早期干预以防止在怀孕期间母亲抑郁症后儿童的情绪和行为发展不良:随机对照试验的研究协议
Jeannette Milgrom1,2, Yafit Hirshler1, Charlene Holt1
1Parent-Infant Research Institute, Austin Health, 300 Waterdale Road, Heidelberg Heights, VIC, 3081, Australia.
BMC psychology
|August 4, 2023
概括
用认知行为疗法 (CBT) 治疗产前抑郁症可以预防孩子的情绪和行为问题. 这项研究评估了CBT.
科学领域:
- 围产期心理健康问题
- 儿童发展心理学 儿童发展心理学
- 临床心理学 临床心理学
背景情况:
- 产前抑郁症对母亲的福祉和儿童的发展构成风险.
- 患有产前抑郁症的母亲的孩子容易出现情绪和行为问题.
- 很少有受控研究评估了产前抑郁症的心理治疗方法,以防止儿童的不良后果.
研究的目的:
- 评估一项为期8周的结构化认知行为疗法 (CBT) 计划是否能预防或改善2岁儿童发育不良结果.
- 基于试点随机对照试验 (RCT) 的有希望的结果.
主要方法:
- 招募被诊断患有抑郁症的孕妇 (孕期≤30周).
- 随机分配到CBT或通常的治疗 (TAU).
- 主要结果:24个月的儿童行为检查清单 (CBCL) 的婴儿内化表;次要结果包括外化行为,运动/认知发展,婴儿行为和母婴互动.
主要成果:
- 试验正在进行中,招聘受到COVID-19大流行影响.
- 目前仍在收集24个月的初级和二级结果数据.
- 在整个研究过程中收集了母亲的心理健康和压力指标.
结论:
- 结果可以为标准的产前护理实践提供信息.
- 潜在影响孕产妇和婴儿健康服务.
- 可能有助于防止心理健康障碍的代际传播.
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