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Recruiting Latino women in the U.S. and women in Mexico in postpartum depression prevention research

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Abstract

The negative consequences of untreated depression on the health and well-being of women and their children are well-documented, underscoring the need to develop effective interventions to prevent the onset of major depression during the perinatal period. This article describes recruitment data from two randomized controlled trials of preventive interventions for postpartum depression: one conducted with immigrant Latinas in Washington, DC, United States, and the other with women in Mexico City, Mexico. In both countries, pregnant women met a priori eligibility criteria and were randomized into an 8-week theory-based group intervention. Two hundred and seventeen Latinas in the U.S. and 377 women born and raised in Mexico were enrolled in their respective countries. The recruitment rates (i.e., the number of participants who met eligibility criteria, consented, and randomized into the study) were 70% in the U.S. and in Mexico. Issues and recommendations related to recruiting Hispanic women into preventive intervention trials for postpartum depression are discussed.

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References

  • Alducin AE, Blancarte RJ, Castrejón DJ, Cossío JR, Díaz-Guerrero R, Flores JI, Jiménez VR, Gutiérrez N, Hernández PF, Hirsch AA, Incháustegui RT, Latapí, SP, Leñero OL, Moreno A, De la Peña R, Rozada A, Webster A (2004) Los valores de los mexicanos Cambio y permanencia, Tomo V Grupo Financiero Banamex México

  • American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. APA, Washington DC

    Google Scholar 

  • Asner-Self KK, Marotta SA (2005) Developmental indices among Central American immigrants exposed to war-related trauma: clinical implications for counselors. J Couns Dev 83:162–171

    Google Scholar 

  • Bernal G, Enchautegui-de-Jesus N (1994) Latinos and Latinas in community psychology: a review of the literature. Am J Community Psychol 22:531–557

    Article  PubMed  CAS  Google Scholar 

  • Berry JW, Kim U (1988) Acculturation and mental health. In: Dasen P, Berry JW, Sartorius N (eds) Health and cross-cultural psychology: towards applications. Sage, London, pp 297–236

    Google Scholar 

  • Boyd RC, Zayas LH, McKee D (2006) Mother–infant interaction, life events and prenatal and postpartum depressive symptoms among urban minority women in primary care. Matern Child Health J 10:139–148

    Article  PubMed  Google Scholar 

  • Cervantes RC, Salgado de Snyder VN, Padilla AM (1989) Posttraumatic stress in immigrants from Central America and Mexico. Hosp Community Psychiatry 40:615–619

    PubMed  CAS  Google Scholar 

  • Cunningham M, Zayas LH (2002) Reducing depression in pregnancy: designing multimodal interventions. Soc Work 47:114–123

    PubMed  Google Scholar 

  • First MB, Spitzer RL, Gibbon M, Williams JBW (1999) Guía del usuario para la entrevista clínica estructurada para los trastornos del eje I del DSM-IV SCID-I. Masson, Barcelona, Spain

    Google Scholar 

  • García L, Ortega-Soto H, Ontiveros M, Cortes J (1991) La incidencia de depresión posparto. Anales del Instituto Mexicano de Psiquiatría 2:54–59

    Google Scholar 

  • Gilliss CL, Lee KA, Gutierrez Y, Taylor D, Beyene Y, Neuhaus J, Murrell N (2001) Recruitment and retention of healthy minority women into community-based longitudinal research. J Women’s Health Gend Based Med 10:77–85

    Article  CAS  Google Scholar 

  • INEGI. XII Censo General de Población, Vivienda 2000. Tabulados Básicos (2001) Instituto Nacional de Estadística Geografía e Informática (INEGI), Aguascalientes, Ags., México

  • Ireys HT, DeVer KA, Chernoff R (2001) Who joins a preventive intervention? How risk status predicts enrollment. J Community Psychol 29:417–427

    Article  Google Scholar 

  • Kelly RH, Zatzick DF, Anders TF (2001) The detection and treatment of psychiatric disorders and substance use among pregnant women cared for in obstetrics. Am J Psychiatry 158:213–219

    Article  PubMed  CAS  Google Scholar 

  • Kuo WH, Wilson TE, Holman S, Fuentes-Afflick E, O’Sullivan MJ, Minkoff H (2004) Depressive symptoms in the immediate postpartum period among Hispanic women in three US cities. J Immigr Health 6:145–153

    Article  PubMed  Google Scholar 

  • Lara MA, Mondragón L, Rubí NA (1999) Un estudio de factibilidad sobre la prevención de la depresión en las mujeres. Salud Ment 22:41–48

    Google Scholar 

  • Le HN, Muñoz RF, Soto J, Delucchi K, Ghosh Ippen C (2004) Identification of risk for onset of major depressive episodes during pregnancy and postpartum. Hisp J Behav Sci 26:463–482

    Article  Google Scholar 

  • Marín G, Marín B (1991) Research with Hispanic populations. Sage, Newbury Park CA

    Google Scholar 

  • Marotta SA, García JG (2003) Latinos in the United States: 2000. Hisp J Behav Sci 25:13–34

    Article  Google Scholar 

  • Medina-Mora ME, Borges G, Lara C, Benjet C, Blanco J, Fleiz C, Villatoro J, Rojas E, Zambrano J (2005) Prevalence, service use, and demographic correlates of 12 month DSM-IV psychiatric disorders in Mexico: results from the Mexican National Comorbidity Survey. Psychol Med 35:1773–1783

