Marissa Sbrilli | University of Illinois at Urbana-Champaign (original) (raw)

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Papers by Marissa Sbrilli

Research paper thumbnail of Positive affect improves a transdiagnostic model of perinatal depression symptoms

Journal of Affective Disorders

Research paper thumbnail of Social determinants of perinatal mental health during the COVID-19 pandemic

General Hospital Psychiatry

Research paper thumbnail of Effects of personalized depression prevention on anxiety through 18-month follow-up: A randomized controlled trial

Behaviour Research and Therapy

Research paper thumbnail of EPiC (Early Parenthood in COVID-19) Study

Research paper thumbnail of Examining Perinatal Social Interaction, Mindfulness, Self-Compassion, and Affect using Experience Sampling Method: The MOM TIME Pilot Study

Previous research has found that mindfulness and self-compassion both mediate the association bet... more Previous research has found that mindfulness and self-compassion both mediate the association between perceived social support and psychological outcomes (i.e., greater psychological well-being, lower depression, and perceived stress) while only self-compassion mediate the relationship with subjective happiness (Wilson, Weiss, & Shook, 2020). Additionally, models of social support suggest that social support augments positive affect and blunts negative affect (Feeney & Collins, 2014; 2015). The pilot study of Moments Of Motherhood: Thoughts, Interactions, Mindfulness, and Emotion (MOM TIME) is an ESM study of individuals who are pregnant or in early postpartum that examining daily experiences multiple times a day for one week. This study investigates whether the association between perceived positive or negative (i.e., supportive or critical) social interactions and affect is mediated by self-compassion, which may be conditional based on levels of mindfulness.

Research paper thumbnail of Patients’ Perceptions Of Perinatal Depression Screening: A Qualitative Study

Health Affairs, 2021

Screening for perinatal depression is a clinical approach to identifying women in need of mental ... more Screening for perinatal depression is a clinical approach to identifying women in need of mental health diagnoses, referral, and treatment. Many states mandate screening for perinatal depression, but it remains unclear whether screening leads to increased access to treatment and better health outcomes. The aim of this qualitative study was to identify how women from diverse backgrounds perceive the quality of perinatal depression screening and whether the perceived quality affected their decisions about mental health care. During 2019 a sample of twenty-nine participants who had been screened for perinatal depression completed semistructured in-depth interviews in which they were asked for their impressions of the screening process. Common themes were that the screening was ineffective because providers didn't explain the purpose or uses of the screening tool, didn't tell patients anything about the results, and failed to provide any follow-up relating to patient depression scores. The results suggest the need for health care facilities to engage patients in a dialogue about screening results and for health care delivery systems to refine the screening process. These findings offer a foundation to design more comprehensive, patient-centered screening protocols that might result in improved mental health outcomes.

Research paper thumbnail of Meta-Analysis Of Antenatal Depression And Adverse Birth Outcomes In US Populations, 2010–20

Health Affairs, 2021

Untreated depression presents a distinct set of risks for pregnancy complications. Past studies h... more Untreated depression presents a distinct set of risks for pregnancy complications. Past studies have connected antenatal depression with adverse birth outcomes. The purpose of this study was to conduct an updated systematic review and meta-analysis examining the relationship between depression during pregnancy and associated adverse birth outcomes in US populations during the period 2010-20. As a trend, disparities in adverse pregnancy outcomes and maternal morbidities for Black pregnant people compared with those for White pregnant people continue to rise. Addressing mental health conditions during pregnancy has the potential to ameliorate a large and excessive burden on adverse birth outcomes among childbearing people and their offspring. Policy solutions to encourage, mandate, and reimburse universal depression screening during pregnancy are warranted.

