对早产儿第一年的父母进行心理情绪干预:单臂试验研究。

IF 2.6 3区 心理学 Q1 FAMILY STUDIES
Family Process Pub Date : 2024-04-24 DOI:10.1111/famp.13002
E. M. Padilla-Muñoz, M. M. Barbancho-Morant, M. D. Lanzarote-Fernández, Susana Sanduvete-Chaves, S. Chacón-Moscoso
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引用次数: 0

摘要

在西班牙,旨在改善新生儿重症监护室(NICU)患儿父母情绪的干预项目研究很少。这项单臂试点研究的目的是了解高风险早产新生儿父母的情绪状况,并探索父母在实施名为 "父母赋权计划 "的心理项目前后的情绪健康模式,以提高父母的准备水平。样本由参加该计划的 100 名父母(50 对夫妇)组成。分别在 1 个月和 12 个月时对创伤后压力、抑郁和复原力进行了测量。进行了重复测量和夫妇数据分析。在婴儿出生一个月后和计划开始前,母亲比父亲表现出更多的压力和抑郁症状。干预后,父母双方的情绪水平都有所改善。所获得的证据似乎表明,高复原力水平和低创伤后应激症状与实施该计划后抑郁水平的降低有关。然而,所获得的反应的异质性,所观察到的压力、恢复力和母亲抑郁之间的关联,以及干预一年后母亲和父亲抑郁之间的相互影响,都突出表明有必要对这一人群中风险和保护因素之间的相互作用进行更深入的探讨。尽管已发现对有效性存在潜在威胁,但仍建议在此方向开展进一步工作,包括实施临床试验以证明干预效果。调整父母在每个阶段的相互情绪调整,可以让他们更积极地参与到婴儿的护理中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psycho-emotional intervention with parents of very preterm babies during the first year: A single-arm pilot study.
Studies of intervention programs that aim to improve the emotional state of parents of children admitted to the neonatal intensive care units (NICU) are scarce in Spain. The aims of this single-arm pilot study are to get to know the emotional profile of parents of high-risk preterm newborns, and to explore parents' patterns of emotional well-being before and after a psychological program called the Parental Empowerment Program, to increase parental readiness levels. The sample was made up of 100 parents (50 couples) who participated in the program. Measurements were taken of post-traumatic stress, depression, and resilience at 1 month and 12 months. Repeated measurements and dyadic data analyses were performed. One month after the birth of the baby and prior to the start of the program, mothers show more symptoms of stress and depression than fathers. After the intervention, both parents experienced improvements in their mood levels. The evidence obtained seems to show that high resilience levels and low post-traumatic stress symptoms are associated with reduced depression levels after implementing the program. However, the heterogeneity of the responses obtained, the observed associations between stress, resilience, and maternal depression, along with the reciprocal influence between maternal and paternal depression 1 year after the intervention, highlight the need for a more in-depth exploration of the interplay between risk and protective factors in this population. Despite the identified potential threats to validity, further work in this direction is recommended, including the implementation of clinical trials to demonstrate intervention efficacy. The adaptation of the parents' mutual emotional adjustment at each stage would allow them to participate more actively in the baby's care.
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来源期刊
Family Process
Family Process Multiple-
CiteScore
8.00
自引率
5.10%
发文量
96
期刊介绍: Family Process is an international, multidisciplinary, peer-reviewed journal committed to publishing original articles, including theory and practice, philosophical underpinnings, qualitative and quantitative clinical research, and training in couple and family therapy, family interaction, and family relationships with networks and larger systems.
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