Nurse–Patient Interaction as a Treatment for Antepartum Depression: A Mixed-Methods Analysis
Abstract
BACKGROUND: The U.S. Preventative Services Task Force guidelines recommend pregnant women be screened for depression and adequate systems be in place to treat this condition. OBJECTIVE: This study examines a nurse-delivered telephone support intervention provided to low-income, pregnant women living in rural settings. DESIGN: This study had a complementary mixed-methods design, using secondary data. Peplau’s theory of interpersonal relations was used as a framework to guide the study. RESULTS: The phases of Peplau’s theory of interpersonal relations were evident in the interactions. Underserved women at high risk for depression appreciated this type of support, with the women at highest risk for depression utilizing more of the nursing support provided. On average, Mental Health Index–5 scores improved from 45 to 66. CONCLUSION: A nurse-delivered telephone support intervention, modeled around Peplau’s theory of interpersonal relations, may be an effective way of providing support to underserved women and has the potential to treat or offset antepartum depression.
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Barriers to care include stigma, risks of using antidepressant medications during pregnancy, lack of time, childcare issues, limited resources, high stress, lack of transportation, and inadequate support.
“Stigma, risks of using antidepressant medications during pregnancy, lack of time, childcare issues, as well as limited resources, particularly in rural regions, high amounts of stress, lack of transportation and inadequate support were identified as impeding barriers to care [6, 21, 25].”
From Mental health-related telemedicine interventions for pregnant women and new mothers: a systematic literature review (2023) · cites this paper as [25]
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“Stigma, risks of using antidepressant medications during pregnancy, lack of time, childcare issues, as well as limited resources, particularly in rural regions, high amounts of stress, lack of transportation and inadequate support were identified as impeding barriers to care [6, 21, 25].”
Background
- Authors
- Evans, E. C., Deutsch, N. L., Drake, E., & Bullock, L.
- Affiliations
- University of Virginia (US)
- Corresponding author
- Evans, Emily C.
- Venue
- Journal of the American Psychiatric Nurses Association
- Publisher
- SAGE Publications
- Published
- 2017-04-29
- Volume
- 23
- Issue
- 5
- Pages
- 347-359
- ISSN
- 1078-3903 (ISSN-L)
- 1532-5725
- OpenAlex
- W2609486799
- Cited by
- 19
- References
- 37
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2023: 9 · 2020: 1 · 2019: 1 · 2016: 1
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Update notices
- correction (2017-11-14)
- Open access
- closed
- Locations
- Journal of the American Psychiatric Nurses Association (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Instutute of Nursing (NR05313)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- antenatal depression, nurse-patient interaction, Peplau's interpersonal relations theory, pregnant women, depression screening, MHI-5, underserved populations
- MeSH terms
- Adult, Counseling, Depressive Disorder, Female, Humans, Nurse-Patient Relations, Poverty, Pregnancy, Psychiatric Nursing, Surveys and Questionnaires, Rural Population, Telemedicine, Young Adult
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