Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713GZ Groningen, The Netherlands.
Department of Music Therapy, ArtEZ University of the Arts, Hulsmaatstraat 35, 7523WB Enschede, The Netherlands.
Int J Environ Res Public Health. 2021 Jul 2;18(13):7077. doi: 10.3390/ijerph18137077.
Having an infant in the neonatal intensive care unit (NICU) elicits maternal anxiety, which may hamper parent-child bonding. We performed a prospective cohort study to describe anxiety in mothers of infants born before 30 weeks of gestation during NICU stay in The Netherlands, and investigated the influence of infant stress and gestational age. Second, we performed a randomized-controlled live-performed music therapy trial (LPMT trial) to investigate whether music therapy applied to the infant alleviated maternal anxiety. The relation between infant stress, gestational age, and maternal anxiety was measured in 45 mother-infant dyads, using the Neonatal Infant Stressor Scale and the State-Trait Anxiety Inventory (STAI). The effect of LPMT on anxiety was assessed in 21 mothers whose infants were assigned to either LPMT ( = 12) or waitlist ( = 9). Mothers completed the STAI before and after this period. Maternal anxiety decreased over time in all mothers, and was strongly related with infant stress (r = 0.706, < 0.001), but not with gestational age. Anxiety scores decreased by 12% after LMPT, and increased by 1% after a waitlist period ( = 0.30). Our results indicate that LPMT in the weeks after birth may accelerate the reduction of maternal anxiety. Further research should focus on the effects on mother-child bonding.
将婴儿置于新生儿重症监护病房（NICU）会引发母亲的焦虑，这可能会妨碍母婴之间的联系。我们进行了一项前瞻性队列研究，描述了荷兰 NICU 中早产儿母亲的焦虑情况，并调查了婴儿应激和胎龄的影响。其次，我们进行了一项随机对照现场表演音乐疗法试验（LPMT 试验），以调查音乐疗法是否应用于婴儿可以减轻母亲的焦虑。使用新生儿婴儿应激量表和状态-特质焦虑量表（STAI），在 45 对母婴中测量了婴儿应激、胎龄和母亲焦虑之间的关系。将婴儿分配到 LPMT（n=12）或候补名单（n=9）的 21 位母亲接受了 LPMT 对焦虑影响的评估。母亲在这段时间前后完成了 STAI。所有母亲的焦虑感随着时间的推移而逐渐减轻，与婴儿的应激密切相关（r=0.706，<0.001），但与胎龄无关。LPMT 后焦虑评分下降了 12%，候补名单后增加了 1%（=0.30）。我们的结果表明，出生后数周内的 LPMT 可能会加速母亲焦虑的减轻。进一步的研究应集中在对母婴联系的影响上。
