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A Community-Based Depression Prevention Intervention With Low-Income Single Mothers

College of Nursing, University of Kentucky, Lexingtonarpede01{at}uky.edu

Mary Kay Rayens

Colleges of Nursing, Public Health, and Medicine, University of Kentucky, Lexington

Lynne A. Hall

College of Nursing, University of Kentucky, Lexington

BACKGROUND: There is growing support that cognitive-behavioral interventions may prevent the onset of clinical depression in at-risk individuals. OBJECTIVES: This article describes the long-term effects of a cognitive-behavioral group intervention in reducing depressive symptoms, negative thinking, and chronic stressors in low-income single mothers at risk for clinical depression. STUDY DESIGN: One hundred thirty-six women were randomly assigned to either an experimental or no-treatment control group. The experimental group participated in a 6-hour cognitive-behavioral group intervention targeting identification and reduction of negative thinking. Data were collected on depressive symptoms, negative thinking, and chronic stressors at 1, 6, and 12 months postintervention. RESULTS: The women in the intervention group experienced a greater reduction in depressive symptoms, negative thinking, and the perception of chronic stressors. These positive effects continued over a 12-month period. CONCLUSIONS: Negative thinking can be reduced using thought stopping and affirmations. These interventions are also cost-effective and easy to administer.

Key Words: low-income single mothers • negative thinking • prevention of depression

Journal of the American Psychiatric Nurses Association, Vol. 11, No. 1, 18-25 (2005)
DOI: 10.1177/1078390305275004


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