Effectiveness of therapeutic and behavioral interventions for parents of low‐birth‐weight premature infants: A review

Brecht, Carrie; Shaw, Richard J.; Horwitz, Sarah McCue; John, Nicholas H. St.

doi:10.1002/imhj.21349

Cited by 45 publications

(36 citation statements)

References 60 publications

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“…So far, only a few studies have focused specifically on maternal posttraumatic stress symptoms (see (21) for a review). One early intervention program aimed to provide parent support, parent-infant relationship support, and infant development support when the infant was aged 33 weeks, 42 weeks, and 4 months CA and reported improved maternal posttraumatic stress symptoms (22).…”

Section: Introductionmentioning

confidence: 99%

Improving Maternal Mental Health Following Preterm Birth Using an Expressive Writing Intervention: A Randomized Controlled Trial

Horsch¹,

Tolsa²,

Gilbert³

et al. 2015

Child Psychiatry Hum Dev

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Evaluations of evidence-based, easily accessible, psychological interventions to improve maternal mental health following very preterm birth are scarce. This study investigated the efficacy and acceptability of the expressive writing paradigm for mothers of very preterm infants. The level of maternal posttraumatic stress and depressive symptoms was the primary outcome. Participants were 67 mothers of very preterm babies who were randomly allocated into the intervention (expressive writing; n = 33) or control group (treatment-as-usual; n = 32) when their infant was aged 3 months (corrected age, CA). Measurements were taken 3 months (preintervention), 4 months (post-intervention), and 6 months CA (follow-up). Results showed reduced maternal posttraumatic stress (d=0.42), depressive symptoms (d=0.67), and an improved mental health status (d=1.20) in the intervention group, which were maintained at follow-up.Expressive writing is a brief, cost-effective, and acceptable therapeutic approach that could be offered as part of the NICU care.

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Section: Introductionmentioning

confidence: 99%

Improving Maternal Mental Health Following Preterm Birth Using an Expressive Writing Intervention: A Randomized Controlled Trial

Horsch¹,

Tolsa²,

Gilbert³

et al. 2015

Child Psychiatry Hum Dev

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“…111 Targeted interventions may decrease PPD among these mothers, with some, but not all, interventions demonstrating moderate efficacy. 112–115 Infant outcomes positively impacted by these interventions include increased rates of secure attachment, 116 improved feeding behaviors, 113 decreased irritability and colic, 117 and enhanced cognitive functioning at two years of age. 118 Additionally, while other attachment and dyadic focused interventions have demonstrated efficacy in improving infant neurobiological outcomes with preterm babies, 119,120 these interventions did not assess the impact on maternal mood, despite evidence that disrupted maternal-infant relationships are related to PPD risk.…”

Section: Universal Selected and Indicated Efforts For Maternal Postmentioning

confidence: 99%

The Neurobiological Impact of Postpartum Maternal Depression

Drury

Scaramella

Zeanah

2016

Child and Adolescent Psychiatric Clinics of North America

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The lasting negative impact of postpartum depression (PPD) on offspring is well established. PDD appears to impact neurobiological pathways linked to socio-emotional regulation, cognitive and executive function, and physiologic stress response systems, systems also associated with toxic stress and negative health trajectories across the life course. Perinatal depression is expected to have significant consequences for offspring given the shared biological processes during pregnancy and the subsequent primacy of the early maternal-child relationship in shaping the child’s neurobiological development. A substantial body of literature has examined prevention and intervention efforts during the prenatal period, including the challenges associated with the medication use during pregnancy. 1,2 Recognizing the expansive nature of the existing literature, this review take a novel focus, specifically examining the current state of research defining the effect of universal, selected and indicated interventions for PDD on infant neurodevelopment. This focus was selected because of the unique nature of this time-period for the interaction of maternal psychopathology and infant development, acknowledging that both prenatal and parental depression at later developmental times points can influence child outcomes. We begin by providing a general overview of PPD and the rapid neurodevelopmental changes occurring during the first years of life. Building upon this foundation, we then discuss the specific evidence linking postpartum depression to neurobiological consequences in the offspring. We focus on the development of neural pathways with established associations those aspects of maternal caregiving most impacted by depression, including feeding and nutrition, sleep, health monitoring, play and language, and maternal sensitivity and engagement. Lastly, we discuss specific evidence related to the efficacy of current PPD efforts on infant neurobiological outcomes, highlighting existing research gaps as well as the utility of research in this area to impact long-term health trajectories. Given the established lasting, and potentially intergenerational, negative implications of maternal depression enhanced efforts targeting increased identification and early intervention approaches for PDD that impact health outcomes in both infants and mothers represents a critical public health concern.

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“…Bereits während des stationären Aufenthalts beginnende Interventionsprogramme führen gegenüber erst nach dem stationären Aufenthalt einsetzenden eher zu signifikanten Fördereffekten [27,29,30]. Für die besonderen Entwicklungsund Interaktionsbedürfnisse des zu früh geborenen Kindes im Rahmen von Elternschulungen und praktischen Unterweisungen sensibilisierte Eltern können einen substanziellen Beitrag zur Verbesserung seiner Entwicklung leisten [7]. Trainingsprogramme erlauben, ganz gezielt elterliche Fähigkeiten zu erweitern und Fertigkeiten zu entwickeln [21].…”

Section: Wissenschaftlicher Hintergrundunclassified