Research paper thumbnail of Impact of maternal trauma-related psychopathology and life stress on HPA axis stress response

Archives of Women's Mental Health, 2021

To understand and curb intergenerational transmission of stress-related disorder, it is important... more To understand and curb intergenerational transmission of stress-related disorder, it is important to identify how trauma-related psychopathology in mothers impacts their psychophysiological stress regulation, particularly in the context of parenting their infants. In this study we investigated associations between mothers’ trauma-related psychopathology and life stress and HPA axis response to a personally relevant stressor (infant separation stress) in a non-clinical sample followed longitudinally postpartum. A community sample of low-income mothers ( n = 73) and their infants completed laboratory sessions at 3, 6, 12, and 18 months postnatal, and salivary cortisol samples collected before and after dyadic stress tasks at the latter three sessions. These tasks were used to assess HPA function. A three-level hierarchical linear model of repeated cortisol measures nested within sessions within mother-infant dyads did not reveal significant main effects of trauma-related psychopathology on maternal cortisol response, but there was evidence that both a clinical interviewer-rated diagnosis of PTSD and ongoing self-reported trauma symptoms blunted effects of life events on cortisol reactivity. Region of significance analyses indicated that current life stress predicted more pronounced cortisol reactivity only among mothers without trauma-related psychopathology; for those with trauma-related psychopathology, life stress did not relate to cortisol response. Effects held when controlling for childhood trauma and previous (prenatal) maternal distress symptoms, suggesting they did not reflect ongoing impacts of past trauma exposure and/or psychopathology. Blunting effects of trauma-related psychopathology on maternal life stress responsiveness may help clarify how stress sensitivities and mental health are transmitted from parent to child.

Research paper thumbnail of Depression Prevention in Pediatric Primary Care: Implementation and Outcomes of Interpersonal Psychotherapy—Adolescent Skills Training

Child Psychiatry & Human Development, 2021

This study evaluated the fidelity, feasibility, acceptability, and preliminary outcomes of a depr... more This study evaluated the fidelity, feasibility, acceptability, and preliminary outcomes of a depression prevention program, interpersonal psychotherapy-adolescent skills training (IPT-AST), in urban pediatric primary care (PC) with a sample of primarily Black youth. Twenty-two adolescents with elevated depressive symptoms participated in this open clinical trial. Adolescents were identified through a screening questionnaire completed at well visits. Ratings of IPT-AST fidelity and session attendance were recorded. Youth and caregivers reported on their attitudes toward the intervention and completed measures of adolescents' symptoms and functioning pre- and post-intervention. Results demonstrated high levels of fidelity, attendance, and acceptability, despite some difficulties with recruitment. Adolescents and caregivers reported significant improvements in functioning. There were marginally significant reductions in self-reported depression, anxiety, and total mental health symptoms. Caregivers reported a significant decrease in total mental health symptoms. Findings provide preliminary information regarding the implementation and effects of IPT-AST when delivered in PC.

Research paper thumbnail of The Depression Prevention Initiative: Trauma as a Moderator of Prevention Outcomes

Journal of Emotional and Behavioral Disorders, 2020

Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) is an evidence-based indicated d... more Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) is an evidence-based indicated depression prevention program that has been shown to reduce depression symptoms. Research is needed to identify moderators of IPT-AST’s effects. Although trauma history has emerged as a moderator of depression treatment outcomes, the impact of trauma on short- and long-term outcomes in the context of preventive interventions for adolescent depression is unknown. This study examines the impact of trauma on prevention outcomes in a school-based randomized controlled trial (RCT) in which 186 adolescents (mean age = 14.01 years, SD = 1.22; 67% female) were randomly assigned to IPT-AST delivered by research staff or to group counseling (GC) provided by school counselors. Trauma history significantly moderated intervention outcomes during the active phase of the intervention but not during long-term follow-up. During the active phase, youth in IPT-AST with low or no trauma exposure experienced ...

Research paper thumbnail of Long-Term Effects from a School-Based Trial Comparing Interpersonal Psychotherapy-Adolescent Skills Training to Group Counseling

Journal of Clinical Child & Adolescent Psychology, 2018

Adolescence represents a vulnerable developmental period for depression and an opportune time for... more Adolescence represents a vulnerable developmental period for depression and an opportune time for prevention efforts. In this study, 186 adolescents with elevated depressive symptoms (M age = 14.01, SD = 1.22; 66.7% female; 32.2% racial minority) were randomized to receive either Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST; n = 95) delivered by research clinicians or group counseling (GC; n = 91) delivered by school counselors. We previously reported the short-term outcomes of this school-based randomized controlled trial: IPT-AST youth experienced significantly greater improvements in depressive symptoms and overall functioning through 6-month follow-up. Here, we present the long-term outcomes through 24 months postintervention. We examined differences in rates of change in depressive symptoms and overall functioning and differences in rates of depression diagnoses. Youth in both conditions showed significant improvements in depressive symptoms and overall functioning from baseline to 24month follow-up, demonstrating the efficacy of school-based depression prevention programs.

