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你还不能把宝宝带回家:一项对入住新生儿重症监护病房(NICU)婴儿母亲心理症状的纵向研究。

You Can't Take Your Baby Home Yet: A Longitudinal Study of Psychological Symptoms in Mothers of Infants Hospitalized in the NICU.

作者信息

Lotterman Jenny H, Lorenz John M, Bonanno George A

机构信息

Teachers College, Columbia University, 525 West 120th Street, Box 102, New York, NY, 10027, USA.

Department of Pediatrics, College of Physicians and Surgeons, Columbia University, New York, NY, USA.

出版信息

J Clin Psychol Med Settings. 2019 Mar;26(1):116-122. doi: 10.1007/s10880-018-9570-y.

Abstract

Evidence suggests that mothers of infants hospitalized in the Neonatal Intensive Care Unit (NICU) experience elevated rates of psychological symptoms. However, previous studies of this population have been mainly cross-sectional and have focused on very preterm infants. Although moderate- to late-preterm infants generally thrive, the possible psychological toll on their mothers has not yet been sufficiently examined. In the current study, we used a longitudinal design to investigate whether mothers of moderate- to late-preterm infants experience elevated rates of psychological symptoms during the infant's hospitalization in the NICU and 6 months later. Results indicated that these mothers did show elevated depression, anxiety, and PTSD symptoms, and that symptom levels were similar in mothers of moderate- versus late-preterm infants. Mothers of moderate- to late-preterm infants hospitalized in the NICU appeared to experience these symptoms steadily over a 6-month period after giving birth. These findings suggest a need for greater support for these mothers while in the NICU.

摘要

有证据表明,在新生儿重症监护病房(NICU)住院的婴儿的母亲出现心理症状的比率较高。然而,此前针对这一人群的研究主要是横断面研究,且聚焦于极早产儿。虽然中度至晚期早产儿一般发育良好,但他们对母亲可能造成的心理影响尚未得到充分研究。在本研究中,我们采用纵向设计来调查中度至晚期早产儿的母亲在婴儿于NICU住院期间及6个月后是否出现心理症状比率较高的情况。结果表明,这些母亲确实表现出抑郁、焦虑和创伤后应激障碍(PTSD)症状加剧,且中度与晚期早产儿的母亲的症状水平相似。在NICU住院的中度至晚期早产儿的母亲在产后6个月期间似乎症状持续存在。这些发现表明,在NICU期间需要给予这些母亲更多支持。

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