    Article  PubMed  Google Scholar 

  • Mendoza Flores ME, Sánchez-Jiménez B, García-Cardona M, Ávila-Rosas H (2002) Morbilidad percibida y control prenatal. Estudio de campo. Perinatol Reprod Hum 16:26–34

    Google Scholar 

  • Miller WR, Muñoz RF (2005) Controlling your drinking. Guilford, New York

    Google Scholar 

  • Miranda J, Azocar F, Organista KC, Muñoz RF, Lieberman A (1996) Recruiting and retaining low-income Latinos in psychotherapy research. J Consult Clin Psychol 64:868–874

    Article  PubMed  CAS  Google Scholar 

  • Miranda J, Chung JY, Green BL, Krupnick J, Siddique J, Revicki DA, Belin T (2003) Treating depression in predominantly low-income young minority women: a randomized controlled trial. JAMA 290:57–65

    Article  PubMed  Google Scholar 

  • Muñoz RF (1998) Preventing major depression by promoting emotion regulation: a conceptual framework and some practical tools. Int J Ment Health Promot 1:23–40

    Google Scholar 

  • Muñoz RF, Le HN, Ghosh Ippen C, Diaz MA, Urizar G, Soto J, Mendelson T, Delucchi K, Lieberman AF (2007) Prevention of postpartum depression in low-income women: development of the Mamás y Bebés/Mothers and Babies course. Cog Behav Pract 14:70–83

    Article  Google Scholar 

  • New Freedom Commission on Mental Health (2003) Achieving the promise: transforming mental health care in America. U.S. Department of Health and Human Services, Rockville, MD

    Google Scholar 

  • Nicolson P (1999) Loss, happiness and postpartum depression. Can Psychol 40:162–178

    Google Scholar 

  • O’Hara MW, Swain AM (1996) Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry 8:37–54

    Article  Google Scholar 

  • Ortega L, Lartigue T, Figueroa ME (2001) Prevalencia de depresión, a través de la Escala de Depresión Perinatal de Edinburgh (EPDS). Perinatol Reprod Hum 15:11–20

    Google Scholar 

  • Radloff LS (1977) The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1:385–401

    Article  Google Scholar 

  • Robins LN, Helzer JE, Croughan J, Ratcliff KS (1981) National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics, and validity. Arch Gen Psychiatry 38:381–389

    PubMed  CAS  Google Scholar 

  • Simpson C (1998) Reaffirming our commitment to improving health services for Hispanics. Closing the gap. Office of Minority Health, US Department of Health and Human Services, Washington, DC

    Google Scholar 

  • Stange K (1996) Primary care research: barriers and opportunities. J Fam Pract 42:192–198

    PubMed  CAS  Google Scholar 

  • US Census Bureau (2002) The Hispanic population in the United States. Available at http://www.census.gov. Accessed 20 November 2002

  • US Census Bureau (2004) Current population survey, annual social and economic supplement, ethnicity and ancestry statistics branch, population division. Available at http://www.census.gov. Accessed 10 October 2005

  • US Department Health Human Services (2000) Healthy people 2010, 2nd edn. With understanding and improving health and objectives for improving health, 2 vols. US Government Printing Office, Washington, DC Available at http://www.census.gov/populations/www/cen2000/briefs.html. Accessed 1 November 2002

    Google Scholar 

  • Vargas García C, Ayala Quintero MT, Vargas García LL, Silanes A, López Maldonado M (1999) Atención primaria a la salud perinatal con enfoque de riesgo. Perinatol Reprod Hum 13:264–270

    Google Scholar 

  • Weissman MM, Jensen P (2002) What research suggests for depressed women with children. J Clin Psychiatry 63:641–647

    PubMed  Google Scholar 

  • Yonkers KA, Ramin SM, Rush AJ, Navarrete CA, Carmody T, March D, Heartwell SF, Leveno KJ (2001) Onset and persistence of postpartum depression in an inner-city maternal health clinic system. Am J Psychiatry 158:1856–1863

    Article  PubMed  CAS  Google Scholar 

  • Zayas LH, Jankowski KRB, McKee MD (2003) Prenatal and postpartum depression among low-income Dominican and Puerto Rican women. Hisp J Behav Sci 25:370–385

    Article  Google Scholar 

  • Zayas LH, McKee MD, Jankowski KRB (2004) Adapting psychosocial intervention research to urban primary care environments: a case example. Ann Fam Med 2:504–508

    Article  PubMed  Google Scholar 

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Acknowledgments

This work was supported by grants from the Health Resources and Services Administration/Maternal Child Health Bureau (R40 MC 02497) and Consejo Nacional de Ciencia y Tecnología (CONACyT, Salud-2003-C01.021). Special thanks to Adriana Ortiz, and the staff and participants at the Mary’s Center for Maternal and Childcare and at Providence Hospital (U.S. sites), and Claudia Navarro, Laura Navarrete, Gabriela Letechipía Erika Trujillo and Yazmín Quintero, and staff and participants at Centro de Salud José Castro Villagrana, Hospital de Especialidades de la Mujer de la SEDENA e Instituto Nacional de Perinatología Isidro Espinosa de los Reyes (Mexico site).

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Correspondence to Huynh-Nhu Le.

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Le, HN., Lara, M.A. & Perry, D.F. Recruiting Latino women in the U.S. and women in Mexico in postpartum depression prevention research. Arch Womens Ment Health 11, 159–169 (2008). https://doi.org/10.1007/s00737-008-0009-6

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  • DOI: https://doi.org/10.1007/s00737-008-0009-6

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