Collaborative Care for Perinatal Depression in Socio-economically Disadvantaged Women: A Randomized Trial

摘要

BackgroundBoth antenatal and postpartum depression have adverse, lasting effects on maternal and child well-being. Socio-economically disadvantaged women are at increased risk for perinatal depression and have experienced difficulty accessing evidence-based depression care. The authors evaluated whether “MOMCare,”a culturally relevant, collaborative care intervention,providing a choice of brief interpersonal psychotherapy and/or antidepressants,is associated with improved quality of care and depressive outcomes compared to public health Maternity Support Services(MSS-Plus).