Research paper thumbnail of Incivility in Science Study (InSci Scoop)

The purpose of this study is to better understand incivility in academia amongst science, technol... more The purpose of this study is to better understand incivility in academia amongst science, technology, engineering and math fields (STEM). Specifically, we are interested in how graduate students in STEM at a large, midwestern, R1 university understand and conceptualize incivility (i.e., bullying or rudeness) within their fields. Furthermore, we aim to investigate the relationship between interpersonal discrimination (i.e., discrimination or rudeness based on identity) and more general incivility, as well as the relationship between interpersonal discrimination, incivility, and harassment. Qualitative interviews with PhD students in STEM will be conducted to best understand students' thought processes and conceptualizations.

Research paper thumbnail of Effects of prenatal mindfulness-based childbirth education on child-bearers’ trajectories of distress: a randomized control trial

BMC Pregnancy and Childbirth

Background The perinatal period is a time of immense change, which can be a period of stress and ... more Background The perinatal period is a time of immense change, which can be a period of stress and vulnerability for mental health difficulties. Mindfulness-based interventions have shown promise for reducing distress, but further research is needed to identify long-term effects and moderators of mindfulness training in the perinatal period. Methods The current study used data from a pilot randomized control trial (RCT) comparing a condensed mindfulness-based childbirth preparation program—the Mind in Labor (MIL)—to treatment as usual (TAU) to examine whether prenatal mindfulness training results in lower distress across the perinatal period, and whether the degree of benefit depends on child-bearers’ initial levels of risk (i.e., depression and anxiety symptoms) and protective (i.e., mindfulness) characteristics. Child-bearers (N = 30) in their third trimester were randomized to MIL or TAU and completed assessments of distress—perceived stress, anxiety, and depressive symptoms—at pre...

Research paper thumbnail of Positive affect improves a transdiagnostic model of perinatal depression symptoms

Journal of Affective Disorders

Research paper thumbnail of Social determinants of perinatal mental health during the COVID-19 pandemic

General Hospital Psychiatry

Research paper thumbnail of Effects of personalized depression prevention on anxiety through 18-month follow-up: A randomized controlled trial

Behaviour Research and Therapy

Research paper thumbnail of EPiC (Early Parenthood in COVID-19) Study

Research paper thumbnail of Examining Perinatal Social Interaction, Mindfulness, Self-Compassion, and Affect using Experience Sampling Method: The MOM TIME Pilot Study

Previous research has found that mindfulness and self-compassion both mediate the association bet... more Previous research has found that mindfulness and self-compassion both mediate the association between perceived social support and psychological outcomes (i.e., greater psychological well-being, lower depression, and perceived stress) while only self-compassion mediate the relationship with subjective happiness (Wilson, Weiss, & Shook, 2020). Additionally, models of social support suggest that social support augments positive affect and blunts negative affect (Feeney & Collins, 2014; 2015). The pilot study of Moments Of Motherhood: Thoughts, Interactions, Mindfulness, and Emotion (MOM TIME) is an ESM study of individuals who are pregnant or in early postpartum that examining daily experiences multiple times a day for one week. This study investigates whether the association between perceived positive or negative (i.e., supportive or critical) social interactions and affect is mediated by self-compassion, which may be conditional based on levels of mindfulness.

