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音乐疗法歌曲创作对新生儿重症监护病房(NICU)中高危父母心理健康结果的短期有效性:一项国际多中心混合方法试验的研究方案

Short-term effectiveness of music therapy songwriting for mental health outcomes of at-risk parents in the NICU: a study protocol of an international multicenter mixed-methods trial.

作者信息

Poćwierz-Marciniak Ilona, Bieleninik Łucja, Cruz Johana Benavidez, Ardila Yenny M Beltrán, Jassem-Bobowicz Joanna, Malaver Sonia A Henádez, Díaz Ana M, Reina Nestor N Muñetones, De la Barrera Leslie I Martínez, Gaona Alba J Castro, Ettenberger Mark

机构信息

Institute of Psychology, University of Gdansk, Gdansk, Poland.

GAMUT - The Grieg Academy Music Therapy Research Centre, NORCE Norwegian Research Centre AS, Bergen, Norway.

出版信息

Health Psychol Rep. 2024 Aug 20;12(3):260-274. doi: 10.5114/hpr/190886. eCollection 2024.

DOI:10.5114/hpr/190886
PMID:39234024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11370736/
Abstract

BACKGROUND

Preterm birth contributes to adverse mental health outcomes of parents dealing with a premature neonate. The main objective of this study is to determine whether music therapy (MT) songwriting during the infants' stay in the neonatal intensive care unit (NICU) is superior to standard care in reducing the risk of postpartum depression in high-risk parents of preterm children throughout the hospital treatment. The secondary objectives include assessment of effectiveness of MT in other aspects of mental health (anxiety level, perceived stress, mental wellbeing, coping, resilience). Furthermore, this trial will evaluate the medical and social factors that may be associated with the effects of MT songwriting.

PARTICIPANTS AND PROCEDURE

The study design is a sequential mixed method study with a dominant status QUAN to qual. The quantitative trial was designed as a parallel, multicenter, pragmatic, randomized controlled trial. The qualitative study is a descriptive phenomenological study that seeks to understand the lived experiences of participants exposed to songwriting. Participants are parents of premature infants hospitalized in NICU (106 families) in 5 hospitals, in Colombia and Poland. Intervention: 3 MT songwriting sessions per week across 3 weeks. Primary outcome: the risk of postnatal depression; secondary outcomes: anxiety level, mental wellbeing, resilience, stress, coping.

RESULTS

The results will be analyzed quantitatively and qualitatively.

CONCLUSIONS

This study will provide a report on the effectiveness of MT songwriting on mental health in at-risk parents of preterm infants.

摘要

背景

早产会给照顾早产儿的父母带来不良心理健康后果。本研究的主要目的是确定在婴儿入住新生儿重症监护病房(NICU)期间进行音乐疗法(MT)歌曲创作,与标准护理相比,是否能在整个住院治疗期间降低高危早产儿童父母产后抑郁的风险。次要目标包括评估MT在心理健康其他方面(焦虑水平、感知压力、心理健康、应对能力、恢复力)的有效性。此外,本试验将评估可能与MT歌曲创作效果相关的医学和社会因素。

参与者与程序

本研究设计为一项以QUAN为主导至qual的序贯混合方法研究。定量试验设计为平行、多中心、实用、随机对照试验。定性研究是一项描述性现象学研究,旨在了解参与歌曲创作的参与者的生活经历。参与者是在哥伦比亚和波兰5家医院的NICU住院的早产儿父母(106个家庭)。干预措施:在3周内每周进行3次MT歌曲创作课程。主要结局:产后抑郁风险;次要结局:焦虑水平、心理健康、恢复力、压力、应对能力。

结果

将对结果进行定量和定性分析。

结论

本研究将提供一份关于MT歌曲创作对高危早产婴儿父母心理健康有效性的报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/646d/11370736/1fb66bf54942/HPR-12-190886-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/646d/11370736/1fb66bf54942/HPR-12-190886-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/646d/11370736/1fb66bf54942/HPR-12-190886-g001.jpg

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本文引用的文献

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JAMA Netw Open. 2024 May 1;7(5):e2410721. doi: 10.1001/jamanetworkopen.2024.10721.
2
Parental stress and mental health outcomes following very preterm birth: A systematic review of recent findings.极早早产儿出生后父母的压力与心理健康结局:近期研究结果的系统评价
J Affect Disord. 2024 Jun 15;355:513-525. doi: 10.1016/j.jad.2024.03.154. Epub 2024 Mar 29.
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The effect of paternal anxiety on mother-infant bonding in neonatal intensive care.
父亲焦虑对新生儿重症监护中母婴结合的影响。
BMC Pregnancy Childbirth. 2024 Jan 11;24(1):55. doi: 10.1186/s12884-023-06179-z.
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National, regional, and global estimates of preterm birth in 2020, with trends from 2010: a systematic analysis.2020 年全球、区域和国家早产估计数及其 2010 年以来的变化趋势:系统分析。
Lancet. 2023 Oct 7;402(10409):1261-1271. doi: 10.1016/S0140-6736(23)00878-4.
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Psychometric properties of the Polish version of the (GAD-7) in a non-clinical sample of employees during pandemic crisis.在疫情危机期间,对非临床员工样本中的(GAD-7)进行波兰语版本的心理测量特性分析。
Int J Occup Med Environ Health. 2023 Nov 13;36(4):493-504. doi: 10.13075/ijomeh.1896.02104. Epub 2023 Sep 22.
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Musical and vocal interventions to improve neurodevelopmental outcomes for preterm infants.音乐和声乐干预以改善早产儿的神经发育结局。
Cochrane Database Syst Rev. 2023 Sep 7;9(9):CD013472. doi: 10.1002/14651858.CD013472.pub2.
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