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Anxiety and Depression in Mothers of Preterm Infants and Psychological Intervention During Hospitalization in Neonatal ICU

Published online by Cambridge University Press:  10 January 2013

Ana Emilia Vita Carvalho ,
Maria Beatriz Martins Linhares ,
Flávia Helena Pereira Padovani  and
Francisco Eulógio Martinez
Ana Emilia Vita Carvalho
Affiliation:
Universidade de São Paulo (Brazil)
Maria Beatriz Martins Linhares*
Affiliation:
Universidade de São Paulo (Brazil)
Flávia Helena Pereira Padovani
Affiliation:
Universidade de São Paulo (Brazil)
Francisco Eulógio Martinez
Affiliation:
Universidade de São Paulo (Brazil)
*
Correspondence concerning this article should be addressed to Profa Dra Maria Beatriz Martins Linhares. Laboratório de Pesquisa – Prevenção de Problemas de Desenvolvimento e Comportamento da Criança (salas 52 e 53). Prédio da Saúde Mental - Faculdade de Medicina de Ribeirão Preto- USP. Campus Monte Alegre, Avenida Tenente Catão Roxo, 2650 Ribeirão Preto - São Paulo. Telefone: (55) (16) 3602-4610. Fax: (55) (16) 36024504. E-mail: linhares@fmrp.usp.br
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Abstract

The objective of this study was to evaluate and compare symptoms of anxiety and depression before and after psychological intervention in mothers of babies born preterm with very low birth weight, hospitalized in the Neonatal Intensive Care Unit. Fifty nine mothers, without psychiatric antecedents, were distributed into two groups according to the type of psychological intervention received. Group G1 included 36 mothers who received routine psychological treatment associated with initial structured intake using support materials (video and guidance manual). Group G2 included 23 mothers who received routine psychological intervention without support material. The STAI and BDI, respectively, were used to evaluate maternal indicators of anxiety and depression. The results revealed that both groups showed a reduction in levels of state or trait anxiety and depression after psychological intervention and discharge of the baby from the hospital. In regard to the emotional symptoms at a clinical level, a statistically significant reduction in the level of state-anxiety was verified in G1. The findings confirmed the need for psychological support for mothers of preterm infants and the use of materials focusing on «prematurity» for reduction of the situational anxiety on a clinical level.

El objetivo de este estudio era evaluar y comparar los síntomas de ansiedad y depresión antes y después de una intervención psicológica en madres de bebés prematuros con muy bajo peso, hospitalizados en la unidad neonatal de cuidados intensivos. 59 Madres primerizas, sin antecedentes psiquiáticos, se distribuyeron en dos grupos según el tipo de intervención psicológica recibida. El Grupo G1 incluía a las madres que recibieron tratamiento psicológico habaitual asociado a información estructurada y el emplo de material de apoyo. El Grupo G2 incluía a las madres que recibieron intervención psicológica sin material de apoyo. Se emplearon el STAI y el BDI, respectivamente, para evaluar los indicadores maternos de ansiedad y depresión. Los resultados revelaron que ambos grupos mostraron una reducción en los niveles de ansiedad estado o rasgo y depresión después de la intervención psicológica y de que su bebé fuese dado de alta. Con respecto a los síntomas emocionales al nivel clínico, se verificó una reducción estadísticamente significativa en el nivel de ansiedad-estado en el G1. Los resultados confirmaron la necesidad de apoyo psicológico para las madres de niños prematuros y el uso de material centrado en la «premadurez» para la reducción de la ansiedad situacional al nivel clínico.

Keywords

pretermanxietydepressionpsychological interventionmotherhoodpretérminoansiedaddepresiónintervención psicológicamaternidad
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 12 , Issue 1 , May 2009 , pp. 161 - 170
Copyright
Copyright © Cambridge University Press 2009

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