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Articles 1 - 16 of 16
Full-Text Articles in Medicine and Health Sciences
Public Health Implications Of Postpartum Depression, K. Nylen, Lisa Segre, M. O'Hara
Public Health Implications Of Postpartum Depression, K. Nylen, Lisa Segre, M. O'Hara
Lisa S. Segre
No abstract provided.
Implementation Of An Evidence-Based Depression Treatment Into Social Service Settings: The Relative Importance Of Acceptability And Contextual Factors, Lisa Segre, J. Mccabe, S. Stasik, M. O'Hara, S. Arndt
Implementation Of An Evidence-Based Depression Treatment Into Social Service Settings: The Relative Importance Of Acceptability And Contextual Factors, Lisa Segre, J. Mccabe, S. Stasik, M. O'Hara, S. Arndt
Lisa S. Segre
Listening Visits (LV), an empirically supported depression treatment delivered by non mental health specialists, were implemented into two distinctly structured programs. The relative importance of providers' views and organizational context on implementation were examined. Thirty-seven home visitors completed pre- and post-LV training surveys assessing their views toward implementing LV. Implementation rates markedly differed in the two organizations (73.9% vs. 35.7%). Logistic regression results showed that when predicting the implementation rate, the impact of the organizational setting outweighed home visitors' personal views. These results underscore the importance of organizational context in the implementation of empirically supported treatments.
Screening And Counseling For Postpartum Depression By Nurses: The Women's Views, Lisa Segre, M. O'Hara, S. Arndt, C. Beck
Screening And Counseling For Postpartum Depression By Nurses: The Women's Views, Lisa Segre, M. O'Hara, S. Arndt, C. Beck
Lisa S. Segre
PURPOSE: In this part 2 article of research examining a model of care in which nurses screen and counsel postpartum women for postpartum depression, acceptability of such a model to postpartum patients was evaluated with a diverse sample of American women. STUDY DESIGN AND METHODS: Descriptive survey of two groups: 691 predominately white postpartum women with relatively high annual incomes (Sample 1) and 132 low-income women, some of whom were ethnic minorities (Sample 2). The surveys were distributed and needed to be mailed back to the investigators. The response rate was 72% in Sample 1 and 30% in Sample 2. …
Psychosocial Aspects Of Postpartum Depression In The United States, Michael O'Hara, Lisa Segre
Psychosocial Aspects Of Postpartum Depression In The United States, Michael O'Hara, Lisa Segre
Lisa S. Segre
No abstract provided.
Nursing Care For Postpartum Depression, Part 1: Do Nurses Think They Should Offer Both Screening And Counseling?, Lisa Segre, M. O'Hara, S. Arndt, C. Beck
Nursing Care For Postpartum Depression, Part 1: Do Nurses Think They Should Offer Both Screening And Counseling?, Lisa Segre, M. O'Hara, S. Arndt, C. Beck
Lisa S. Segre
PURPOSE: To assess nurses' views of a nursing model in which nurses screen and also treat new mothers who exhibit symptoms of depression. STUDY DESIGN AND METHODS: This is Part 1 of this descriptive survey (Part 2 in MCN 35(5)), in which nurses (n = 520) completed a statewide survey assessing nurses' views of a model of nursing care that both screens and treats postpartum depression. RESULTS: The majority "strongly agreed" or "agreed" with the statement "having nurses screen for depression using a brief screening tool is a good idea." Most (67.1%) chose the Ob-Gyn Clinic as the appropriate site …
Race/Ethnicity And Perinatal Depressed Mood, Lisa Segre, M. Losch, M. O'Hara
Race/Ethnicity And Perinatal Depressed Mood, Lisa Segre, M. Losch, M. O'Hara
Lisa S. Segre
No abstract provided.
Disseminating Perinatal Depression Screening As A Public Health Initiative: A Train-The-Trainer Approach, Lisa Segre, R. Brock, M. O'Hara, L. Gorman, J. Engeldinger
Disseminating Perinatal Depression Screening As A Public Health Initiative: A Train-The-Trainer Approach, Lisa Segre, R. Brock, M. O'Hara, L. Gorman, J. Engeldinger
Lisa S. Segre
This case report describes the development and implementation of the Train-the-Trainer: Maternal Depression Screening Program (TTT), a novel approach to disseminating perinatal depression screening. We trained screeners according to a standard pyramid scheme of train-the-trainer programs: three experts trained representatives from health care agencies (the TTT trainers), who in turn trained their staff and implemented depression screening at their home agencies. The TTT trainers had little or no prior mental health experience so "enhanced" components were added to ensure thorough instruction. Although TTT was implemented primarily as a services project, we evaluated both the statewide dissemination and the screening rates …
The Prevalence Of Postpartum Depression: The Relative Significance Of Three Social Status Indices, Lisa Segre, Michael O'Hara, Stephan Arndt, Scott Stuart
The Prevalence Of Postpartum Depression: The Relative Significance Of Three Social Status Indices, Lisa Segre, Michael O'Hara, Stephan Arndt, Scott Stuart
Lisa S. Segre
BACKGROUND: Little is known about the prevalence of clinically significant postpartum depression in women of varying social status. The purpose of the present study was to examine the prevalence of postpartum depression as a function of three indices of social status: income, education and occupational prestige. METHOD: A sample of 4,332 postpartum women completed a demographic interview and the Inventory to Diagnose Depression, a self-report scale developed to identify a major depressive episode in accordance with DSM diagnostic criteria. Logistic regression was used to assess the relative significance of the three social status variables as risk factors for postpartum depression …
Strategies To Engage Clinical Staff In Subject Recruitment, Lisa Segre, Kathleen Buckwalter, M. Friedemann
Strategies To Engage Clinical Staff In Subject Recruitment, Lisa Segre, Kathleen Buckwalter, M. Friedemann
Lisa S. Segre
No abstract provided.
