The Survivor Moms' Companion Trauma‐Specific Perinatal Psychoeducation Intervention in a Community Outreach Program: An Open Pilot.
Introduction: Posttraumatic stress disorder (PTSD) confers significant risk during the childbearing year, including for maternal substance use, inadequate prenatal care, preterm birth, and impaired maternal‐infant bonding. Although several treatments are available for PTSD, few are specific to the p...
| Publicado en: | Journal of Midwifery & Women's Health Vol. 67; no. 5; pp. 569 - 580 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159611033&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159611033 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15269523 JR6 jtl: Journal of Midwifery & Women's Health issn: 15269523 maglogo: Y pubinfo: dt: Sep2022 vid: 67 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 159611033 157348090 159611033 159611033 10.1111/jmwh.13380 159611033 ppf: 569 ppct: 11 formats: tig: atl: The Survivor Moms' Companion Trauma‐Specific Perinatal Psychoeducation Intervention in a Community Outreach Program: An Open Pilot. aug: au: Sperlich, Mickey Kabilamany, Priscilla affil: School of Social Work, University at Buffalo, Buffalo New York, , USA sug: subj: Community Programs Psychoeducation Stress Disorders, Post-Traumatic Perinatal Care Human Pilot Studies Affect Emotional Regulation Community Health Workers Adult African Americans Income Educational Status Pretest-Posttest Design Paired T-Tests Female Anger Depression Descriptive Statistics New York Expectant Mothers Scales Edinburgh Postnatal Depression Scale Checklists Psychological Tests Symptom Checklist-90-Revised Chi Square Test Analysis of Variance McNemar's Test Hispanic Americans White Persons Asians Funding Source Adult: 19-44 years Female ab: Introduction: Posttraumatic stress disorder (PTSD) confers significant risk during the childbearing year, including for maternal substance use, inadequate prenatal care, preterm birth, and impaired maternal‐infant bonding. Although several treatments are available for PTSD, few are specific to the perinatal period. The purpose of this pilot study was to evaluate outcomes of a PTSD‐ and pregnancy‐specific psychoeducational intervention, the Survivor Moms' Companion (SMC). Methods: The SMC includes psychoeducation with tutor support to address maternal posttraumatic stress, affect regulation, and interpersonal sensitivity. This open pilot was conducted in a large city in a mid‐Atlantic state within an organization that provides perinatal services via community health workers (CHWs). The majority of participants were aged 20 to 25 years and African American and had low levels of income and educational attainment. The SMC learning modules were supplied to participants by specially trained CHWs who provided weekly face‐to‐face support during 30‐to‐60‐minute tutoring sessions. Pretest‐to‐posttest analyses using multiple imputation methodology and paired‐samples t tests examined PTSD symptom counts and scores related to theorized mechanisms of affect dysregulation and interpersonal sensitivity. Nonparametric statistical tests examined clinically meaningful changes. Results: Of 56 women who completed pretests, 38 (67.9%) completed the core dose of a minimum of 4 of 10 learning modules. Examination of intention‐to‐treat (n = 56) pretest‐to‐posttest scores revealed statistically significant improvements in PTSD symptoms (P <.001), affect regulation (depression [P <.001] and anger expression [P <.05]), and interpersonal sensitivity (P <.001). Per‐protocol analyses (n = 38) revealed significant changes from clinical to nonclinical range scores for PTSD (P <.01) and depression (P <.05). Discussion: These findings suggest that a psychoeducational intervention with tutor support can be influential in fostering positive mental health changes in a high‐risk perinatal population. CHWs with intervention‐specific training can be effective at implementing a trauma‐specific intervention. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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