Self-management of mild to moderate anxiety in women who have recently given birth: development and acceptability of a theoretically sound complex intervention

IF 1 4区医学 Q4 PSYCHIATRY

International Journal of Mental Health Promotion Pub Date : 2014-10-20 DOI:10.1080/14623730.2014.964050

Heather Rowe, S. Calcagni, Sofia Galgut, J. Michelmore, J. Fisher

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引用次数: 8

Abstract

The postnatal period confers a high risk for anxiety in women, but few life stage-specific resources are available. This is despite public health policy recommendations for universal screening for mental health problems. Using the first two steps of the four-step United Kingdom Medical Research Council (UKMRC) guidance and with input from consumers, we developed and piloted a supported self-help psychoeducation resource for the management of syndromal or subsyndromal generalised postnatal anxiety. The theoretically sound What Am I Worried About (WAWA) resource uses cognitive behaviour therapy and mindfulness in a seven-module programme supported by a 30-min telephone consultation with a mental health professional during each module. Results of an open pilot confirm acceptability, safety, non-stigma, feasibility and preliminary efficacy. Subject to successful completion of Step 3 of the UKMRC guidance, WAWA can be provided for anxiety management to women in a stepped-care model in primary postnatal health services.

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新近分娩妇女轻至中度焦虑的自我管理:一种理论上合理的复杂干预的发展和可接受性

产后是女性焦虑的高风险时期，但很少有针对生命阶段的资源可用。尽管公共卫生政策建议对精神健康问题进行普遍筛查，但这种情况仍然存在。根据英国医学研究委员会(UKMRC)四步指南的前两步，并结合消费者的意见，我们开发并试点了一种支持的自助心理教育资源，用于管理综合征或亚综合征的广泛性产后焦虑。从理论上讲，我在担心什么(WAWA)资源在七个模块的课程中使用认知行为疗法和正念，每个模块都有30分钟的心理健康专家电话咨询。公开试验结果证实了可接受性、安全性、非污名性、可行性和初步疗效。在成功完成UKMRC指南的第3步之后，WAWA可以在初级产后保健服务中以阶梯式护理模式向妇女提供焦虑管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Mental Health Promotion Multiple-

CiteScore

1.70

自引率

7.70%

发文量

期刊介绍： This title has ceased (2018). The first journal of its kind in the field, IJMHP publishes materials of distinction, making it essential reading for those with a professional or personal interest in mental health promotion. IJMHP co-ordinates the dissemination of new research outcomes to all those involved in policy making and the implementation of mental health promotion and mental disorder prevention policies. This makes it indispensable to clinical/medical staff, health services researchers, managers, health promoters, educationalists, sociologists, health economists and practitioners from all branches of health and social care, publishing materials by and for all these communities. IJMHP is an official publication of the Clifford Beers Foundation, who work to promote mental health and prevent mental disorders through dissemination of knowledge, training partnerships and consultation. The journal is peer reviewed by an expert international board and acts as a comprehensive information resource designed to increase awareness, foster understanding and promote collaboration between the different disciplines engaged in this diverse activity of study.