School of Nursing, The Hong Kong Polytechnic University, Hong Kong.
Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong.
Transl Behav Med. 2019 Nov 25;9(6):1163-1168. doi: 10.1093/tbm/ibz017.
Developing a sense of parenting self-efficacy and satisfaction is essential for positive parenting and healthy development of the child. The present study evaluated the efficacy of a telephone-based cognitive-behavioral therapy (T-CBT) on parenting self-efficacy and satisfaction at 6 weeks and 6 months postpartum. A multi-site randomized controlled trial was conducted between July 2012 and March 2014. A total of 397 Chinese mothers at risk of postnatal depression were recruited through the postnatal units at three regional public hospitals in Hong Kong and were randomized to receive T- CBT (n = 197) or standard care (n = 200). The T-CBT consisted of five weekly 30-min sessions focusing on changing dysfunctional cognitions and developing problem-solving skills. Parenting self-efficacy and satisfaction were measured by the efficacy and satisfaction subscales of the Parenting Sense of Competence Scale (PSOC-E/S), respectively, at baseline, 6 weeks, and 6 months postpartum. When compared with standard care, T-CBT was associated with a significant improvement in parenting self-efficacy and satisfaction at 6 weeks postpartum (mean difference in PSOC-E: 2.85 [95% CI: 1.72-3.98], p < .001; mean difference in PSOC-S score: 1.61 [95% CI: 0.52-2.71], p = .004), and 6 months (mean difference in PSOC-E score: 3.37 [95% CI: 1.89-4.85], p < .001; mean difference in PSOC-S score: 2.39 [95% CI: 0.96-3.82], p = .001). T-CBT produced significantly greater improvement in parenting self-efficacy and satisfaction than standard care. The results highlight the potential of T-CBT as a promising treatment modality to facilitate maternal adaptation and promote a sense of parenting self-efficacy and satisfaction during the transition to new motherhood.
培养育儿自我效能感和满意度对于积极育儿和儿童健康发展至关重要。本研究评估了基于电话的认知行为疗法（T-CBT）在产后 6 周和 6 个月时对育儿自我效能感和满意度的疗效。这项多中心随机对照试验于 2012 年 7 月至 2014 年 3 月在香港的三家地区公立医院的产后病房进行。共招募了 397 名有产后抑郁风险的中国母亲，并将其随机分为 T-CBT 组（n=197）或标准护理组（n=200）。T-CBT 包括五周每周 30 分钟的课程，重点是改变功能失调的认知和发展解决问题的技能。在基线、产后 6 周和 6 个月时，使用父母效能感和满意度量表（PSOC-E/S）的效能和满意度子量表分别测量育儿自我效能感和满意度。与标准护理相比，T-CBT 与产后 6 周时育儿自我效能感和满意度的显著改善相关（PSOC-E 的平均差异：2.85[95%CI：1.72-3.98]，p<.001；PSOC-S 评分的平均差异：1.61[95%CI：0.52-2.71]，p=0.004），并在 6 个月时（PSOC-E 评分的平均差异：3.37[95%CI：1.89-4.85]，p<.001；PSOC-S 评分的平均差异：2.39[95%CI：0.96-3.82]，p=0.001）。T-CBT 在育儿自我效能感和满意度方面的改善明显优于标准护理。结果强调了 T-CBT 作为一种有前途的治疗方式的潜力，可以促进母亲的适应，并在向新母亲身份过渡期间促进育儿自我效能感和满意度。
