个性化压力管理干预对母亲心理健康的影响:一项随机临床试验
S Darius Tandon1, Judith T Moskowitz2, Renee C Edwards2
1Northwestern University Feinberg School of Medicine and Institute for Innovations in Developmental Sciences, Chicago, IL, USA. dtandon@northwestern.edu.
Archives of women's mental health
|September 17, 2025
概括
一个个性化的移动健康干预改善了母亲的心理健康,减少了抑郁症状和产后压力. 与标准产前护理相比,这种方法增强了行为激活和情绪调节.
科学领域:
- 围产期心理健康问题
- 数字健康干预措施 数字健康干预措施
- 认知行为疗法是一种认知行为疗法.
背景情况:
- 现有的对围产期孕产妇痛苦的干预措施缺乏个性化.
- 这项研究解决了根据个人经验和反应提供量身定制支持的需求.
- 临床试验注册:临床试验.gov,NCT05052281.gov,NCT05052281.gov,NCT05052281.gov,NCT05052281.gov.
研究的目的:
- 为了比较个性化的移动健康增强认知行为干预 (MB-P) 和通常的产前护理之间的孕产妇痛苦结果.
- 评估MB-P对抑郁症状,焦虑症状和感知压力的影响.
- 评估二次结果,包括行为激活,分散,社会支持和情绪调节.
主要方法:
- 孕妇 (孕期≤22周) 被随机分配给MB-P或通常的护理.
- 该MB-P干预涉及12个从母亲和婴儿计划中改编的会话,提供个性化的内容.
- 结果在多个时间点测量:基线,干预后,产后一个月和三个月,使用混合效应模型进行分析.
主要成果:
- 在产后三个月,MB-P参与者与对照人群相比,显著降低了抑郁症状 (d=0.43) 和感知压力 (d=0.46).
- 干预组在产后三个月表现出增强的行为激活 (d=0.41).
- 干预后,MB-P导致更大的脱中心 (d=0.37) 和改善情绪调节 (干预后d=0.56,分娩后三个月d=0.55).
结论:
- 个性化的移动健康增强认知行为干预 (MB-P) 有效地改善了母亲的抑郁和焦虑症状.
- MB-P对关键的心理机制产生了积极的影响,例如行为激活,分散和情绪调节.
- 未来的研究应该将MB-P与缺乏个性化,即时内容的标准干预措施进行比较.
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