A pilot study of a group-based perinatal depression intervention on reducing depressive symptoms and improving maternal-fetal attachment and maternal sensitivity.
A pilot study of a group-based perinatal depression intervention on reducing depressive symptoms and improving maternal-fetal attachment and maternal sensitivity.
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DOI：
10.1007/s00737-020-01032-0
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Borg L
中科院分区：
文献类型：
--
作者：
Alhusen JL;Hayat MJ;Borg L
进行一项基于小组的围产期抑郁症干预的试点研究，母亲和婴儿课程，对抑郁症，母胎依恋和母亲的敏感性。将60名患有中度至重度抑郁症的孕妇随机分为6周干预组或常规护理组。在基线和妊娠36周时收集抑郁症和母胎依恋的测量结果。在产后12周，参与者完成了抑郁症的测量，并收集了母亲敏感性的客观测量。随机分配到干预组的参与者平均完成了5.2个疗程，70%的女性完成了所有六个疗程。探索性分析显示，在产后12周，随机分配到干预组的参与者在爱丁堡产后抑郁量表（EPDS）上的得分较基线下降了8.32分，而随机分配到常规护理组的参与者则下降了4.59分。通过母亲-胎儿依恋量表（MFAS），随机分配到干预组的参与者的母亲-胎儿依恋平均变化评分为12.60，而常规护理组的参与者为4.60。通过护理儿童评估卫星培训喂养量表（NCAST喂养）评估的母亲敏感性评分，干预组妇女在产后12周时高于常规护理组妇女（分别为59.2和51.8）。我们的试点研究结果提供了围产期抑郁症干预的好处，提供了一组设置，减少抑郁症，并改善母胎依恋和母亲的敏感性的初步支持。进一步的研究，进行更大的样本，是必要的，以确定这种干预措施的效果对指标的母亲依恋。
To conduct a pilot study of a group-based perinatal depression intervention, the Mothers and Babies Course, on depressive symptomatology, maternal-fetal attachment, and maternal sensitivity. Sixty pregnant women with moderate to severe depressive symptomatology were randomized to a 6-week intervention or usual care group at their initial prenatal care visit. Measures of depressive symptomatology, and maternal-fetal attachment were collected at baseline, and 36 weeks gestation. At 12 weeks postpartum, participants completed a measure of depressive symptomatology, and an objective measure of maternal sensitivity was collected. Participants randomized to the intervention group completed an average of 5.2 sessions, and 70% of women completed all six sessions. Exploratory analyses showed at 12 weeks postpartum, participants randomized to the intervention group had a 8.32 point decrease from baseline on the Edinburgh Postnatal Depression Scale (EPDS) as compared to a 4.59 point decrease among participants randomized to usual care. Participants randomized to the intervention group had a mean change score of 12.60 in maternal-fetal attachment via the Maternal Fetal Attachment Scale (MFAS) as compared to 4.60 among participants in usual care. Maternal sensitivity scores, assessed via the Nursing Child Assessment Satellite Training-Feeding Scale (NCAST-Feeding), were higher at 12 weeks postpartum for women in the intervention group as compared to women in usual care (59.2 and 51.8, respectively). Our pilot study findings provide preliminary support for the benefits of a perinatal depression intervention, delivered in a group setting, on reducing depressive symptomatology, and improving maternal-fetal attachment and maternal sensitivity. Further research, conducted with larger samples, is necessary to determine the effect of this intervention on indicators of maternal attachment.
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影响因子：
4.5
作者：
Dubber, S.;Reck, C.;Gawlik, S.
通讯作者：
Gawlik, S.
影响因子：
2.4
作者：
Beeghly, Marjorie;Partridge, Ty;Irwin, Jessica L.
通讯作者：
Irwin, Jessica L.
影响因子：
2.5
作者：
Byrne, MW;Keefe, MR
通讯作者：
Keefe, MR
DOI：
10.1111/j.1552-6909.2012.01385.x
发表时间：
2012-11
期刊：
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
影响因子：
--
作者：
Alhusen JL;Gross D;Hayat MJ;Rose L;Sharps P
通讯作者：
Sharps P
影响因子：
120.7
作者：
Cohen, LS;Altshuler, LL;Stowe, ZN
通讯作者：
Stowe, ZN