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意大利心理咨询干预对高危妊娠的有效性。

Effectiveness of Psychological Counseling Intervention in High-Risk Pregnancies in Italy.

作者信息

Burgio Sofia, Cucinella Gaspare, Perino Antonio, Baglio Giovanni, Crifasi Laura, Krysiak Robert, Kowalcze Karolina, Gullo Giuseppe

机构信息

Department of Obstetrics and Gynaecology, Villa Sofia-Vincenzo Cervello Hospital, University of Palermo, 90128 Palermo, Italy.

Research Unit, Italian National Agency for Regional Healthcare Services-AGENAS, 00187 Rome, Italy.

出版信息

J Pers Med. 2024 Sep 15;14(9):976. doi: 10.3390/jpm14090976.

Abstract

BACKGROUND

The longitudinal study examines the effectiveness of a psychological support treatment for high-risk pregnancies using a between-groups design. It assesses the treatment's impact on depression and fear of COVID-19 at three time points, and on prenatal attachment between the 20th and 24th weeks of gestation (T0), postnatal attachment 15-20 days after birth (T1), and three months after birth (T2). Additionally, the study evaluates the treatment's effectiveness on PTSD related to childbirth and parental distress at T1 and T2.

METHODS

The study involved 117 parents experiencing high-risk pregnancies from a Sicilian hospital: 84 mothers (40 in the experimental group, 44 in the control group) and 33 fathers (19 in the experimental group, 14 in the control group).

RESULTS

ANOVA results showed that the psychological treatment was effective for maternal variables such as postnatal attachment and parental distress, and for paternal variables such as depression, prenatal attachment, PTSD symptoms, and parental distress (ANOVA, < 0.05).

CONCLUSIONS

The study highlights the growing evidence for providing continuous psychological support to couples with high-risk pregnancies, emphasizing that this support should extend beyond childbirth to assist families through this transition.

摘要

背景

这项纵向研究采用组间设计,考察了针对高危妊娠的心理支持治疗的有效性。该研究在三个时间点评估了该治疗对抑郁症和对新冠病毒的恐惧的影响,以及在妊娠第20至24周(T0)、出生后15 - 20天(T1)和出生后三个月(T2)对产前依恋的影响。此外,该研究还在T1和T2评估了该治疗对与分娩相关的创伤后应激障碍和父母困扰的有效性。

方法

该研究纳入了西西里一家医院的117名经历高危妊娠的父母:84名母亲(实验组40名,对照组44名)和33名父亲(实验组19名,对照组14名)。

结果

方差分析结果表明,心理治疗对产后依恋和父母困扰等母亲变量以及抑郁症、产前依恋、创伤后应激障碍症状和父母困扰等父亲变量有效(方差分析,<0.05)。

结论

该研究凸显了越来越多的证据支持为高危妊娠夫妇提供持续的心理支持,强调这种支持应超越分娩阶段,以帮助家庭度过这一过渡时期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2edb/11432925/e2be1b249ccc/jpm-14-00976-g001.jpg

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