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- Title
Improving Maternal Mental Health Following Preterm Birth Using an Expressive Writing Intervention: A Randomized Controlled Trial.
- Authors
Horsch, Antje; Tolsa, Jean-François; Gilbert, Leah; Chêne, Lauranne; Müller-Nix, Carole; Graz, Myriam; du Chêne, Lauranne Jan; Bickle Graz, Myriam
- Abstract
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 at 3 months (pre-intervention), 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.
- Subjects
GRAPHOTHERAPY; MOTHERS; PREMATURE labor; POST-traumatic stress disorder; POSTPARTUM depression; MENTAL health; DIAGNOSIS of mental depression; THERAPEUTICS; DIAGNOSIS of post-traumatic stress disorder; TREATMENT of post-traumatic stress disorder; CLINICAL psychology; COMPARATIVE studies; MENTAL depression; PREMATURE infants; RESEARCH methodology; MEDICAL cooperation; PSYCHOLOGY of mothers; RESEARCH; EVALUATION research; NARRATIVES; RANDOMIZED controlled trials; TREATMENT effectiveness
- Publication
Child Psychiatry & Human Development, 2016, Vol 47, Issue 5, p780
- ISSN
0009-398X
- Publication type
journal article
- DOI
10.1007/s10578-015-0611-6