Reducing anxiety among children born preterm and their young mothers.
Reducing anxiety among children born preterm and their young mothers.
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DOI：
10.1097/nmc.0b013e318286140c
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发表时间：
2013-05
期刊：
影响因子：
--
通讯作者：
Melnyk B
中科院分区：
文献类型：
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作者：
Oswalt KL;McClain DB;Melnyk B
In 2009, over 10% of premature infants in the United States were born to younger mothers (≤ 21 years old). Negative outcomes are associated with both prematurity and younger parents. Secondary data analysis was conducted on data obtained from a larger randomized controlled trial with 253 mothers of low birth weight premature infants to examine the efficacy of the Creating Opportunities for Parent Empowerment (COPE) program, an educational-behavioral parent intervention in the Neonatal Intensive Care Unit (NICU), on maternal and child anxiety based on maternal age. For these analyses, child and maternal anxiety were assessed using the Child Behavior Checklist for Ages 2–3 and the State-Trait Anxiety Inventory collected at 24 months and 2–4 days post intervention, respectively. To test study hypotheses, we conducted multiple regression models using the structural equation modeling approach to path analysis. Multiple regression results for the full model indicated that there was a significant COPE × mothers’ age interaction effect on both mothers’ anxiety and child anxiety. Participation in the COPE program significantly predicted lower levels of mothers’ anxiety at post-intervention as well as lower levels of child anxiety at 24 months for younger mothers (18–21 years old), but not for mothers over 21 years old. Participating in COPE was associated with more favorable mental health outcomes for younger mothers and their children than mothers over 21 years old. Participation in the COPE program may help close the health disparities gap by improving behaviors in infants of younger mothers to rates similar to those of children of mothers over 21 years old.
