Nagai Yukiyo, Nomura Kayo
Department of Neurodevelopmental Disorders, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Department of Pediatrics, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, Aichi, Japan.
Ann Med. 2025 Dec;57(1):2445188. doi: 10.1080/07853890.2024.2445188. Epub 2025 Mar 26.
Mental support for mothers of low birth weight infants (LBWI) or preterm infants in neonatal intensive care unit (NICU) is a crucial issue as postpartum depressive symptoms are more prevalent among mothers of such infants in NICU compared to mothers of full-term infants.
In this pilot randomized controlled trial, we aimed to investigate the impact of psychological intervention through the neonatal behavioral assessment scale (NBAS) administration to very low birth weight infants, with or without mothers present, on the postnatal depressive symptoms experienced by mothers.
Mothers of LBWI were divided into two groups depending on their presence during NBAS assessment: Group M ( = 9) with mothers present and Group non-M ( = 8) without mothers present. Mothers in both groups answered the Edinburgh Postnatal Depression Scale (EPDS) before and after the NBAS assessment. The mothers in Group M received early intervention with their infants following assessment by the NBAS.
No significant difference was observed in the EPDS score between the two groups in this study.
Early intervention using the NBAS with mothers present may yield no positive and negative effects on the mothers' depressive symptoms. Due to the small sample size of this pilot study, the results should be interpreted with caution, and there remains a need for further research about the effectiveness of the NBAS as early intervention.
jRCT1040230179 (JRCT).
在新生儿重症监护病房(NICU),为低出生体重儿(LBWI)或早产儿的母亲提供心理支持是一个关键问题,因为与足月儿的母亲相比,NICU中此类婴儿的母亲产后抑郁症状更为普遍。
在这项初步随机对照试验中,我们旨在研究通过对极低出生体重儿进行新生儿行为评估量表(NBAS)测评,无论母亲是否在场,对母亲产后抑郁症状的影响。
根据母亲在NBAS评估期间是否在场,将LBWI的母亲分为两组:有母亲在场的M组(n = 9)和无母亲在场的非M组(n = 8)。两组母亲在NBAS评估前后均回答爱丁堡产后抑郁量表(EPDS)。M组的母亲在NBAS评估后与婴儿一起接受早期干预。
本研究中两组的EPDS评分未观察到显著差异。
母亲在场时使用NBAS进行早期干预可能对母亲的抑郁症状没有正负影响。由于这项初步研究的样本量较小,结果应谨慎解释,并且仍需要进一步研究NBAS作为早期干预的有效性。
jRCT1040230179(JRCT)