Improving Maternal Mental Health Following Preterm Birth Using an Expressive Writing Intervention: A Randomized Controlled Trial.

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_787A3EBD0735
Type
Article: article from journal or magazin.
Collection
Publications
Title
Improving Maternal Mental Health Following Preterm Birth Using an Expressive Writing Intervention: A Randomized Controlled Trial.
Journal
Child psychiatry and human development
Author(s)
Horsch A., Tolsa J.F., Gilbert L., du Chêne L.J., Müller-Nix C., Bickle Graz M.
ISSN
1573-3327 (Electronic)
ISSN-L
0009-398X
Publication state
Published
Issued date
10/2016
Peer-reviewed
Oui
Volume
47
Number
5
Pages
780-791
Language
english
Notes
Publication types: Journal Article ; Randomized Controlled Trial
Publication Status: ppublish
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.

Keywords
Adult, Depression/diagnosis, Depression/etiology, Depression/therapy, Female, Humans, Infant, Extremely Premature, Infant, Newborn, Male, Mental Health, Mothers/psychology, Narrative Therapy/methods, Pregnancy, Premature Birth/psychology, Psychological Techniques, Stress Disorders, Post-Traumatic/diagnosis, Stress Disorders, Post-Traumatic/etiology, Stress Disorders, Post-Traumatic/therapy, Treatment Outcome, Expressive writing, Intervention, Maternal mental health, NICU, Premature
Pubmed
Web of science
Open Access
Yes
Create date
19/01/2016 14:13
Last modification date
20/08/2019 14:35
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