Prevention of Postpartum Depression in Low-Income Women

Development of the Mamás y Bebés/Mothers and Babies Course

Ricardo F. Muñoz, Huynh Nhu Le, Chandra Ghosh Ippen, Manuela A. Diaz, Guido G. Urizar, Jose Angel Soto, Tamar Mendelson, Kevin Delucchi, Alicia F. Lieberman

Research output: Contribution to journalArticle

102 Citations (Scopus)

Abstract

A prenatal intervention designed to prevent the onset of major depressive episodes (MDEs) during pregnancy and postpartum was pilot tested at a public sector women's clinic. The Mamás y Bebés/Mothers and Babies Course is an intervention developed in Spanish and English that uses a cognitive-behavioral mood management framework, and incorporates social learning concepts, attachment theory, and socio-cultural issues. The four goals of this project were to develop the intervention, assess its acceptability, test the feasibility of conducting a randomized trial with public sector patients, and obtain estimates of its effect size. Forty-one pregnant women at high risk for developing MDEs were randomized to the Mothers and Babies Course (n = 21) or a comparison condition (n = 20). Assessments occurred during pregnancy and at 1, 3, 6, and 12 months postpartum. Differences in terms of depression symptom levels or incidence of MDEs between the two groups did not reach statistical significance in this pilot trial. However, the MDE incidence rates of 14% for the intervention condition versus 25% for the comparison condition represent a small effect size (h = 0.28) that will be further examined in a larger scale study. The intervention was well received by the participants and implementation of a randomized trial appeared quite feasible as indicated by our follow-up rate of 91% at 12 months. Implications for the continuing development of preventive interventions for perinatal depression are discussed.

Original languageEnglish (US)
Pages (from-to)70-83
Number of pages14
JournalCognitive and Behavioral Practice
Volume14
Issue number1
DOIs
StatePublished - Feb 1 2007

Fingerprint

Postpartum Depression
Public Sector
Postpartum Period
Mothers
Depression
Pregnancy
Incidence
Pregnant Women
Social Learning

All Science Journal Classification (ASJC) codes

  • Clinical Psychology

Cite this

Muñoz, Ricardo F. ; Le, Huynh Nhu ; Ippen, Chandra Ghosh ; Diaz, Manuela A. ; Urizar, Guido G. ; Soto, Jose Angel ; Mendelson, Tamar ; Delucchi, Kevin ; Lieberman, Alicia F. / Prevention of Postpartum Depression in Low-Income Women : Development of the Mamás y Bebés/Mothers and Babies Course. In: Cognitive and Behavioral Practice. 2007 ; Vol. 14, No. 1. pp. 70-83.
@article{0a9e7a886aec46da86e7a217de6ff29f,
title = "Prevention of Postpartum Depression in Low-Income Women: Development of the Mam{\'a}s y Beb{\'e}s/Mothers and Babies Course",
abstract = "A prenatal intervention designed to prevent the onset of major depressive episodes (MDEs) during pregnancy and postpartum was pilot tested at a public sector women's clinic. The Mam{\'a}s y Beb{\'e}s/Mothers and Babies Course is an intervention developed in Spanish and English that uses a cognitive-behavioral mood management framework, and incorporates social learning concepts, attachment theory, and socio-cultural issues. The four goals of this project were to develop the intervention, assess its acceptability, test the feasibility of conducting a randomized trial with public sector patients, and obtain estimates of its effect size. Forty-one pregnant women at high risk for developing MDEs were randomized to the Mothers and Babies Course (n = 21) or a comparison condition (n = 20). Assessments occurred during pregnancy and at 1, 3, 6, and 12 months postpartum. Differences in terms of depression symptom levels or incidence of MDEs between the two groups did not reach statistical significance in this pilot trial. However, the MDE incidence rates of 14{\%} for the intervention condition versus 25{\%} for the comparison condition represent a small effect size (h = 0.28) that will be further examined in a larger scale study. The intervention was well received by the participants and implementation of a randomized trial appeared quite feasible as indicated by our follow-up rate of 91{\%} at 12 months. Implications for the continuing development of preventive interventions for perinatal depression are discussed.",
author = "Mu{\~n}oz, {Ricardo F.} and Le, {Huynh Nhu} and Ippen, {Chandra Ghosh} and Diaz, {Manuela A.} and Urizar, {Guido G.} and Soto, {Jose Angel} and Tamar Mendelson and Kevin Delucchi and Lieberman, {Alicia F.}",
year = "2007",
month = "2",
day = "1",
doi = "10.1016/j.cbpra.2006.04.021",
language = "English (US)",
volume = "14",
pages = "70--83",
journal = "Cognitive and Behavioral Practice",
issn = "1077-7229",
publisher = "Elsevier Inc.",
number = "1",

