Effects of an early intervention on maternal post-traumatic stress symptoms and the quality of mother–infant interaction: The case of preterm birth

Borghini, Ayala; Habersaat, Stéphanie; Forcada-Guex, Margarita; Nessi, Jennifer; Pierrehumbert, Blaise; Ansermet, François; Müller-Nix, Carole

doi:10.1016/j.infbeh.2014.08.003

Cited by 81 publications

(123 citation statements)

References 38 publications

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“…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). A crisis intervention program during the hospitalization of the infant resulted in reduced maternal posttraumatic stress symptoms (23).…”

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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“…Perinatal PTSD might affect infant development through impairment of prenatal bonding, disturbed prenatal care, and postnatal maternal-infant attachment. Interpersonal trauma history [2] or poor psychological functioning [3] are associated with disturbed prenatal bonding and poor mother-infant attachment [4]. Poor prenatal bonding is, in turn, associated with prenatal alcohol exposure [5], poor prenatal health practices [6], and postpartum depression [5] - mechanisms that can impact fetal neural development.…”

Section: Introductionmentioning

confidence: 99%

Association between theta power in 6-month old infants at rest and maternal PTSD severity: A pilot study

Sanjuán

Poremba

Flynn

et al. 2016

Neuroscience Letters

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Compared to infants born to mothers without PTSD, infants born to mothers with active PTSD develop poorer behavioral reactivity and emotional regulation. However, the association between perinatal maternal PTSD and infant neural activation remains largely unknown. This pilot study (N=14) examined the association between perinatal PTSD severity and infant frontal neural activity, as measured by MEG theta power during rest. Results indicated that resting left anterior temporal/frontal theta power was correlated with perinatal PTSD severity (p=0.004). These findings suggest delayed cortical maturation in infants whose mothers had higher perinatal PTSD severity and generate questions regarding perinatal PTSD severity and infant neurophysiological consequences.

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“…La "intervención temprana" hace referencia a los programas enfocados al manejo del estrés que experimentan los padres a los pocos días del nacimiento del bebé, cuando es más evidente la neuroplasticidad cerebral del neonato; dichas intervenciones buscan tener mayor impacto en la salud del niño (28), siendo necesario, por tanto, establecer sus componentes claves.…”

Section: ¿Qué Tanto Pueden Funcionar Las Intervenciones Tempranas Parunclassified

Metaanálisis: efecto de las intervenciones para disminuir el nivel de estrés en padres de prematuros

2016

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RESUMENIntroducción: el nacimiento prematuro de un bebé genera estrés en los padres, por el riesgo de aumento en la morbimortalidad que esto conlleva. Existen intervenciones que disminuyen el nivel de estrés en los padres beneficiando a su vez el neurodesarrollo del recién nacido. Objetivo: categorizar los principales componentes de los programas de intervención temprana y determinar el efecto de estas intervenciones en la disminución del nivel de estrés en padres de prematuros hospitalizados. Método: metaanálisis con 9 ensayos clínicos controlados, que cumplieron los criterios de rigurosidad metodológica. Resultados: las intervenciones aplicadas a los padres de prematuros hospitalizados mostraron efecto de intensidad media-baja sobre el nivel de estrés percibido (d=0,36 IC [-0.68, -0,05]). Sin embargo, las pruebas de heterogeneidad indican alta variabilidad inter-estudio (Q(df=8) = p-val: <0,00001), I2=85% ), explicada parcialmente por las características moderadoras codificadas para los estudios. Conclusiones: aunque las intervenciones mostraron efectos positivos en la disminución del nivel de estrés en los padres, se evidencia que la educación y el apoyo emocional en conjunto logran un mejor efecto. Las futuras investigaciones deben analizar aspectos como calidad de los estudios, intervenciones con apoyo emocional, edad de los padres y diversidad en los contextos de aplicación. PALABRAS CLAVEPadres; prematuro; estrés psicológico; intervención; metaanálisis; instrumentos; enfermería Neonatal (Fuente: DeCS, BIREME). The preterm birth of a baby stresses the parents, due to the risk of increased morbidity and mortality. Some interventions decrease parental stress levels while benefiting the neurodevelopment of the newborn. Objective: To categorize the main components of early intervention programs and to determine their effect in decreasing the stress levels of parents of hospitalized premature babies. Method: Meta-analysis with 9 controlled clinical trials that met the criteria of methodological rigor. Results: The interventions applied to parents of hospitalized premature babies showed a medium-low intensity effect on the perceived stress level (d=0.36 IC [-0.68, -0.05]). However, heterogeneity tests indicate high inter-study variability (Q(df=8) = p-val: <0.00001), I2=85% ), partially explained by the moderating coded features for the studies. Conclusions: Even though the interventions revealed positive effects in reducing parental stress levels, it is shown that education and emotional support achieve a better effect together. Future research should examine aspects such as the quality of studies, interventions with emotional support, parental age and diversity in application contexts.

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Effects of an early intervention on maternal post-traumatic stress symptoms and the quality of mother–infant interaction: The case of preterm birth

Cited by 81 publications

References 38 publications

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

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

Association between theta power in 6-month old infants at rest and maternal PTSD severity: A pilot study

Metaanálisis: efecto de las intervenciones para disminuir el nivel de estrés en padres de prematuros

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