Reducing depression among mothers in a residential treatment setting: building evidence for the PST4PPD intervention

ABSTRACT

Objective

The prevalence of postpartum depression (PPD) nearly doubles among low-income mothers in the United States compared to the general population. Problem Solving Therapy (PST) is an effective treatment for populations of low-income women and more accessible than costly, long term interventions. This study aimed to assess the feasibility of implementing a problem-solving-focused intervention originally designed for home visits. Method: This study was conducted in a residential treatment facility (RTF). A chemical dependency counselor delivered the 5-session intervention named “PST4PPD”. A one-group pretest/posttest design was adopted. The standardized tools: Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ-9) were used to assess depressive symptoms. The New General Self-Efficacy Scale (NGSE) was used to measure self-efficacy. Results: Among the 41 eligible women, 90% (n = 37) completed the intervention. The research found statistically significant decreases in depression (EPDS t(36) = 6.70, p <.001; PHQ-9 t(36) = 4.67, p <.001) and increases in self-efficacy (NGSE t(36) = ?2.41, p =.02). Conclusions: This pilot study finds positive results and feasibility of “PST4PPD”, a community-based, affordable intervention to lower symptoms of postpartum depression. Recommendations for future research and practice, including suggestions for engaging and retaining low-income mothers in PPD interventions, are discussed.