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An Open Trial of In-Home CBT for Depressed Mothers in Home Visitation

Authors
  • Ammerman, Robert T.1
  • Putnam, Frank W.2
  • Stevens, Jack3
  • Bosse, Nicole R.1
  • Short, Jodie A.4
  • Bodley, Amy L.1
  • Van Ginkel, Judith B.4
  • 1 University of Cincinnati College of Medicine, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, ML 3015, Cincinnati, OH, 45229, USA , Cincinnati (United States)
  • 2 University of Cincinnati College of Medicine, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, ML 3008, Cincinnati, OH, 45229, USA , Cincinnati (United States)
  • 3 The Ohio State University School of Medicine, Department of Pediatrics, Nationwide Children’s Hospital, Columbus, OH, USA , Columbus (United States)
  • 4 University of Cincinnati College of Medicine, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, ML 3005, Cincinnati, OH, 45229, USA , Cincinnati (United States)
Type
Published Article
Journal
Maternal and Child Health Journal
Publisher
Springer US
Publication Date
Oct 09, 2010
Volume
15
Issue
8
Pages
1333–1341
Identifiers
DOI: 10.1007/s10995-010-0691-7
Source
Springer Nature
Keywords
License
Yellow

Abstract

Research has demonstrated that low income mothers participating in home visitation programs have high rates of depression. This study used an open trial design to evaluate In-Home Cognitive Behavioral Therapy (IH-CBT), an evidence-based treatment for depression that is delivered in the home setting and has been adapted to address the needs of low income mothers participating in home visitation. 64 depressed mothers recruited from a home visitation program and who had completed IH-CBT were compared to 241 mothers from the same setting who met identical screening criteria at enrollment but did not receive the treatment. In addition, pre- and post-treatment measures of depression and related clinical features were contrasted in the 64 mothers receiving IH-CBT. There was a significantly greater reduction in depressive symptoms in the IH-CBT group relative to their counterparts who did not receive the treatment. Results from pre-post comparisons showed that treated mothers had decreased diagnosis of major depression, lower reported stress, increased coping and social support, and increased positive views of motherhood at post-treatment. Findings suggest that IH-CBT is a promising approach to addressing maternal depression in the context of home visitation and warrants further study. Public health implications for home visiting programs are discussed.

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