}

Prevention of Postpartum Depression in Low-Income Women : Development of the Mamás y Bebés/Mothers and Babies Course. / Muñoz, Ricardo F.; Le, Huynh Nhu; Ippen, Chandra Ghosh; Diaz, Manuela A.; Urizar, Guido G.; Soto, Jose Angel; Mendelson, Tamar; Delucchi, Kevin; Lieberman, Alicia F.

In: Cognitive and Behavioral Practice, Vol. 14, No. 1, 01.02.2007, p. 70-83.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prevention of Postpartum Depression in Low-Income Women

T2 - Development of the Mamás y Bebés/Mothers and Babies Course

AU - Muñoz, Ricardo F.

AU - Le, Huynh Nhu

AU - Ippen, Chandra Ghosh

AU - Diaz, Manuela A.

AU - Urizar, Guido G.

AU - Soto, Jose Angel

AU - Mendelson, Tamar

AU - Delucchi, Kevin

AU - Lieberman, Alicia F.

PY - 2007/2/1

Y1 - 2007/2/1

N2 - A prenatal intervention designed to prevent the onset of major depressive episodes (MDEs) during pregnancy and postpartum was pilot tested at a public sector women's clinic. The Mamás y Bebés/Mothers and Babies Course is an intervention developed in Spanish and English that uses a cognitive-behavioral mood management framework, and incorporates social learning concepts, attachment theory, and socio-cultural issues. The four goals of this project were to develop the intervention, assess its acceptability, test the feasibility of conducting a randomized trial with public sector patients, and obtain estimates of its effect size. Forty-one pregnant women at high risk for developing MDEs were randomized to the Mothers and Babies Course (n = 21) or a comparison condition (n = 20). Assessments occurred during pregnancy and at 1, 3, 6, and 12 months postpartum. Differences in terms of depression symptom levels or incidence of MDEs between the two groups did not reach statistical significance in this pilot trial. However, the MDE incidence rates of 14% for the intervention condition versus 25% for the comparison condition represent a small effect size (h = 0.28) that will be further examined in a larger scale study. The intervention was well received by the participants and implementation of a randomized trial appeared quite feasible as indicated by our follow-up rate of 91% at 12 months. Implications for the continuing development of preventive interventions for perinatal depression are discussed.

AB - A prenatal intervention designed to prevent the onset of major depressive episodes (MDEs) during pregnancy and postpartum was pilot tested at a public sector women's clinic. The Mamás y Bebés/Mothers and Babies Course is an intervention developed in Spanish and English that uses a cognitive-behavioral mood management framework, and incorporates social learning concepts, attachment theory, and socio-cultural issues. The four goals of this project were to develop the intervention, assess its acceptability, test the feasibility of conducting a randomized trial with public sector patients, and obtain estimates of its effect size. Forty-one pregnant women at high risk for developing MDEs were randomized to the Mothers and Babies Course (n = 21) or a comparison condition (n = 20). Assessments occurred during pregnancy and at 1, 3, 6, and 12 months postpartum. Differences in terms of depression symptom levels or incidence of MDEs between the two groups did not reach statistical significance in this pilot trial. However, the MDE incidence rates of 14% for the intervention condition versus 25% for the comparison condition represent a small effect size (h = 0.28) that will be further examined in a larger scale study. The intervention was well received by the participants and implementation of a randomized trial appeared quite feasible as indicated by our follow-up rate of 91% at 12 months. Implications for the continuing development of preventive interventions for perinatal depression are discussed.

UR - http://www.scopus.com/inward/record.url?scp=33846682996&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33846682996&partnerID=8YFLogxK

U2 - 10.1016/j.cbpra.2006.04.021

DO - 10.1016/j.cbpra.2006.04.021

M3 - Article

VL - 14

SP - 70

EP - 83

JO - Cognitive and Behavioral Practice

JF - Cognitive and Behavioral Practice

SN - 1077-7229

IS - 1

ER -