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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: [email protected]
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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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References

Als, H. (1982). Toward a synactive theory of development: promise for the assessment and support of infant individuality. Infant Mental Health Journal, (3), 229–243.Google Scholar
Bracht, M., Ardal, F., Bot, A., & Cheng, C. M.(1998) Initiation and maintenance of a Hospital-Based parent group for parents of premature infants: Key factors for success. Neonatal Network, 17 (3), 33–37.Google Scholar
Bruns, D.A., Mccallun, J.A., & Cohen-Addad, N. (1999). What is and what should be: maternal perceptions of the roles in the NICU. The Transdisciplinary Journal, 9 (3), 281–298.Google Scholar
Carvalho, A.E.V., Linhares, M.B.M., & Martinez, F.E. (2001). História do Desenvolvimento e Comportamento de crianças nascidas pré-termo e baixo peso (< 1500g). Psicologia: Reflexão e Crítica, 14, 1–33.Google Scholar
Carvalho, A. E. V. & Linhares, M. B. M. (2001). Lembretes Preciosos para Mamãe - Livro de apoio à orientação psicológica de mães de recém-nascido pré-termo. Ribeirão Preto: FMRP-USP / FAEPA-HCFMRP.Google Scholar
Cockburn, F., Cooke, R.W.I., Gamsu, H.R., Greenough, A., Hopkins, A., Mcintosh, N., Agstont, S.A., Parryt, G.I., Silverman, M., Shaw, I.C.L., & Tarnow-Modit, W.O. (1993). The CRIB (Clinical Risk Index for Babies) score: a tool for assessing initial neonatal risk and comparing performance of neonatal intensive care units. Lancet, 342, 193–198.Google Scholar
Cunha, J.A. (2001). Manual da versão em português das Escalas de Beck. São Paulo: Casa do Psicólogo/ The Psychologial Corporation (USA).Google Scholar
Davis, L., Edwards, H., Mohay, H., & Wollin, J. (2003). The impact of very premature birth on the psychological health of mothers. Early Human Development, 73, 61–70.CrossRefGoogle ScholarPubMed
Del Ben, C.M. Estudo da confiabilidade do diagnóstico psiquiátrico obtido através da Entrevista Clínica para DSM-III-R (SCID) em serviço ambulatorial de um hospital escola (Mestrado). Ribeirão Preto (SP): Universidade de São Paulo, 1995.Google Scholar
Dobbins, N., Bohlig, C., & Sutphen, J. (1994). Partners in growth: implemeting family-centered changes in the neonatal intensive care unit. Children's Health Care, 23 (2), 115–126.CrossRefGoogle Scholar
Doering, L.V., Moser, D.K., & Dracup, K. (2000). Correlates of anxiety, hostility, depression, and psychosocial adjustment in parents of NICU infants. Neonatal Network, 19, 15–23.CrossRefGoogle ScholarPubMed
Gasparetto, S. Desenvolvimento de um programa de intervenção para mães de bebês pré-termo. (Doutorado). São Paulo (SP): Universidade de São Paulo, 1998.Google Scholar
Gorenstein, C., & Andrade, L.H.S.G. (2000). Inventário de Depressão de Beck – Propriedades psicométricas da versão em português. In Gorenstein, C., Andrade, L.H.S.G., & Zuardi, A.W. (Orgs.), Escalas de avaliação clínica em Psiquiatria e Psicofarmacologia (pp. 89–95). São Paulo: Lemos-Editorial.Google Scholar
Grimstad, H., Schei, B., Backe, B., & Jacobsen, G. (1999). Anxiety, physical abuse, and low birth weight. Scandinavian Journal Public Health, 27, 296–300.CrossRefGoogle ScholarPubMed
Holmgren, P.A., & Högberg, V. (2001). The very preterm infant-a population based study. Acta Obstetric and Gynecology Scandinavia, 80, 525–531.Google ScholarPubMed
