Interventions to reduce postpartum stress in first-time mothers: a randomized-controlled trial

详细信息    查看全文

• 作者：Hibah Osman (16)
  Matilda Saliba (17)
  Monique Chaaya (18)
  Georges Naasan (19)
  
  16. Department of Family Medicine ; American University of Beirut Medical Center ; Beirut ; Lebanon
  17. Research Institute of McGill University Health Center ; Montreal ; Canada
  18. Department of Epidemiology and Population Health ; American University of Beirut ; Beirut ; Lebanon
  19. Memory and Aging Center ; Department of Neurology ; University of California ; San Francisco ; USA
  
• 关键词：Postpartum ; Stress ; Intervention studies ; Hotlines ; Film
• 刊名：BMC Women's Health
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：333 KB
• 参考文献：1. George, L (2005) Lack of preparedness: experiences of first-time mothers. MCN Am J Matern Child Nurs 30: pp. 251-255 CrossRef
  2. Wilkins, C (2006) A qualitative study exploring the support needs of first-time mothers on their journey towards intuitive parenting. Midwifery 22: pp. 169-180 CrossRef
  3. Munk-Olsen, T, Laursen, TM, Pedersen, CB, Mors, O, Mortensen, PB (2006) New parents and mental disorders: a population-based register study. JAMA 296: pp. 2582-2589 CrossRef
  4. Hung, CH (2007) Postpartum stress as a predictor of women's minor psychiatric morbidity. Community Ment Health J 43: pp. 1-12 CrossRef
  5. Hung, CH, Yu, CY, Ou, CC, Liang, WW (2010) Taiwanese maternal health in the postpartum nursing centre. J Clin Nurs 19: pp. 1094-1101 CrossRef
  6. Barnet, B, Duggan, AK, Wilson, MD, Joffe, A (1995) Association between postpartum substance use and depressive symptoms, stress, and social support in adolescent mothers. Pediatrics 96: pp. 659-666
  7. Gao, LL, Chan, SW, Mao, Q (2009) Depression, perceived stress, and social support among first-time Chinese mothers and fathers in the postpartum period. Res Nurs Health 32: pp. 50-58 CrossRef
  8. Groer, MW, Morgan, K (2007) Immune, health and endocrine characteristics of depressed postpartum mothers. Psychoneuroendocrinology 32: pp. 133-139 CrossRef
  9. Hung, CH (2004) Predictors of postpartum women's health status. J Nurs Scholarsh 36: pp. 345-351 CrossRef
  10. Wenzel, A, Haugen, EN, Jackson, LC, Robinson, K (2003) Prevalence of generalized anxiety at eight weeks postpartum. Arch Womens Ment Health 6: pp. 43-49 CrossRef
  11. Dennis, CL, Creedy, D (2005) Psychosocial and psychological interventions for preventing postpartum depression. BMJ 331: pp. 15-21 CrossRef
  12. Chaaya, M, Campbell, OM, El Kak, F, Shaar, D, Harb, H, Kaddour, A (2002) Postpartum depression: prevalence and determinants in Lebanon. Arch Womens Ment Health 5: pp. 65-72 CrossRef
  13. Chaaya, M, Osman, H, Naassan, G, Mahfoud, Z (2010) Validation of the Arabic version of the Cohen Perceived Stress Scale (PSS-10) among pregnant and postpartum women. BMC Psychiatry 10: pp. 111 CrossRef
  14. Osman, H, Chaaya, M, El Zein, L, Naassan, G, Wick, L (2010) What do first-time mothers worry about? A study of usage patterns and content of calls made to a postpartum support telephone hotline. BMC Public Health 10: pp. 611 CrossRef
  15. Nelson, AM (2003) Transition to motherhood. J Obstet Gynecol Neonatal Nurs 32: pp. 465-477 CrossRef
  16. Saliba, M (2013) Promoting Postpartum Maternal Mental Health: An Intervention Study in Beirut, Lebanon [Thesis]. South Bank University, London
  17. Wick, L, Osman, H (2008) Postpartum stressors in Lebanon; an ethnographic study.
  18. Cohen, S, Kamarck, T, Mermelstein, R (1983) A global measure of perceived stress. J Health Soc Behav 24: pp. 385-396 CrossRef
  19. Bastani, F, Hidarnia, A, Kazemnejad, A, Vafaei, M, Kashanian, M (2005) A randomized controlled trial of the effects of applied relaxation training on reducing anxiety and perceived stress in pregnant women. J Midwifery Womens Health 50: pp. e36-e40 CrossRef
  20. Wang, SY, Chen, CH (2006) Psychosocial health of Taiwanese postnatal husbands and wives. J Psychosom Res 60: pp. 303-307 CrossRef
  21. Roberti, J, Harrington, L, Storch, E (2006) Further psychometric support for the 10-Item version of the perceived stress scale. J University Counseling 9: pp. 135-147
  The Status and Progress of Women in the Middle East and North Africa. The World Bank, Washington D.C
  Living Conditions Survey. Republic of Lebanon, Beirut
  Cesarean Section. The Global. GlobeMed ltd, Qatar
  22. Tseng, YF, Chen, CH, Lee, CS (2010) Effects of listening to music on postpartum stress and anxiety levels. J Clin Nurs 19: pp. 1049-1055 CrossRef
  23. Dritsa, M, Dupuis, G, Lowensteyn, I, Da Costa, D (2009) Effects of home-based exercise on fatigue in postpartum depressed women: who is more likely to benefit and why?. J Psychosom Res 67: pp. 159-163 CrossRef
  24. Roman, LA, Gardiner, JC, Lindsay, JK, Moore, JS, Luo, Z, Baer, LJ, Goddeeris, JH, Shoemaker, AL, Barton, LR, Fitzgerald, HE, Paneth, N (2009) Alleviating perinatal depressive symptoms and stress: a nurse-community health worker randomized trial. Arch Womens Ment Health 12: pp. 379-391 CrossRef
  25. Chen, CH, Tseng, YF, Chou, FH, Wang, SY (2000) Effects of support group intervention in postnatally distressed women. A controlled study in Taiwan. J Psychosom Res 49: pp. 395-399 CrossRef
  26. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1472-6874/14/125/prepub
  
• 刊物主题：Gynecology; Maternal and Child Health; Reproductive Medicine;
• 出版者：BioMed Central
• ISSN：1472-6874

文摘

Background The postpartum period can be a challenging time particularly for first-time mothers. This study aimed to assess two different interventions designed to reduce stress in the postpartum among first-time mothers. Methods Healthy first-time mothers with healthy newborns were recruited from hospitals in Beirut, Lebanon after delivery. The two interventions were a 20-minute film addressing common stressors in the postpartum period and a 24-hour telephone support hotline. Participants were randomized to one of four study arms to receive either the postpartum support film, the hotline service, both interventions, or a music CD (control). Participants were interviewed at eight to twelve weeks postpartum for assessment of levels of stress as measured by the Cohen Perceived Stress Scale (PSS-10). Results Of the 632 eligible women, 552 (88%) agreed to participate in the study. Of those, 452 (82%) completed the study. Mean PSS-10 scores of mothers who received the film alone (15.76) or the film with the hotline service (15.86) were significantly lower than that of the control group (18.93) (p-value p-value Conclusions Both our postpartum support film and the 24-hour telephone hotline service reduced stress in the postpartum period in first-time mothers. These simple interventions can be easily implemented and could have an important impact on the mental wellbeing of new mothers. Trial registration The trial was registered with clinicaltrials.gov (identifier # NCT00857051) on March 5, 2009.