Research paper thumbnail of Patients’ Perceptions Of Perinatal Depression Screening: A Qualitative Study

Health Affairs, 2021

Screening for perinatal depression is a clinical approach to identifying women in need of mental ... more Screening for perinatal depression is a clinical approach to identifying women in need of mental health diagnoses, referral, and treatment. Many states mandate screening for perinatal depression, but it remains unclear whether screening leads to increased access to treatment and better health outcomes. The aim of this qualitative study was to identify how women from diverse backgrounds perceive the quality of perinatal depression screening and whether the perceived quality affected their decisions about mental health care. During 2019 a sample of twenty-nine participants who had been screened for perinatal depression completed semistructured in-depth interviews in which they were asked for their impressions of the screening process. Common themes were that the screening was ineffective because providers didn't explain the purpose or uses of the screening tool, didn't tell patients anything about the results, and failed to provide any follow-up relating to patient depression scores. The results suggest the need for health care facilities to engage patients in a dialogue about screening results and for health care delivery systems to refine the screening process. These findings offer a foundation to design more comprehensive, patient-centered screening protocols that might result in improved mental health outcomes.

Research paper thumbnail of Meta-Analysis Of Antenatal Depression And Adverse Birth Outcomes In US Populations, 2010–20

Health Affairs, 2021

Untreated depression presents a distinct set of risks for pregnancy complications. Past studies h... more Untreated depression presents a distinct set of risks for pregnancy complications. Past studies have connected antenatal depression with adverse birth outcomes. The purpose of this study was to conduct an updated systematic review and meta-analysis examining the relationship between depression during pregnancy and associated adverse birth outcomes in US populations during the period 2010-20. As a trend, disparities in adverse pregnancy outcomes and maternal morbidities for Black pregnant people compared with those for White pregnant people continue to rise. Addressing mental health conditions during pregnancy has the potential to ameliorate a large and excessive burden on adverse birth outcomes among childbearing people and their offspring. Policy solutions to encourage, mandate, and reimburse universal depression screening during pregnancy are warranted.

Research paper thumbnail of Impact of maternal trauma-related psychopathology and life stress on HPA axis stress response

Archives of Women's Mental Health, 2021

To understand and curb intergenerational transmission of stress-related disorder, it is important... more To understand and curb intergenerational transmission of stress-related disorder, it is important to identify how trauma-related psychopathology in mothers impacts their psychophysiological stress regulation, particularly in the context of parenting their infants. In this study we investigated associations between mothers’ trauma-related psychopathology and life stress and HPA axis response to a personally relevant stressor (infant separation stress) in a non-clinical sample followed longitudinally postpartum. A community sample of low-income mothers ( n = 73) and their infants completed laboratory sessions at 3, 6, 12, and 18 months postnatal, and salivary cortisol samples collected before and after dyadic stress tasks at the latter three sessions. These tasks were used to assess HPA function. A three-level hierarchical linear model of repeated cortisol measures nested within sessions within mother-infant dyads did not reveal significant main effects of trauma-related psychopathology on maternal cortisol response, but there was evidence that both a clinical interviewer-rated diagnosis of PTSD and ongoing self-reported trauma symptoms blunted effects of life events on cortisol reactivity. Region of significance analyses indicated that current life stress predicted more pronounced cortisol reactivity only among mothers without trauma-related psychopathology; for those with trauma-related psychopathology, life stress did not relate to cortisol response. Effects held when controlling for childhood trauma and previous (prenatal) maternal distress symptoms, suggesting they did not reflect ongoing impacts of past trauma exposure and/or psychopathology. Blunting effects of trauma-related psychopathology on maternal life stress responsiveness may help clarify how stress sensitivities and mental health are transmitted from parent to child.

Research paper thumbnail of Depression Prevention in Pediatric Primary Care: Implementation and Outcomes of Interpersonal Psychotherapy—Adolescent Skills Training

Child Psychiatry & Human Development, 2021

This study evaluated the fidelity, feasibility, acceptability, and preliminary outcomes of a depr... more This study evaluated the fidelity, feasibility, acceptability, and preliminary outcomes of a depression prevention program, interpersonal psychotherapy-adolescent skills training (IPT-AST), in urban pediatric primary care (PC) with a sample of primarily Black youth. Twenty-two adolescents with elevated depressive symptoms participated in this open clinical trial. Adolescents were identified through a screening questionnaire completed at well visits. Ratings of IPT-AST fidelity and session attendance were recorded. Youth and caregivers reported on their attitudes toward the intervention and completed measures of adolescents' symptoms and functioning pre- and post-intervention. Results demonstrated high levels of fidelity, attendance, and acceptability, despite some difficulties with recruitment. Adolescents and caregivers reported significant improvements in functioning. There were marginally significant reductions in self-reported depression, anxiety, and total mental health symptoms. Caregivers reported a significant decrease in total mental health symptoms. Findings provide preliminary information regarding the implementation and effects of IPT-AST when delivered in PC.

