妈妈支持妈妈同伴支持干预对治疗妇女产前心理健康困难的效果。

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2024-09-24 DOI:10.1016/j.midw.2024.104198

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引用次数: 0

摘要

问题：在捷克，高达 75% 的围产期高危妇女没有接受治疗：目的：我们测试了基于电话的同伴支持干预 "妈妈支持妈妈"（MSM）在捷克精神障碍高危孕妇中的有效性：方法：采用爱丁堡产后抑郁量表（EPDS）评估妇女的风险（EPDS ≥ 10）。有风险的妇女被随机分为两组：干预组接受 MSM，对照组接受不含任何心理支持干预的常规护理。在完成 EPDS 一个月后，再次测量妇女的心理状态，并与干预前后的数据进行比较，这次使用围产期焦虑筛查量表 (PASS) 测量焦虑，EPDS 测量抑郁，产前社会心理档案 (PPP) 测量压力，产前依恋量表 - 修订版 (PAI-R) 测量依恋。该试验以 "无社会心理压力妊娠 "为名进行了注册（ClinicalTrials.gov ID NCT04853693）：共有 167 名妇女参与了这项研究，并被随机分为两组。抑郁症状没有减轻（Cohen´s d; 95 % CI = 0.48; 0.17-0.79; p = .002），但与对照组相比，干预组妇女的焦虑水平（Cohen´s d; 95 % CI = 0.44; 0.13-0.75; p = .005）和社会心理压力（Cohen´s d; 95 % CI = 0.55; 0.20-0.82; p = .002）有所减轻。此外，接受干预的妇女产前依恋增加（Cohen´s d; 95 % CI = 0.48; 0.17-0.79; p = .002）：讨论：基于电话的同伴支持干预 MSM 能有效减轻压力和焦虑，增加产前依恋，但不能减轻高危产妇的抑郁。

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Effectiveness of the mom supports mom peer support intervention in treating antenatal mental health difficulties in women

Problem

Up to 75 % of at-risk perinatal women do not receive treatment in Czechia.

Background

Pregnant women with mental health difficulties are more likely to undergo less controversial nonpharmaceutical treatment during pregnancy, but structural and psychological barriers interfere with their capacity to seek professional help.

Aim

We tested the effectiveness of the telephone-based peer support intervention Mom Supports Mom (MSM) in Czech pregnant women at risk of mental disorder.

Methods

The Edinburgh Postnatal Depression Scale (EPDS) was used to assess risk in women (EPDS ≥ 10). Women at risk were randomized into two groups; the intervention group received the MSM, while the control group received the care as usual, which did not contain any psychological support intervention. One month after completing the EPDS, the women's mental statuses were again measured and compared, this time with data before and after the intervention, using the Perinatal Anxiety Screening Scale (PASS) to measure anxiety, the EPDS to measure depression, the Prenatal Psychosocial Profile (PPP) to measure stress, and the Prenatal Attachment Inventory – Revised (PAI-R) to measure attachment. The trial was registered under the name Pregnancy without psychosocial stress (ClinicalTrials.gov ID NCT04853693).

Findings

A total of 167 women were included in the study and randomized into two groups. Depressive symptoms did not decrease (Cohen´s d; 95 % CI = 0.48; 0.17–0.79; p = .002), but levels of anxiety (Cohen´s d; 95 % CI = 0.44; 0.13–0.75; p = .005) and psychosocial stress (Cohen´s d; 95 % CI = 0.55; 0.20–0.82; p = .002) were reduced in women in the intervention group compared with women in the control. In addition, prenatal attachment increased among intervened women (Cohen´s d; 95 % CI = 0.48; 0.17–0.79; p = .002).

Discussion

The telephone-based peer support intervention MSM is effective in reducing stress and anxiety and increasing prenatal attachment but does not reduce depression among high-risk women.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.