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为期12周的婴儿尚塔拉伸按摩计划对初产妇产后母亲情绪健康的影响。

Effects of 12-Week Infant Shantala Massage Program on Maternal Emotional Well-Being Following First-Time Birth.

作者信息

Gogola Anna, Gnat Rafał

机构信息

Institute of Physiotherapy and Health Sciences, Academy of Physical Education, 40-065 Katowice, Poland.

出版信息

Healthcare (Basel). 2025 Aug 3;13(15):1895. doi: 10.3390/healthcare13151895.

DOI:10.3390/healthcare13151895
PMID:40805928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12346134/
Abstract

This study aimed to determine whether postpartum mothers exhibit a uniform trajectory of postpartum emotional status (PES) changes or if distinct subgroups with differing trajectories of PES exist. Additionally, it investigated whether intensified tactile stimulation of the infant through Shantala massage influences maternal PES. A quasi-experimental design with a matched control group was employed. Eighty women following their first physiological delivery volunteered to participate. The intervention involved applying intensified tactile stimulation to the infant via Shantala massage over a 12-week postpartum period. Maternal PES, divided into negative and positive emotional domains, was assessed using four standardized questionnaires. Two opposing trajectories of PES change were identified: adverse and favorable. Intensified tactile stimulation was associated with improvement in maternal emotional status along both trajectories. PES changes do not follow a uniform course across all women; notably, those with a favorable trajectory often begin with more severe symptoms. Overlooking this distinction in diagnosis, prevention, and treatment may result in suboptimal care. The factors influencing PES trajectories remain unidentified but may affect clinical intervention outcomes. The Shantala massage intervention appears to slow the progression of emotional disorders in women with adverse PES changes and accelerate recovery in those with favorable changes. Implementation of this approach in clinical settings is recommended.

摘要

本研究旨在确定产后母亲的产后情绪状态(PES)变化轨迹是否一致,或者是否存在具有不同PES轨迹的不同亚组。此外,研究还调查了通过尚塔拉伸按摩对婴儿进行强化触觉刺激是否会影响母亲的PES。采用了带有匹配对照组的准实验设计。80名首次自然分娩后的女性自愿参与。干预措施包括在产后12周内通过尚塔拉伸按摩对婴儿进行强化触觉刺激。使用四份标准化问卷评估分为负面和正面情绪领域的母亲PES。确定了两种相反的PES变化轨迹:不良轨迹和良好轨迹。强化触觉刺激与两种轨迹上母亲情绪状态的改善相关。并非所有女性的PES变化都遵循统一的过程;值得注意的是,那些具有良好轨迹的女性通常最初症状更严重。在诊断、预防和治疗中忽视这种差异可能会导致护理效果不佳。影响PES轨迹的因素尚不清楚,但可能会影响临床干预结果。尚塔拉伸按摩干预似乎减缓了PES变化不良的女性情绪障碍的进展,并加速了变化良好的女性的恢复。建议在临床环境中实施这种方法。

相似文献

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Effects of 12-Week Infant Shantala Massage Program on Maternal Emotional Well-Being Following First-Time Birth.为期12周的婴儿尚塔拉伸按摩计划对初产妇产后母亲情绪健康的影响。
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本文引用的文献

1
Application of Positive Psychology in Digital Interventions for Children, Adolescents, and Young Adults: Systematic Review and Meta-Analysis of Controlled Trials.积极心理学在儿童、青少年和青年数字干预中的应用:对照试验的系统评价和荟萃分析。
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Effects of positive psychological interventions on positive and negative emotions in depressed individuals: a systematic review and meta-analysis.积极心理干预对抑郁症患者正负性情绪的影响:一项系统评价与荟萃分析
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The effects and process of the intervention "Individual Shantala Infant Massage" in preventive child healthcare to improve parent-child interaction: study protocol for a quasi-experimental study.
“个体山达那婴儿抚触”干预措施在预防儿童保健中改善亲子互动的效果和过程:一项准实验研究的研究方案。
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Positive affect improves a transdiagnostic model of perinatal depression symptoms.积极情绪改善围产期抑郁症状的跨诊断模型。
J Affect Disord. 2023 Sep 1;336:112-119. doi: 10.1016/j.jad.2023.05.031. Epub 2023 May 23.
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Parental Postnatal Depression in the Time of the COVID-19 Pandemic: A Systematic Review of Its Effects on the Parent-Child Relationship and the Child's Developmental Outcomes.COVID-19 大流行期间的父母产后抑郁症:对其对亲子关系和儿童发展结果影响的系统评价。
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A Comprehensive Review on Postpartum Depression.产后抑郁症综合综述
Cureus. 2022 Dec 20;14(12):e32745. doi: 10.7759/cureus.32745. eCollection 2022 Dec.
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Postpartum Psychosis.产后精神病。
Curr Psychiatry Rep. 2023 Feb;25(2):65-72. doi: 10.1007/s11920-022-01406-4. Epub 2023 Jan 13.
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Postpartum symptom clusters in birthing individuals: A systematic review.产妇个体产后症状群:系统评价。
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Depression in pregnant and postpartum women during COVID-19 pandemic: systematic review and meta-analysis.新冠疫情期间孕妇和产后妇女的抑郁症:系统评价与荟萃分析
Obstet Gynecol Sci. 2022 Jul;65(4):287-302. doi: 10.5468/ogs.21265. Epub 2022 Jun 27.
10
Effects of Infant Massage: A Systematic Review.婴儿抚触的效果:系统评价。
Int J Environ Res Public Health. 2022 May 24;19(11):6378. doi: 10.3390/ijerph19116378.