有临床显著的抑郁症状，则与对照组没有差异。这种交互作用在产后16周时不显著。在控制人口统计学变量后，效果保持一致，在产后8周或16周没有显著的缓和状况影响。结论：与对照组相比，参与睡眠充足的非裔美国人家庭响应性育儿干预可使具有临床显著抑郁症状的首次黑人母亲的抑郁症状在基线时更快地减轻。研究结果表明，以家庭为中心的响应性育儿干预措施可能作为“构建弹性”的形式，在产后早期促进积极的心理健康。（PsycInfo Database Record (c) 2024 APA，版权所有）。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.