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dc.contributor.authorHorowitz, June Andrewsen
dc.contributor.authorWojcik, Joanne Dolleren
dc.contributor.authorPulcini, Joyceen
dc.contributor.authorSolon, Lorien
dc.contributor.authorMurphy, Christineen
dc.contributor.authorGregory, Katherine E.en
dc.date.accessioned2012-09-12T09:19:27Z
dc.date.available2012-09-12T09:19:27Z
dc.date.createdTuesday, July 31, 2012en
dc.date.issued2012-9-12
dc.identifier.urihttp://hdl.handle.net/10755/243239
dc.description.abstract<p><strong>Purpose:</strong> Postpartum depression (PPD) interferes with mothers' ability to promote optimal infant development via interaction. Research to mitigate these effects is limited. The purpose of this study was to test the efficacy of the relationship-focused CARE intervention in increasing maternal-infant relational effectiveness between depressed mothers and their infants during the first 9 months postpartum.</p> <p><strong>Methods:</strong> This randomized clinical trial (RCT) involved three phases. In Phase I mothers were recruited from obstetrical units and screened for PPD at 4 weeks postpartum. Women with elevated scores on the Edinburgh Postnatal Depression Scale who agreed were consented and received a diagnostic interview to confirm PPD. In Phase II, the clinical trial, eligible women were randomized to the treatment or control group. Data were collected during home visits from 6 weeks to 9 months. Maternal infant interaction was video-recorded and blind-coded. Phase III involved focus group and individual interviews.</p> <p><strong>Results:</strong> The sample was composed of 134 postpartum women and their infants from New England in the United States and 125 completed all visits through the 9th month. Both groups had significant increases in quality of mother-infant interaction (RANOVA: F. = 21.46; p &lt; .001), and decreases in depression severity and parenting stress (p &lt;.001). Qualitative findings indicated presence of the nurse, empathic listening, focused attention and self-reflection during data collection, and assistance with referrals, likely contributed to improvements for both groups.</p> <p><strong>Conclusion:</strong> Efficacy of the CARE intervention was only partially supported. Attention given to the control group likely confounded results and constituted an unintentional treatment.</p>en
dc.formatText-based Documenten
dc.language.isoenen
dc.subjectDepressionen
dc.subjectInterventionen
dc.subjectPostpartumen
dc.titleNurse home visits promoted maternal-infant interaction and decreased depression symptom severity for mothers with postpartum depressionen
dc.typePresentationen
dc.rights.holder<p> All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. </p><p> All permission requests should be directed accordingly and not to the Sigma Repository. </p><p> All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary. </p>en
dc.description.note<p>Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.</p>
dc.type.categoryFull-texten
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.contributor.departmentAlpha Chien
dc.author.detailsHorowitz, June Andrews, RN, PhD, PMHCNS-BC, FAAN; Wojcik, Joanne D., PhD, APRN, BC; Pulcini, JoyceSolon, Lori, MSN, PMH, CNS-BC; Murphy, Christine, PhD, RN; Gregory, Katherine E., RN, PhDen
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationBrisbane, Australiaen
dc.date.conferenceyear2012
dc.description.reviewtypeAbstract Review Only: Reviewed by Event Hosten
dc.description.acquisitionProxy-submissionen


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