Reducing maternal depressive symptoms through promotion of parenting in pediatric primary care

Samantha B. Berkule; Carolyn Brockmeyer Cates; Benard P. Dreyer; Harris S. Huberman; Jenny Arevalo; Nina Burtchen; Adriana Weisleder; Alan L. Mendelsohn

doi:10.1177/0009922814528033

Reducing maternal depressive symptoms through promotion of parenting in pediatric primary care

Samantha B. Berkule, Carolyn Brockmeyer Cates, Benard P. Dreyer, Harris S. Huberman, Jenny Arevalo, Nina Burtchen, Adriana Weisleder, Alan L. Mendelsohn

Pediatrics

Research output: Contribution to journal › Article › peer-review

44 Scopus citations

Abstract

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).

Original language	English (US)
Pages (from-to)	460-469
Number of pages	10
Journal	Clinical Pediatrics
Volume	53
Issue number	5
DOIs	https://doi.org/10.1177/0009922814528033
State	Published - May 2014

Keywords

intervention
maternal depressive symptoms
parenting
pediatrics

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

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10.1177/0009922814528033

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title = "Reducing maternal depressive symptoms through promotion of parenting in pediatric primary care",

abstract = "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).",

keywords = "intervention, maternal depressive symptoms, parenting, pediatrics",

author = "Berkule, {Samantha B.} and Cates, {Carolyn Brockmeyer} and Dreyer, {Benard P.} and Huberman, {Harris S.} and Jenny Arevalo and Nina Burtchen and Adriana Weisleder and Mendelsohn, {Alan L.}",

note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by Grant R01 HD047740-01-07 from the National Institutes of Health/National Institute of Child Health and Human Development and by the Tiger Foundation, the Marks Family Foundation, the Rhodebeck Charitable Trust, Children of Bellevue, Inc., KiDS of NYU, and ECRIP.",

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AU - Berkule, Samantha B.

AU - Cates, Carolyn Brockmeyer

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AU - Huberman, Harris S.

AU - Arevalo, Jenny

AU - Burtchen, Nina

AU - Weisleder, Adriana

AU - Mendelsohn, Alan L.

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by Grant R01 HD047740-01-07 from the National Institutes of Health/National Institute of Child Health and Human Development and by the Tiger Foundation, the Marks Family Foundation, the Rhodebeck Charitable Trust, Children of Bellevue, Inc., KiDS of NYU, and ECRIP.

PY - 2014/5

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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).

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Reducing maternal depressive symptoms through promotion of parenting in pediatric primary care

Abstract

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