Hanish Kiley Krekorian, Margulies Ivy, Cogan Alison M
Kiley Krekorian Hanish, OTD, OTR/L, is President, Return to Zero: HOPE, Pasadena, CA;
Ivy Margulies, PsyD, is Clinical Psychologist, Private Practice, Santa Monica, CA.
Am J Occup Ther. 2019 Sep/Oct;73(5):7305345030p1-7305345030p6. doi: 10.5014/ajot.2019.034025.
Pregnancy loss and infant death are unexpected, traumatic, life-changing events. The role of occupational therapy practitioners in treating this population is not well defined.
To describe the outcomes of an occupation-based residential retreat for women who have experienced pregnancy or infant loss.
Program evaluation.
Seven residential retreats for bereaved mothers.
One hundred forty-one women who experienced perinatal loss.
Residential retreats that were held in natural settings and included occupation-based activities such as group discussions, yoga, meditation, crafts, and rituals to facilitate grieving and healing processes after perinatal loss.
The Beck Depression Inventory, PTSD Checklist-Civilian Version, Self-Compassion Scale, and Multidimensional Scale of Perceived Social Support were collected pre- and postretreat.
Statistically significant improvements were seen in women's depression, trauma, self-compassion, and perceived social support from pre- to postretreat.
At present, occupational therapy practitioners support this population primarily by providing referrals and information about local resources. However, as occupational therapy practice in primary care settings grows, so too do possibilities for the development of occupational therapy-related interventions to support maternal mental health.
This article provides preliminary support for occupation-based retreats as a treatment for improving maternal mental health after perinatal loss.
妊娠丢失和婴儿死亡是意外的、创伤性的、改变生活的事件。职业治疗从业者在治疗这一人群中的作用尚未明确界定。
描述针对经历过妊娠或婴儿丢失的女性开展的以职业为基础的住宿静修活动的效果。
项目评估。
七个为丧亲母亲设立的住宿静修场所。
141名经历围产期丢失的女性。
在自然环境中举办的住宿静修活动，包括小组讨论、瑜伽、冥想、手工艺和仪式等以职业为基础的活动，以促进围产期丢失后的悲伤和愈合过程。
在静修前后收集贝克抑郁量表、创伤后应激障碍检查表（平民版）、自我同情量表和多维感知社会支持量表。
从静修前到静修后，女性在抑郁、创伤、自我同情和感知社会支持方面有统计学意义的显著改善。
目前，职业治疗从业者主要通过提供转介和当地资源信息来支持这一人群。然而，随着职业治疗在初级保健环境中的实践不断发展，开发与职业治疗相关的干预措施以支持孕产妇心理健康的可能性也在增加。
本文为以职业为基础的静修活动作为改善围产期丢失后孕产妇心理健康的一种治疗方法提供了初步支持。
