Horsch Antje, Tolsa Jean-François, Gilbert Leah, du Chêne Lauranne Jan, Müller-Nix Carole, Bickle Graz Myriam
Clinic of Neonatology, University Hospital Lausanne, Avenue Pierre-Decker 2, 1011, Lausanne, Switzerland.
Department of Gynecology and Obstetrics, University Hospital Lausanne, Lausanne, Switzerland.
Child Psychiatry Hum Dev. 2016 Oct;47(5):780-91. doi: 10.1007/s10578-015-0611-6.
Evaluations of evidence-based, easily accessible, psychological interventions to improve maternal mental health following very preterm birth are scarce. This study investigated the efficacy and acceptability of the expressive writing paradigm for mothers of very preterm infants. The level of maternal posttraumatic stress and depressive symptoms was the primary outcome. Participants were 67 mothers of very preterm babies who were randomly allocated into the intervention (expressive writing; n = 33) or control group (treatment-as-usual; n = 32) when their infant was aged 3 months (corrected age, CA). Measurements were taken at 3 months (pre-intervention), 4 months (post-intervention), and 6 months CA (follow-up). Results showed reduced maternal posttraumatic stress (d = 0.42), depressive symptoms (d = 0.67), and an improved mental health status (d = 1.20) in the intervention group, which were maintained at follow-up. Expressive writing is a brief, cost-effective, and acceptable therapeutic approach that could be offered as part of the NICU care.
关于基于证据、易于获得的心理干预措施以改善极早产产后母亲心理健康的评估很少。本研究调查了为极早产婴儿母亲采用的表达性写作范式的疗效和可接受性。母亲的创伤后应激水平和抑郁症状是主要结果。研究对象为67名极早产婴儿的母亲，当她们的婴儿3个月大（矫正年龄，CA）时，将其随机分为干预组（表达性写作；n = 33）或对照组（常规治疗；n = 32）。在3个月（干预前）、4个月（干预后）和6个月CA（随访）时进行测量。结果显示，干预组母亲的创伤后应激（d = 0.42）、抑郁症状（d = 0.67）有所减轻，心理健康状况得到改善（d = 1.20），且在随访时保持稳定。表达性写作是一种简短、经济高效且可接受的治疗方法，可作为新生儿重症监护室护理的一部分提供。
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