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早产儿母亲的焦虑和抑郁以及新生儿重症监护病房住院期间的心理干预

Anxiety and depression in mothers of preterm infants and psychological intervention during hospitalization in neonatal ICU.

作者信息

Carvalho Ana Emilia Vita, Linhares Maria Beatriz Martins, Padovani Flávia Helena Pereira, Martinez Francisco Eulógio

机构信息

Universidade de São Paulo, Brazil.

出版信息

Span J Psychol. 2009 May;12(1):161-70. doi: 10.1017/s1138741600001578.

Abstract

The objective of this study was to evaluate and compare symptoms of anxiety and depression before and after psychological intervention in mothers of babies born preterm with very low birth weight, hospitalized in the Neonatal Intensive Care Unit. Fifty nine mothers, without psychiatric antecedents, were distributed into two groups according to the type of psychological intervention received. Group G1 included 36 mothers who received routine psychological treatment associated with initial structured intake using support materials (video and guidance manual). Group G2 included 23 mothers who received routine psychological intervention without support material. The STAI and BDI, respectively, were used to evaluate maternal indicators of anxiety and depression. The results revealed that both groups showed a reduction in levels of state or trait anxiety and depression after psychological intervention and discharge of the baby from the hospital. In regard to the emotional symptoms at a clinical level, a statistically significant reduction in the level of state-anxiety was verified in G1. The findings confirmed the need for psychological support for mothers of preterm infants and the use of materials focusing on prematurity for reduction of the situational anxiety on a clinical level.

摘要

本研究的目的是评估和比较在新生儿重症监护病房住院的极低出生体重早产儿母亲在心理干预前后的焦虑和抑郁症状。59名无精神病史的母亲根据接受的心理干预类型分为两组。G1组包括36名母亲,她们接受了常规心理治疗,并使用支持材料(视频和指导手册)进行初始结构化问诊。G2组包括23名母亲,她们接受了无支持材料的常规心理干预。分别使用状态特质焦虑量表(STAI)和贝克抑郁量表(BDI)来评估母亲的焦虑和抑郁指标。结果显示,两组在心理干预及婴儿出院后,状态或特质焦虑和抑郁水平均有所降低。在临床层面的情绪症状方面,G1组的状态焦虑水平有统计学意义的显著降低。研究结果证实了为早产儿母亲提供心理支持的必要性,以及使用关注早产问题的材料在临床层面减轻情境性焦虑的作用。

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