“I'm not afraid to be alone with the baby now”: Parents' experiences of an online self-guided cognitive intervention for unwanted intrusive thoughts about harming their child
Klara Olofsdotter Lauri , Maria Bragesjö , Kristina Aspvall , Nathalie Lybert , Conrad Samuelsson , Eva Serlachius , Christian Rück , David Mataix-Cols , Erik Andersson
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引用次数: 0
Abstract
Half of parents to infants and toddlers experience unwanted intrusive thoughts (UITs) about intentionally harming their child. For some, this can lead to impaired parental self-efficacy, elevated parental stress, and symptoms of depression. Many do not disclose their thoughts due to shame. Our research group has developed a self-guided online cognitive intervention for parents with distressing UITs of intentional child-related harm. A previous randomized pilot trial (N = 43) showed that the intervention was more effective than waitlist in reducing distress related to UITs. It also improved parental self-efficacy. This study is an qualitative investigation of the participants’ experiences with the intervention. We conducted semi-structured interviews with 8 participants. A thematic analysis revealed two overarching themes: (1) Changed perception of the unwanted intrusive thoughts and (2) Different paths to recovery. The parents reported that the intervention taught skills to approach their UITs in a more flexible way, which had positive effects on well-being and parenting. The flexibility and anonymity of the online format was highlighted as positive. Some would have liked additional therapist support and better adaptations to a smartphone format. The findings provide additional qualitative data how an online self-guided intervention can help parents who struggle with UITs.
半数婴幼儿父母都会有故意伤害孩子的不良侵入性想法（UITs）。对某些人来说，这会导致父母自我效能感受损、父母压力增大以及抑郁症状。许多人由于羞愧而不透露自己的想法。我们的研究小组开发了一种自我指导的在线认知干预方法，针对那些有故意伤害孩子的痛苦 UIT 的父母。之前进行的一项随机试点试验（N = 43）表明，在减少与 UIT 相关的痛苦方面，该干预措施比等待名单更有效。它还提高了家长的自我效能感。本研究对参与者的干预经验进行了定性调查。我们对 8 名参与者进行了半结构化访谈。通过主题分析，我们发现了两个最重要的主题：（1）改变了对不想要的侵入性想法的看法；（2）不同的康复途径。家长们报告说，干预教给了他们以更灵活的方式处理其不想要的侵入性想法的技巧，这对他们的幸福感和养育子女产生了积极的影响。在线形式的灵活性和匿名性被认为是积极的。一些家长希望得到更多治疗师的支持，并更好地适应智能手机的形式。研究结果提供了更多定性数据，说明在线自我指导干预如何帮助那些在 UIT 问题上挣扎的父母。
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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