Thyna Catamaran, C. Savoy, H. Layton, E. Lipman, K. Boylan, R. J. Lieshout
{"title":"公共卫生护士为年轻母亲提供基于认知行为治疗的复原力课程的可行性","authors":"Thyna Catamaran, C. Savoy, H. Layton, E. Lipman, K. Boylan, R. J. Lieshout","doi":"10.2174/2210676611666210111093742","DOIUrl":null,"url":null,"abstract":"\n\n Young mothers have higher rates of mental health problems yet can be difficult to engage in care.\nFew interventions exist targeting the full range of mental health problems these women face. While transdiagnostic\npsychotherapies have been utilized in adolescent groups, they have not been tested in young mothers.\n\n\n\nOur objective was to examine the feasibility and acceptability of a public health nurse-delivered transdiagnostic\nCBT-based resilience curriculum for young mothers in a supported school setting, and to determine preliminary estimates\nof the program’s effects.\n\n\n\n 56 mothers 21 years of age or younger were recruited from a supported high school program in Canada. Using a\npretest/post-test design with no control group, measures of maternal depression, anxiety, emotion regulation, and offspring\nbehaviour were collected immediately before and after the completion of the weekly 10-session intervention.\n\n\n\nThe intervention was feasible and acceptable to young mothers. While few statistically significant changes were\nnoted in the complete sample, for those with moderate-severe depression at baseline, program participation resulted in\nclinically meaningful improvements in depression, anxiety, and emotion regulation.\n\n\n\nProvision of a transdiagnostic CBT-based resilience building program delivered by public health nurses in a\nsupported school setting was both feasible and well-tolerated. Given the preliminary nature of this study, its clinical utility\nis unclear, though it may have benefits for young mothers with more significant mental health problems at baseline. \n","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2021-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Feasibility of Delivering a Cognitive Behavioural Therapy-Based Resilience Curriculum to Young Mothers by Public Health Nurses\",\"authors\":\"Thyna Catamaran, C. Savoy, H. Layton, E. Lipman, K. Boylan, R. J. Lieshout\",\"doi\":\"10.2174/2210676611666210111093742\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n\\n Young mothers have higher rates of mental health problems yet can be difficult to engage in care.\\nFew interventions exist targeting the full range of mental health problems these women face. While transdiagnostic\\npsychotherapies have been utilized in adolescent groups, they have not been tested in young mothers.\\n\\n\\n\\nOur objective was to examine the feasibility and acceptability of a public health nurse-delivered transdiagnostic\\nCBT-based resilience curriculum for young mothers in a supported school setting, and to determine preliminary estimates\\nof the program’s effects.\\n\\n\\n\\n 56 mothers 21 years of age or younger were recruited from a supported high school program in Canada. Using a\\npretest/post-test design with no control group, measures of maternal depression, anxiety, emotion regulation, and offspring\\nbehaviour were collected immediately before and after the completion of the weekly 10-session intervention.\\n\\n\\n\\nThe intervention was feasible and acceptable to young mothers. While few statistically significant changes were\\nnoted in the complete sample, for those with moderate-severe depression at baseline, program participation resulted in\\nclinically meaningful improvements in depression, anxiety, and emotion regulation.\\n\\n\\n\\nProvision of a transdiagnostic CBT-based resilience building program delivered by public health nurses in a\\nsupported school setting was both feasible and well-tolerated. Given the preliminary nature of this study, its clinical utility\\nis unclear, though it may have benefits for young mothers with more significant mental health problems at baseline. \\n\",\"PeriodicalId\":43326,\"journal\":{\"name\":\"Adolescent Psychiatry\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2021-02-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Adolescent Psychiatry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2174/2210676611666210111093742\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescent Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/2210676611666210111093742","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
Feasibility of Delivering a Cognitive Behavioural Therapy-Based Resilience Curriculum to Young Mothers by Public Health Nurses
Young mothers have higher rates of mental health problems yet can be difficult to engage in care.
Few interventions exist targeting the full range of mental health problems these women face. While transdiagnostic
psychotherapies have been utilized in adolescent groups, they have not been tested in young mothers.
Our objective was to examine the feasibility and acceptability of a public health nurse-delivered transdiagnostic
CBT-based resilience curriculum for young mothers in a supported school setting, and to determine preliminary estimates
of the program’s effects.
56 mothers 21 years of age or younger were recruited from a supported high school program in Canada. Using a
pretest/post-test design with no control group, measures of maternal depression, anxiety, emotion regulation, and offspring
behaviour were collected immediately before and after the completion of the weekly 10-session intervention.
The intervention was feasible and acceptable to young mothers. While few statistically significant changes were
noted in the complete sample, for those with moderate-severe depression at baseline, program participation resulted in
clinically meaningful improvements in depression, anxiety, and emotion regulation.
Provision of a transdiagnostic CBT-based resilience building program delivered by public health nurses in a
supported school setting was both feasible and well-tolerated. Given the preliminary nature of this study, its clinical utility
is unclear, though it may have benefits for young mothers with more significant mental health problems at baseline.
期刊介绍:
Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.