Barnett B, Parker G
Br J Psychiatry. 1985 Mar;146:287-93. doi: 10.1192/bjp.146.3.287.
Primiparous women (n = 627) were screened on state and trait anxiety measures in the post-partum period; sub-groups of highly anxious (n = 89), moderately anxious (n = 29), and minimally anxious (n = 29) mothers were derived and subsequently interviewed. The high-anxiety mothers were randomly assigned to a professional intervention, to a non-professional intervention, and to a control group, and their progress was reviewed over the following 12 months. Compliance, both in responding to progressive assessments and in accepting therapeutic intervention, was extremely high. Changes in anxiety levels for mothers not receiving an intervention were minimal over the study. In the high-anxiety sub-groups, there was a 19% reduction in state anxiety levels for those receiving a professional intervention, a 12% reduction for those receiving a non-professional intervention, and a 3% reduction in the controls. A planned contrast analysis determined that only professional intervention had a significant effect, intervention successfully lowering state anxiety levels to a value comparable with the moderately anxious mothers.
对初产妇(n = 627)在产后进行了状态焦虑和特质焦虑测量筛查;从中分出了高焦虑组(n = 89)、中度焦虑组(n = 29)和低焦虑组(n = 29)的母亲,并随后对她们进行了访谈。高焦虑组的母亲被随机分为专业干预组、非专业干预组和对照组,并在接下来的12个月里对她们的进展情况进行了评估。在回应进展性评估以及接受治疗干预方面,依从性都极高。在整个研究过程中,未接受干预的母亲焦虑水平变化极小。在高焦虑亚组中,接受专业干预的母亲状态焦虑水平降低了19%,接受非专业干预的母亲降低了12%,而对照组降低了3%。一项计划好的对比分析确定只有专业干预有显著效果,该干预成功地将状态焦虑水平降低到了与中度焦虑母亲相当的水平。