PREPP: postpartum depression prevention through the mother-infant dyad.
PREPP: postpartum depression prevention through the mother-infant dyad.
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DOI：
10.1007/s00737-015-0549-5
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发表时间：
2016-04
期刊：
影响因子：
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通讯作者：
Monk C
中科院分区：
文献类型：
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作者：
Werner EA;Gustafsson HC;Lee S;Feng T;Jiang N;Desai P;Monk C
大多数预防产后抑郁症（PPD）的干预措施都集中在母亲身上，而不是母婴二元体。由于婴儿睡眠和哭泣行为与产妇产后情绪之间的密切关系已被先前的研究所证实，针对二分体的干预措施可能会减少PPD的症状。本研究的目的是探讨有效产后育儿实用资源（PREPP）的有效性。PREPP是一种新的PPD预防方案，旨在通过促进婴儿的母亲介导的行为变化来治疗有PPD风险的妇女，同时还包括以母亲为中心的技能。这项随机对照试验（RCT）（n = 54）的结果表明，这种新的，简短的干预是耐受性良好，有效地减少母亲的焦虑和抑郁症状，特别是在产后6周。此外，这项研究发现，参加PREPP的母亲的婴儿在产后6周时比参加增强TAU组的母亲的婴儿更少哭闹。这些初步结果表明，PREPP有可能降低高危妇女的PPD发病率，并直接影响母婴关系的发展，母亲对孩子的看法和孩子的结果。
Most interventions to prevent Postpartum Depression (PPD) focus on the mother rather than the mother–infant dyad. As strong relationships between infant sleep and cry behavior and maternal postpartum mood have been demonstrated by previous research, interventions targeted at the dyad may reduce symptoms of PPD. The goal of the current study was to examine the effectiveness of Practical Resources for Effective Postpartum Parenting (PREPP). PREPP is a new PPD prevention protocol that aims to treat women at risk for PPD by promoting maternally–mediated behavioral changes in their infants, while also including mother–focused skills. Results of this randomized control trial (RCT) (n = 54) indicate that this novel, brief intervention was well–tolerated and effective in reducing maternal symptoms of anxiety and depression, particularly at 6 weeks postpartum. Additionally, this study found that infants of mothers enrolled in PREPP had fewer bouts of fussing and crying at 6 weeks postpartum than those infants whose mothers were in the Enhanced TAU group. These preliminary results indicate that PREPP has the potential to reduce the incidence of PPD in women at risk, and to directly impact the developing mother–child relationship, the mother’s view of her child, and child outcomes.