title: Effectiveness of therapeutic behavioral interventions for parents of low birth weight premature infants: A review.
abstract: Premature birth has been associated with a number of adverse maternal psychological outcomes that include depression, anxiety, and trauma as well as adverse effects on maternal coping ability and parenting style. Infants and children who were premature are more likely to have poorer cognitive and developmental functioning and, thus, may be harder to parent. In response to these findings, there have been a number of educational and behavioral interventions developed that target maternal psychological functioning, parenting and aspects of the parent-infant relationship. Since the last comprehensive review of this topic in 2002, there have been a significant number of developments in the quality of the studies conducted and the theoretical models that address the experience of parents of premature infants. In the current review, eighteen new interventions were identified and grouped into four categories based on treatment length and the target of the intervention. Findings suggest a trend towards early, brief interventions that are theoretically based, specifically target parent trauma, and utilize cognitive behavioral techniques. Although it is difficult to generalize study findings, conclusions from the review suggest that targeted interventions may have positive effects on both maternal and infant outcomes.
authors.affiliation: Department of Psychiatry and Behavioral Sciences and Department of Psychology, PGSP-Stanford Psy.D. Consortium.
authors.forename: Carrie
authors.initials: C
authors.lastname: Brecht
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Shaw
authors.affiliation: Department of Psychiatry, New York University School of Medicine.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Horwitz
authors.affiliation: Lucile Packard Children's Hospital.
authors.forename: Nicholas H St
authors.initials: NH
authors.lastname: John
keywords: maternal distress; neonatal intensive care; premature infants