Research paper thumbnail of The Depression Prevention Initiative: Trauma as a Moderator of Prevention Outcomes

Journal of Emotional and Behavioral Disorders, 2020

Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) is an evidence-based indicated d... more Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) is an evidence-based indicated depression prevention program that has been shown to reduce depression symptoms. Research is needed to identify moderators of IPT-AST’s effects. Although trauma history has emerged as a moderator of depression treatment outcomes, the impact of trauma on short- and long-term outcomes in the context of preventive interventions for adolescent depression is unknown. This study examines the impact of trauma on prevention outcomes in a school-based randomized controlled trial (RCT) in which 186 adolescents (mean age = 14.01 years, SD = 1.22; 67% female) were randomly assigned to IPT-AST delivered by research staff or to group counseling (GC) provided by school counselors. Trauma history significantly moderated intervention outcomes during the active phase of the intervention but not during long-term follow-up. During the active phase, youth in IPT-AST with low or no trauma exposure experienced ...

Research paper thumbnail of Long-Term Effects from a School-Based Trial Comparing Interpersonal Psychotherapy-Adolescent Skills Training to Group Counseling

Journal of Clinical Child & Adolescent Psychology, 2018

Adolescence represents a vulnerable developmental period for depression and an opportune time for... more Adolescence represents a vulnerable developmental period for depression and an opportune time for prevention efforts. In this study, 186 adolescents with elevated depressive symptoms (M age = 14.01, SD = 1.22; 66.7% female; 32.2% racial minority) were randomized to receive either Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST; n = 95) delivered by research clinicians or group counseling (GC; n = 91) delivered by school counselors. We previously reported the short-term outcomes of this school-based randomized controlled trial: IPT-AST youth experienced significantly greater improvements in depressive symptoms and overall functioning through 6-month follow-up. Here, we present the long-term outcomes through 24 months postintervention. We examined differences in rates of change in depressive symptoms and overall functioning and differences in rates of depression diagnoses. Youth in both conditions showed significant improvements in depressive symptoms and overall functioning from baseline to 24month follow-up, demonstrating the efficacy of school-based depression prevention programs.

Research paper thumbnail of Incivility in Science Study (InSci Scoop)

The purpose of this study is to better understand incivility in academia amongst science, technol... more The purpose of this study is to better understand incivility in academia amongst science, technology, engineering and math fields (STEM). Specifically, we are interested in how graduate students in STEM at a large, midwestern, R1 university understand and conceptualize incivility (i.e., bullying or rudeness) within their fields. Furthermore, we aim to investigate the relationship between interpersonal discrimination (i.e., discrimination or rudeness based on identity) and more general incivility, as well as the relationship between interpersonal discrimination, incivility, and harassment. Qualitative interviews with PhD students in STEM will be conducted to best understand students' thought processes and conceptualizations.

Research paper thumbnail of Effects of prenatal mindfulness-based childbirth education on child-bearers’ trajectories of distress: a randomized control trial

BMC Pregnancy and Childbirth

Background The perinatal period is a time of immense change, which can be a period of stress and ... more Background The perinatal period is a time of immense change, which can be a period of stress and vulnerability for mental health difficulties. Mindfulness-based interventions have shown promise for reducing distress, but further research is needed to identify long-term effects and moderators of mindfulness training in the perinatal period. Methods The current study used data from a pilot randomized control trial (RCT) comparing a condensed mindfulness-based childbirth preparation program—the Mind in Labor (MIL)—to treatment as usual (TAU) to examine whether prenatal mindfulness training results in lower distress across the perinatal period, and whether the degree of benefit depends on child-bearers’ initial levels of risk (i.e., depression and anxiety symptoms) and protective (i.e., mindfulness) characteristics. Child-bearers (N = 30) in their third trimester were randomized to MIL or TAU and completed assessments of distress—perceived stress, anxiety, and depressive symptoms—at pre...