The effect of cognitive-behavioral counseling on anxiety in the mothers of infants in the NICU:  A randomized controlled trial

Koochaki, Massumeh; Mahmoodi, Zohreh; Saeieh, Sara Esmaelzadeh; Kabir, Kourosh; Tehranizadeh, Maryam; Dolatian, Mahrokh

doi:10.12688/f1000research.12539.1

Cited by 5 publications

(18 citation statements)

References 14 publications

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“…The data findings in Table 3 presented the posttest level of anxiety score among mothers of preemies between the experimental and control groups. The base line anxiety score in the pre-test was 41.22 and the post-test anxiety score was 25.45 after the intervention and mean difference in anxiety score was 15.77 in the experimental group shows highly significant at P≤0.01, very highly significant at P≤0.001 The present study findings were found to be consistent with the research findings put forward by Koochaki M, et al [15] found that the anxiety score before the intervention was 19.45 and reduced to 11.52 after the intervention in experimental group. Whereas, in the control group, the pre-test score was 20.67 and reduced to 8.95 in the post test.…”

Section: Discussionsupporting

confidence: 91%

Effectiveness of Mother Steered Essential Preemies Care Bundle on The Level of Anxiety Among Mothers of Preemies

Hemamalini

Jaya

Jayanthi³

2020

RPN

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Background:The birth of a baby prior to the expected date of its arrival to this world is associated with the emotions, feelings of anxiety, fear over danger, infrequent access and interaction with the infant during the period of hospitalization in the Neonatal Intensive Care Unit. Aim and objective:The objective of the study was to assess the effectiveness of a Mother Steered Essential Preemies Care Bundle on the level of anxiety among mothers of preemies. Methodology:A quantitative research approach with quasi-experimental study was adopted. Atotal of 240 mothers of preemies (120 each in the experimental and control group) participated in the study. Non-probability purposive sampling technique was used to select the subjects. Data was collected using Modified Perinatal Anxiety Screening Scale.Result: Comparison of the level of anxiety based on the statistics revealed that the 't' value for anxiety in the experimental group was 10.83. This has shown a very high statistical significance at p≤0.001. Conclusion:The Mother Steered Essential Preemies Care Bundle was effective in significantly reducing the anxiety of mothers of preemies.

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Section: Discussionsupporting

confidence: 91%

Effectiveness of Mother Steered Essential Preemies Care Bundle on The Level of Anxiety Among Mothers of Preemies

Hemamalini

Jaya

Jayanthi³

2020

RPN

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“…A systematic review of studies of interventions for perinatal anxiety disorders similarly highlighted the limited data (and high levels of heterogeneity), but found evidence of significant reductions in anxiety symptom severity with interventions also used at other times in a woman's life 89 . There is also some evidence from small trials suggesting that CBT can reduce symptoms in women with blood and injection phobias in pregnancy 90 , PTSD and depression in mothers who have babies on a neonatal intensive care unit 91,92 , and postnatal OCD 93 .…”

Section: Interventionsmentioning

confidence: 99%

Perinatal mental health: a review of progress and challenges

2020

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Perinatal mental health has become a significant focus of interest in recent years, with investment in new specialist mental health services in some high‐income countries, and inpatient psychiatric mother and baby units in diverse settings. In this paper, we summarize and critically examine the epidemiology and impact of perinatal mental disorders, including emerging evidence of an increase of their prevalence in young pregnant women. Perinatal mental disorders are among the commonest morbidities of pregnancy, and make an important contribution to maternal mortality, as well as to adverse neonatal, infant and child outcomes. We then review the current evidence base on interventions, including individual level and public health ones, as well as service delivery models. Randomized controlled trials provide evidence on the effectiveness of psychological and psychosocial interventions at the individual level, though it is not yet clear which women with perinatal mental disorders also need additional support for parenting. The evidence base on psychotropic use in pregnancy is almost exclusively observational. There is little research on the full range of perinatal mental disorders, on how to improve access to treatment for women with psychosocial difficulties, and on the effectiveness of different service delivery models. We conclude with research and clinical implications, which, we argue, highlight the need for an extension of generic psychiatric services to include preconception care, and further investment into public health interventions, in addition to perinatal mental health services, potentially for women and men, to reduce maternal and child morbidity and mortality.

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“…Selected studies included seven randomized controlled trials (RCTs) (Dabas et al, 2019;Jouybari et al, 2018;Koochaki et al, 2017;Kucuk Alemdar et al, 2018;Petteys & Adoumie., 2018;Ribeiro et al, 2018;Welch et al, 2016) and seven quasi-experimental designs (Akbari et al, 2019;Gustafson et al, 2016;John et al, 2018;Kadivar et al, 2016;Mansson et al, 2019;Noergaard et al, 2018;Ong et al, 2018). One of the RCT studies was blinded (Jouybari et al, 2018).…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of Current Interventions to Alleviate Parental Distress in the NICU: A Rapid Review

Shudra¹,

Papathanassoglou²,

Reichert³

2022

IJCC

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Background: The birth of a premature infant and admission to the NICU is often unexpected and traumatic for families, leading to increased distress and can negatively impact parental-infant attachment. Appropriate interventions can help to lessen the negative impact of a NICU admission on families, improving parental mental health, reducing distress, enhancing parent- infant relationships, and improving the long-term physical, cognitive, emotional, and social development of the infant. Aims: The purpose of this study is to examine and evaluate research evidence on the effectiveness of current interventions for improving parental distress in the NICU. Methods: A rapid review was conducted utilizing a protocol based on the Virginia Commonwealth University guidance. Keyword searches were conducted on CINAHL, MEDLINE, and PsychINFO, and studies were selected according to pre-defined eligibility criteria, published between January 2015 and January 2020. The literature search included primary studies of interventions with parental stress and/or anxiety reduction as outcomes. Results: A total of 14 articles were included, evaluating the effectiveness of 13 different interventions, including narrative writing, art therapy, structured nursing interventions, anxiety counselling, spiritual care, organizational change, music therapy, relaxation, and mindfulness techniques. With the Pexception of three, all the studies found significant results in the reduction of stress and/or anxiety levels of the subjects, with mothers having overall higher levels of stress indicated by higher stress scores on standardized measurement tools. Conclusion: There is a need for ongoing assessment of parental distress and integration of appropriate interventions within the NICU settings. In this review, both individualized and group interventions including narrative writing, art therapy, music therapy, spiritual care, activity-based group therapy, music therapy, audio-assisted relaxation techniques, mindfulness based neurodevelopmental care, cognitive behavioral based counselling, family nurture intervention and a structured nursing intervention were shown to be effective in reducing parental stress and/or anxiety in the NICU. The small scale of the studies included in this review impact generalizability to a broader audience and emphasizes the need for larger scope, multi-center studies at an international level to build on and broaden our level of knowledge on how to better support families and reduce parental distress in the NICU.

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The effect of cognitive-behavioral counseling on anxiety in the mothers of infants in the NICU: A randomized controlled trial

Cited by 5 publications

References 14 publications

Effectiveness of Mother Steered Essential Preemies Care Bundle on The Level of Anxiety Among Mothers of Preemies

Effectiveness of Mother Steered Essential Preemies Care Bundle on The Level of Anxiety Among Mothers of Preemies

Perinatal mental health: a review of progress and challenges

Effectiveness of Current Interventions to Alleviate Parental Distress in the NICU: A Rapid Review

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