title: Prevention of postpartum traumatic stress in mothers with preterm infants: manual development and evaluation.
abstract: Premature birth has been associated with multiple adverse maternal psychological outcomes that include depression, anxiety, and trauma as well as adverse effects on maternal coping ability and parenting style. Infants who are premature are more likely to have poorer cognitive and developmental functioning and, thus, may be harder to parent, both as infants and as they get older. In response to these findings, a number of educational and behavioral interventions have been developed that target maternal psychological functioning, parenting, and aspects of the parent-infant relationship. The current study aimed to both develop and evaluate a treatment that integrates, for the first time, effective interventions for reducing symptoms of posttraumatic stress disorder (PTSD) and enhancing maternal-infant interactions. Conclusions from the study indicate that the intervention is feasible, able to be implemented with a high level of fidelity, and is rated as highly satisfactory by participants. Though encouraging, these findings are preliminary, and future studies should strive to reproduce these findings with a larger sample size and a comparison group.
authors.affiliation: Division of Child and Adolescent Psychiatry, Stanford University School of Medicine, Palo Alto, California 94305-5719, USA. rjshaw@stanford.edu
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Shaw
authors.forename: Carrie J
authors.initials: CJ
authors.lastname: Sweester
authors.forename: Nicholas
authors.initials: N
authors.lastname: St John
authors.forename: Emily
authors.initials: E
authors.lastname: Lilo
authors.forename: Julia B
authors.initials: JB
authors.lastname: Corcoran
authors.forename: Booil
authors.initials: B
authors.lastname: Jo
authors.forename: Shelley H K
authors.initials: SH
authors.lastname: Howell
authors.forename: William E
authors.initials: WE
authors.lastname: Benitz
authors.forename: Nancy
authors.initials: N
authors.lastname: Feinstein
authors.forename: Bernadette
authors.initials: B
authors.lastname: Melnyk
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Horwitz
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000451:nursing / Q000523:psychology; D057189:Checklist; D019052:Depression, Postpartum / Q000451:nursing / Q000523:psychology; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000451:nursing* / Q000523:psychology*; D008370:Manuals as Topic; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D007752:Obstetric Labor, Premature / Q000451:nursing* / Q000523:psychology*; D010287:Parent-Child Relations; D016487:Parenting / Q000523:psychology; D017060:Patient Satisfaction; D010555:Personality Inventory / Q000706:statistics & numerical data; D010865:Pilot Projects; D011247:Pregnancy; D011594:Psychometrics; D013313:Stress Disorders, Post-Traumatic / Q000451:nursing* / Q000517:prevention & control*
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