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ABSTRACT: This pilot study evaluated the feasibility, effectiveness, and helpfulness of Insight-Plus, a brief culturally-tailored cognitive behavioral intervention for African-American and Caucasian rural low-income women at risk for APD [Edinburgh Postnatal Depression Scale (EPDS) > or = 10]. Forty two percent (63/149) of women in this non-randomized study were at risk for APD and 41% (26/63) of women, who met all eligibility criteria, initially agreed to participate. Seventeen participants completed all six intervention sessions. Ninety-four percent (16/17) who completed their one-month post-intervention interviews had an antepartum recovery rate of 81% (13/16, EPDS < or = 10). Participants reported that many aspects of the program were helpful and they continued to use the intervention exercises after the sessions ended.
Issues in Mental Health Nursing 05/2010; 31(5):355-64.
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Amy Blanchard
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ABSTRACT: Reviews the book, Collaborative medicine case studies: Evidence in practice by Rodger Kessler and Dale Stafford (see record 2008-02218-000). This book is timely in that it introduces an inspiring compilation of case examples demonstrating that collaborative health care can work and is working in many places and with phenomenal outcomes. Many of the contributors included in this book are the same authors that have provided the conceptual and practical foundation of collaborative care over the last 20 years. The spirit of collaborative care really comes to life in this book as the voices of experts share case examples of their work through collaborative writing. However, this book is more than just a feel good, chicken soup for the collaborative care provider's soul type book. This is an edited book that includes 80 contributors in 36 chapters. (PsycINFO Database Record (c) 2009 APA, all rights reserved).
Families Systems & Health 12/2009; 27(4):372-3. · 1.05 Impact Factor
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ABSTRACT: This qualitative study explored the experiences of seven couples where the female partner experienced depressive symptoms during pregnancy. Female and male partners were interviewed together and data was collected and analyzed according to Colaizzi's ( 1978 ) phenomenological research design. The interviews yielded the following themes: (a) Challenges and stressors associated with depressive symptoms during pregnancy, (b) Pregnancy's effect on mood states, (c) Relationship dynamics that influence moods, (d) Pregnancy and the influence of mood on relationship dynamics, and (e) Reliance on external sources of support. The findings extend current research and provide insight into possibilities of how to enhance assessment and intervention for women who are depressed during pregnancy by including a relational component. Findings, clinical implications, and future research are discussed.
Issues in Mental Health Nursing 12/2009; 30(12):764-76.
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ABSTRACT: Interviews were conducted with 21 pregnant or recently pregnant African American and Caucasian low-income women living in a rural southeastern community to elicit perceived barriers to seeking help for depressive symptoms in pregnancy and ways to overcome these barriers, as well as intervention suggestions. Participants identified themes regarding barriers to seeking help. These were: (1) lack of trust, (2) judgment/stigma, (3) dissatisfaction with the health care system, and (4) not wanting help. Themes identified regarding overcoming barriers were: (1) facilitating trust and (2) offering support and help. These and other findings point to the importance of integrating women's ideas into culturally sensitive interventions for women with depressive symptoms or depression in pregnancy that can be provided by a psychiatric nurse-practitioner or other mental health provider.
Issues in Mental Health Nursing 02/2008; 29(1):3-19.
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ABSTRACT: This study used a qualitative descriptive research design to discover the relevance and meaning of spirituality in the lives of 130 urban low-income pregnant women by asking the open-ended question, "How does your faith or spirituality affect your pregnancy if at all?" Forty-seven percent of the women in this study described how spirituality affected their pregnancy positively, 45% described that spirituality did not affect them, and 5.4% were unsure. A content analysis of those who answered positively revealed six themes from the data describing the meaning of faith or spirituality in pregnancy: (a) guidance and support; (b) protection, blessing, or reward; (c) communication with God; (d) strength and confidence; (e) help with difficult moral choices; and (f) a generalized positive effect. These findings point to the importance of attending to spirituality as a resource in pregnancy for those who value it and further exploring the meaning of spirituality in pregnancy.
Journal of Holistic Nursing 10/2007; 25(3):151-8; discussion 159.