Postpartum Depression: The Distribution Of Severity In A Community Sample, Lauren Pollack, Lisa Segre, Michael O'Hara, Scott Stuart
Postpartum Depression: The Distribution Of Severity In A Community Sample, Lauren Pollack, Lisa Segre, Michael O'Hara, Scott Stuart
Lisa S. Segre
No abstract provided.
Mental Health Professionals' Support Of Self-Help Groups, M. Salzer, J. Rappaport, Lisa Segre
Mental Health Professionals' Support Of Self-Help Groups, M. Salzer, J. Rappaport, Lisa Segre
Lisa S. Segre
No abstract provided.
Interpersonal Psychotherapy For Antenatal And Postpartum Depression, Lisa Segre, Scott Stuart, Michael O'Hara
Interpersonal Psychotherapy For Antenatal And Postpartum Depression, Lisa Segre, Scott Stuart, Michael O'Hara
Lisa S. Segre
Despite its prevalence, postpartum depression is frequently not detected. Primary care physicians (PCPs) are often a woman's only contact with healthcare professionals. These professionals have a vital role in the screening and treatment of depressed women; therefore it is necessary that PCPs be aware of assessment issues and effective treatments. This article describes the use of interpersonal psychotherapy (IPT), a time-limited and empirically validated treatment for perinatal depression, in terms of the relevant clinical issues for pregnant or postpartum women. During the assessment phase, the symptoms of depression must be disentangled from the normal physical states of pregnancy and the …
Incorporating Mental Healthcare Into Routine Postpartum Nursing Is A Promising Approach For Reducing Depression In New Mothers, Lisa Segre
Lisa S. Segre
No abstract provided.
Listening Visits: An Evaluation Of The Effectiveness And Acceptability Of A Home-Based Depression Treatment, Lisa Segre, S. Stasik, M. O'Hara, S. Arndt
Listening Visits: An Evaluation Of The Effectiveness And Acceptability Of A Home-Based Depression Treatment, Lisa Segre, S. Stasik, M. O'Hara, S. Arndt
Lisa S. Segre
Maternal depression affects approximately one in five women, is undertreated, and compromises infant development. In the United Kingdom, public health nurses provide an empirically supported intervention (Listening Visits [LV]) to depressed postpartum women. This study evaluates the effectiveness of LV when delivered by U.S. home visitors. Nineteen women with depressive symptoms received LV. Pre-, post-, and follow-up assessments evaluated depression status, life satisfaction, and treatment acceptability. Listening Visits were associated with a statistically and clinically significant reduction in depression, improvement in life satisfaction, and were acceptable to this sample of postpartum women. The LV intervention shows considerable promise as an …
Professional Appraisal Of Professionally Led And Self-Help Groups, M. Salzer, J. Rappaport, Lisa Segre
Professional Appraisal Of Professionally Led And Self-Help Groups, M. Salzer, J. Rappaport, Lisa Segre
Lisa S. Segre
A survey of almost 1,100 mental health professionals found they routinely viewed professionally led groups more positively than they did self-help groups on a number of dimensions. Analyses suggested that the curative factor associated with professionally led groups was valued over factors associated with self-help groups. The implications of the findings are discussed, and an alternative framework for professionals' evaluation of consumer-initiated interventions suggested.
Remission From Substance Dependence In U.S. Whites, African Americans, And Latinos, S. Arndt, M. Velez, Lisa Segre, R. Clayton
Remission From Substance Dependence In U.S. Whites, African Americans, And Latinos, S. Arndt, M. Velez, Lisa Segre, R. Clayton
Lisa S. Segre
The authors investigated remission from any type of substance dependence in Latinos, African Americans, and Whites using the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions, a national sample of community adults. Analyses focused on the 4,520 participants who indicated prior-to-last-year dependence on either alcohol or drugs. Outcome was categorized as current substance dependence or abuse, current use, or abstinence. Whites reported greater likelihood of substance dependence, and African Americans and Latinos were just as likely to remit as Whites once social support and age are controlled. The outcome variable "time to remission" produced a similar pattern of results.