基于网络的干预 (SunnysideFlex) 促进在怀孕期间对创伤后应激障碍症状的弹性:开发和试点研究
Katherine C Paltell1, Jennifer Duffecy2, Pauline M Maki3
1Department of Psychology, University of Illinois at Chicago, Chicago, IL, United States.
JMIR formative research
|November 1, 2024
概括
一个新的基于网络的干预,SunnysideFlex,在孕妇中显示出治疗创伤后应激障碍 (PTSD) 的前景. 这项试点研究发现干预是可行的和可以接受的,参与者中PTSD症状显著减少.
科学领域:
- 围产期心理健康问题
- 数字治疗学数字治疗学
- 创伤信息化的护理
背景情况:
- 创伤后应激障碍 (PTSD) 影响4-8%的孕妇,增加了对母亲和儿童不良结果的风险.
- 怀孕中PTSD的诊断和治疗不足,原因是无法获得面对面的服务.
- 基于网络的干预提供了一个可扩展的解决方案,可以在怀孕期间获得PTSD治疗.
研究的目的:
- 开发和试点SunnysideFlex,一个为期6周的基于网络的认知行为治疗干预PTSD在孕妇.
- 为了评估SunnysideFlex的可行性和可接受性.
- 评估PTSD和抑郁症症状的干预前后变化.
主要方法:
- 调整了一个现有的基于网络的平台 (Sunnyside for Moms) 并修改了以创伤为中心的内容.
- 招募了10名怀孕妇女 (怀孕16至28周),可能患有PTSD (在DSM-5的PTSD检查清单上得分≥33),并有人际关系创伤史.
- 进行了基线和6周的干预后评估.
主要成果:
- 参与度高:参与者访问了90%的课程,并每周登录一次.
- 80% (8/10) 显示PTSD症状有临床意义的减少.
- 50% (5/10) 不再对可能的PTSD呈阳性查;60%保持了亚临床抑郁症症状.
结论:
- SunnysideFlex似乎是一个可行的和可接受的干预措施,孕妇患有PTSD.
- 这种干预措施显示出在这种高风险人群中改善PTSD症状的潜力.
- 需要进行更大规模的试验来确认在怀孕期间和产后期间的疗效.
关键词:
在阳光下Flex行为疗法是一种行为疗法.儿童健康 儿童健康抑郁 抑郁症 抑郁症 抑郁症 是一种周产阶段 周产阶段在分娩后的产后.创伤后应激障碍 创伤后应激障碍怀孕 怀孕 怀孕 怀孕 怀孕压力就是压力,压力就是压力.创伤的创伤创伤的创伤.治疗治疗治疗治疗治疗治疗基于网络的干预.更多相关视频
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