TY - JOUR
KW - Adult
KW - Depression/therapy
KW - Female
KW - Humans
KW - Intervention
KW - maternal depressive symptoms
KW - Mother-Child Relations
KW - Mothers/psychology
KW - Parenting
KW - Parenting/psychology
KW - Pediatrics
KW - Primary Health Care
KW - Socioeconomic Factors
KW - Video Recording
AU - S. B. Berkule
AU - C. B. Cates
AU - B. P. Dreyer
AU - H. S. Huberman
AU - J. Arevalo
AU - N. Burtchen
AU - A. Weisleder
AU - A. L. Mendelsohn
A1 - 
AB - We studied associations between 2 pediatric primary care interventions promoting parental responsiveness and maternal depressive symptoms among low-income mothers. This randomized controlled trial included 2 interventions (Video Interaction Project [VIP], Building Blocks [BB]) and a control group. VIP is a relationship-based intervention, using video-recordings of mother-child dyads to reinforce interactional strengths. BB communicates with parents via parenting newsletters, learning materials, and questionnaires. At mean (SD) child age 6.9 (1.2) months, depressive symptoms were assessed with the Patient Health Questionnaire-9 (PHQ-9), parental responsiveness was assessed with StimQ-I. A total of 407 dyads were assessed. Rates of mild depressive symptoms were lower for VIP (20.6%) and BB (21.1%) than Controls (32.1%, P = .04). Moderate depressive symptoms were lower for VIP (4.0%) compared to Controls (9.7%, P = .031). Mean PHQ-9 scores differed across 3 groups (F = 3.8, P = .02): VIP mothers scored lower than controls (P = .02 by Tukey HSD). Parent-child interactions partially mediated VIP-associated reductions in depressive symptoms (indirect effect -.17, 95% confidence interval -.36, -.03).
BT - Clinical pediatrics
C5 - Healthcare Disparities
CP - 5
CY - United States
DO - 10.1177/0009922814528033
IS - 5
JF - Clinical pediatrics
N2 - We studied associations between 2 pediatric primary care interventions promoting parental responsiveness and maternal depressive symptoms among low-income mothers. This randomized controlled trial included 2 interventions (Video Interaction Project [VIP], Building Blocks [BB]) and a control group. VIP is a relationship-based intervention, using video-recordings of mother-child dyads to reinforce interactional strengths. BB communicates with parents via parenting newsletters, learning materials, and questionnaires. At mean (SD) child age 6.9 (1.2) months, depressive symptoms were assessed with the Patient Health Questionnaire-9 (PHQ-9), parental responsiveness was assessed with StimQ-I. A total of 407 dyads were assessed. Rates of mild depressive symptoms were lower for VIP (20.6%) and BB (21.1%) than Controls (32.1%, P = .04). Moderate depressive symptoms were lower for VIP (4.0%) compared to Controls (9.7%, P = .031). Mean PHQ-9 scores differed across 3 groups (F = 3.8, P = .02): VIP mothers scored lower than controls (P = .02 by Tukey HSD). Parent-child interactions partially mediated VIP-associated reductions in depressive symptoms (indirect effect -.17, 95% confidence interval -.36, -.03).
PP - United States
PY - 2014
SN - 1938-2707; 0009-9228
SP - 460
EP - 469
EP - 
T1 - Reducing maternal depressive symptoms through promotion of parenting in pediatric primary care
T2 - Clinical pediatrics
TI - Reducing maternal depressive symptoms through promotion of parenting in pediatric primary care
U1 - Healthcare Disparities
U2 - 24707022
U3 - 10.1177/0009922814528033
VL - 53
VO - 1938-2707; 0009-9228
Y1 - 2014
ER -