TY - JOUR
T1 - Adapting Mindfulness-Based Cognitive Therapy for Perinatal Depression to Improve Access and Appeal of Preventive Care
AU - Tilden, Ellen L.
AU - Holmes, Leah R.
AU - Vasquez Guzman, Cirila Estela
AU - Orzech, Catherine Polan
AU - Seghete, Kristen Mackiewicz
AU - Eyo, Veronica
AU - Supahan, Nisha
AU - Rogers, Ginger R.
AU - Caughey, Aaron B.
AU - Starr, David
AU - DiPietro, Jennifer L.
AU - Fisher, Philip A.
AU - Graham, Alice M.
N1 - Publisher Copyright:
© 2022 by the American College of Nurse-Midwives.
PY - 2022/11/1
Y1 - 2022/11/1
N2 - Existing and emerging evidence indicates that perinatal depression is a key contributor to preventable morbidity and mortality during and after childbearing. Despite this, there are few effective options for prevention and treatment that are readily accessible for and appealing to pregnant people. Aspects of routine health care systems contribute to this situation. Furthermore, societal and health care systems factors create additional barriers for people of color, people living in rural regions, and people living in poverty. Our interprofessional team of perinatal care providers, mental health providers, community partners, health services scientists, health equity scientists, and business leaders developed and are piloting a perinatal mental health preventive intervention designed to increase access and appeal of a program incorporating mindfulness cognitive behavioral therapy with proven efficacy in preventing perinatal depression. In this article, we briefly summarize key systems barriers to delivering preventive care for perinatal depression in standard prenatal care clinics. We then describe Mindfulness-Based Cognitive Therapy for Perinatal Depression and outline our adaptation of this intervention, Center M. Finally, we identify next steps, challenges, and opportunities for this recent innovation.
AB - Existing and emerging evidence indicates that perinatal depression is a key contributor to preventable morbidity and mortality during and after childbearing. Despite this, there are few effective options for prevention and treatment that are readily accessible for and appealing to pregnant people. Aspects of routine health care systems contribute to this situation. Furthermore, societal and health care systems factors create additional barriers for people of color, people living in rural regions, and people living in poverty. Our interprofessional team of perinatal care providers, mental health providers, community partners, health services scientists, health equity scientists, and business leaders developed and are piloting a perinatal mental health preventive intervention designed to increase access and appeal of a program incorporating mindfulness cognitive behavioral therapy with proven efficacy in preventing perinatal depression. In this article, we briefly summarize key systems barriers to delivering preventive care for perinatal depression in standard prenatal care clinics. We then describe Mindfulness-Based Cognitive Therapy for Perinatal Depression and outline our adaptation of this intervention, Center M. Finally, we identify next steps, challenges, and opportunities for this recent innovation.
KW - Mindfulness Based Cognitive Therapy for Perinatal Depression
KW - health care systems
KW - maternal morbidity
KW - maternal mortality
KW - perinatal depression
KW - prenatal care
KW - prevention
KW - telehealth
KW - translational science
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U2 - 10.1111/jmwh.13444
DO - 10.1111/jmwh.13444
M3 - Article
C2 - 36527394
AN - SCOPUS:85144192986
SN - 1526-9523
VL - 67
SP - 707
EP - 713
JO - Journal of Midwifery and Women's Health
JF - Journal of Midwifery and Women's Health
IS - 6
ER -