Klaus, M., & Kennell, J.H. (1993). Atendimento para pais de bebês prematuros ou doentes. In Klaus, M., & Kennell, J.H.. Pais/Bebês - a formação do apego (pp. 170–244). Porto Alegre: Artes Médicas.Google Scholar
Laucht, M., Esser, G., & Schmit, M.H. (1997). Developmental outcome of infants born with biological and psychosocial risks. Journal Child Psychology and Psychiatry, 38, 843–853.CrossRefGoogle ScholarPubMed
Levy-Shiff, R., Einat, G., Mogilner, M.B., Lerman, M., & Krikler, R. (1994). Biological and environmental correlates of developmental outcome of prematurely born infants in early adolescence. Journal of Pedriatric Psychologic, 9 (1), 63–78.CrossRefGoogle Scholar
Linhares, M.B.M., Carvalho, A.E.V., Bordin, M.B.M., Chimello, J.T., Martinez, F.E., & Jorge, S.M. (2000). Prematuridade e muito baixo peso ao nascer como fator de risco ao desenvolvimento psicológico da criança. Cadernos de Psicologia e Educação Paidéia, 10, 60–69.Google Scholar
Linhares, M.B.M., Carvalho, A.E.V., Padovani, F.H.P., Bordin, M.B.M., Martins, I.M.B., & Martinez, F.E. (2004). A compreensão do fator de risco da prematuridade sob a ótica desenvolvimental. In Marturano, E.M., Linhares, M.B.M., & Loureiro, S.R. (Orgs.). Vulnerabilidade e Proteção: Indicadores na Trajetória do Desenvolvimento Escolar (pp. 10–38). São Paulo: Casa do Psicólogo / FAPESP.Google Scholar
Melnyk, B.M., Alpert-Gills, L., Feinstein, N.F., Fairbanks, E., Schultz-Czarniak, J., Hust, D., Sherman, L., Le Moine, C., Moldenhauer, Z., Small, L., Bender, N., & Sinkin, R.A. (2001). Improving cognitive development of low-birth-weight premature infants with the COPE program: a pilot study of the benefit of early NICU intervention with mothers. Research in Nursing & Health, 24, 373–389.CrossRefGoogle Scholar
Padovani, F.H.P., Linhares, M.B.M., Carvalho, A.E.V., Duarte, G., & Martinez, F.E. (2005). Avaliação de sintomas de ansiedade e depressão em mães de neonatos pré-termo durante e após hospitalização em UTI Neonatal. Revista Brasileira de Psiaquiatria, 26, 251–54.Google Scholar
Pinelli, J. (2000). Effects of family coping and resources on family adjustment and parental stress in the acute phase of the NICU experience. Neonatal Network, 19, 27–37.CrossRefGoogle ScholarPubMed
Poehlmann, J., Fiese, B.H. (2001). The interaction of maternal and infant vulnerabilities on developing attachment relationships. Development and Psychopathology, 3, 1–11.CrossRefGoogle Scholar
Pridham, K., Lin, C-Y., & Brown, R. (2001). Mothers' evaluation of their caregiving for premature and full-term infants through the first year: contributing factors. Research in Nursing & Health, 24, 157–169.CrossRefGoogle ScholarPubMed
Scherman, L. (2001). Considerações sobre a interação mãe-criança e o nascimento pré-termo. Temas em Psicologia da Sociedade Brasileira de Psicologia, 9 (1), 55–61.Google Scholar
Spielberger, C. D.; Gorsuch, R. L. e Lushene, R. E. (1979). Inventário de Ansiedade Traço-Estado – IDATE. (Traduzido e Adaptado por Biaggio, A. M. B. & Natalício, L.. Rio de Janeiro: CEPA.Google Scholar
Thurman, J.M. (1989). Mental Health Services for children – the state of art. American Psychology, 44 (2), 188–199.Google Scholar
Zanardo, V., & Freato, F. (2001). Home oxygen therapy in infants with bronchopulmonary dysplasia: assessment of parental anxiety. Early Human Development, 65, 39–46.CrossRefGoogle ScholarPubMed