Prevention of Traumatic Stress in Mothers With Preterm Infants: A Randomized Controlled Trial

Shaw, Richard J.; John, Nick St.; Lilo, Emily; Jo, Booil; Benitz, William Ε.; Stevenson, David K.; Horwitz, Sarah M.

doi:10.1542/peds.2013-1331

Cited by 116 publications

(161 citation statements)

References 45 publications

(27 reference statements)

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“…18 There were no statistical differences between the intervention and comparison groups on most baseline variables including maternal ratings of trauma (SASRQ and DTS), anxiety (BAI), and depression (BDI-II); previous trauma history (Traumatic Events Questionnaire); and current psychiatric diagnoses of major depression, dysthymia, or anxiety assessed using the MINI Diagnostic Interview.…”

Section: Baseline Characteristicsmentioning

confidence: 82%

“…17 Recently, we reported findings from a randomized controlled trial of a 6-session, skills-based intervention developedto reduce symptoms of parental depression, anxiety, and trauma in parents of preterm infants. 18 Mothers in the intervention group reported a greater reduction in both trauma symptoms and depression but not anxiety compared with the comparison group immediately postintervention. The intervention, which incorporated components of trauma-focused cognitive behavior therapy (CBT), was found to be feasible and easily delivered in the NICU environment and received high ratings of maternal satisfaction.…”

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confidence: 84%

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Prevention of Traumatic Stress in Mothers of Preterms: 6-Month Outcomes

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: Interventions based on principles of trauma-focused cognitive behavior therapy have been shown to reduce symptoms of trauma and depression in mothers of premature infants. It is not known whether these benefits are sustained at long-term follow-up. WHAT THIS STUDY ADDS:A brief, cost-effective 6-session manualized intervention for parents of infants in the NICU was effective in reducing symptoms of parental trauma, anxiety, and depression at 6-month follow-up. There were no added benefits from a 9-session version of the treatment.abstract OBJECTIVE: Symptoms of posttraumatic stress disorder are a wellrecognized phenomenon in mothers of preterm infants, with implications for maternal health and infant outcomes. This randomized controlled trial evaluated 6-month outcomes from a skills-based intervention developed to reduce symptoms of posttraumatic stress disorder, anxiety, and depression. METHODS:One hundred five mothers of preterm infants were randomly assigned to (1) a 6-or 9-session intervention based on principles of trauma-focused cognitive behavior therapy with infant redefinition or (2) a 1-session active comparison intervention based on education about the NICU and parenting of the premature infant. Outcome measures included the Davidson Trauma Scale, the Beck Depression Inventory II, and the Beck Anxiety Inventory. Participants were assessed at baseline, 4 to 5 weeks after birth, and 6 months after the birth of the infant.RESULTS: At the 6-month assessment, the differences between the intervention and comparison condition were all significant and sizable and became more pronounced when compared with the 4-to 5-week outcomes: Davidson Trauma Scale (Cohen' s d = 20.74, P , .001), Beck Anxiety Inventory (Cohen' s d = 20.627, P = .001), Beck Depression Inventory II (Cohen' s d = 20.638, P = .002). However, there were no differences in the effect sizes between the 6-and 9-session interventions.CONCLUSIONS: A brief 6-session intervention based on principles of trauma-focused cognitive behavior therapy was effective at reducing symptoms of trauma, anxiety, and depression in mothers of preterm infants. Mothers showed increased benefits at the 6-month follow-up, suggesting that they continue to make use of techniques acquired during the intervention phase. Pediatrics 2014;134:e481-e488 AUTHORS:

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Section: Baseline Characteristicsmentioning

confidence: 82%

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confidence: 84%

Prevention of Traumatic Stress in Mothers of Preterms: 6-Month Outcomes

et al. 2014

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“…A cluster of socio-demographic factors including depression as well as several others not explored in our study (racism, stress, anxiety) have supported the vulnerability of the Black women for adverse infant outcomes (Gennaro et al 2008). As noted, adverse infant outcomes can subsequently lead to a traumatic birth experience (Shaw et al 2013). …”

Section: Discussionmentioning

confidence: 99%

Factors Related to the Seeking and Contribution of Prenatal Care Among Ethnically Diverse Adolescents

Anderson

Rahn

2016

J Child Fam Stud

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Prenatal care (PNC) defined in a "broader" sense includes assessment to improve early, continuous care with address of social risk factors such as violence (Moos 2006). Often PNC visits provide the only window of opportunity to address content reflective of the psychosocial dimension of care, including violence and depression prior to birth. If PNC is inadequate, critical social assessments are limited and interventions are not implemented.Further, without PNC, important birthing information to prepare one for labor and birth is not provided increasing the potential for birth related trauma or posttraumatic stress disorder, PTSD (Leeds and Hargreaves 2008).

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“…This scale has been widely used in the neonatal literature 1,5,8,17,[23][24][25][26][27][28][29][30][31] and has been shown to have high validity and reliability 4 . Authors' permission was obtained for their use.…”

Section: Instrumentsmentioning

confidence: 99%

Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal

Palma¹,

et al. 2017

Rev. chil. pediatr.

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Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal AbstractIntroduction: The birth of a child that requires hospitalization in a Neonatal Intensive Care Unit (NICU) can be very stressful for parents. Objective: To determine the stress level of parents of newborns (NB) hospitalized in a level III NICU in Santiago, and its association with clinical and sociodemographic variables. Patients and Method: Descriptive cross-sectional study. 373 admissions were evaluated. The sampling was non-probabilistic and included parents of RN admitted to the UPCN between 7 and 21 days of hospitalization. Only parents which have visited the RN at least three times were included. Instruments: i) Questionnaire to obtain data which could not be obtained from the medical record; ii) Parental Stress Scale: Neonatal Intensive Care Unit (PSS:NICU) which measures the perception of parents about stressors from the physical and psychological environment of the UPCN. Results: 100 parents of 59 hospitalized NB participated in the study. The average parental stress was 2.87±0.69. The subscale scores got higher was "Relationship with the baby and parental role". Complications in pregnancy, prenatal diagnosis or prenatal hospitalization, did not affect the stress level or the presence of prematurity, respiratory diseases, congenital malformations, genopathies or requirement of mechanical ventilation. Conclusions: Stress levels presented in parents are unrelated to gender and to the studied clinical variables.

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Prevention of Traumatic Stress in Mothers With Preterm Infants: A Randomized Controlled Trial

Cited by 116 publications

References 45 publications

Prevention of Traumatic Stress in Mothers of Preterms: 6-Month Outcomes

Prevention of Traumatic Stress in Mothers of Preterms: 6-Month Outcomes

Factors Related to the Seeking and Contribution of Prenatal Care Among Ethnically Diverse Adolescents

Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal

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