PDF(Pubmed)
Abstract：
BACKGROUND: The negative impact of adverse perinatal mental health extends beyond the mother and child; therefore, it is essential to make an early intervention for the management of mental illness during pregnancy. Resilience-building interventions are demonstrated to reduce depression and anxiety among expectant mothers, yet research in this field is limited. This study aims to examine the effect of the \'Safe Motherhood-Accessible Resilience Training (SM-ART)\' on resilience, marital adjustment, depression, and pregnancy-related anxiety in a sample of pregnant women in Karachi, Pakistan.
METHODS: In this single-blinded block randomized controlled study, 200 pregnant women were recruited and randomly assigned to either an intervention or a control group using computer-generated randomization and opaque sealed envelopes. The intervention group received the SM-ART intervention consisting of six, weekly sessions ranging from 60 to 90 min. Outcomes (Resilience, depression, pregnancy-related anxiety and marital harmony) were assessed through validated instruments at baseline and after six weeks of both intervention and control groups.
RESULTS: The results revealed a significant increase in mean resilience scores (Difference:6.91, Effect size: 0.48, p-value < 0.05) and a decrease in depressive symptoms (Difference: -2.12, Effect size: 0.21, p-value < 0.05) in the intervention group compared to the control group. However, no significant change was observed in anxiety and marital adjustment scores.
CONCLUSIONS: The SM-ART intervention has the potential to boost resilience scores and decrease depressive symptoms in pregnant women and offers a promising intervention to improve maternal psychological health.
BACKGROUND: NCT04694261, Date of first trial registration: 05/01/2021.
METHODS: In this single-blinded block randomized controlled study, 200 pregnant women were recruited and randomly assigned to either an intervention or a control group using computer-generated randomization and opaque sealed envelopes. The intervention group received the SM-ART intervention consisting of six, weekly sessions ranging from 60 to 90 min. Outcomes (Resilience, depression, pregnancy-related anxiety and marital harmony) were assessed through validated instruments at baseline and after six weeks of both intervention and control groups.
RESULTS: The results revealed a significant increase in mean resilience scores (Difference:6.91, Effect size: 0.48, p-value < 0.05) and a decrease in depressive symptoms (Difference: -2.12, Effect size: 0.21, p-value < 0.05) in the intervention group compared to the control group. However, no significant change was observed in anxiety and marital adjustment scores.
CONCLUSIONS: The SM-ART intervention has the potential to boost resilience scores and decrease depressive symptoms in pregnant women and offers a promising intervention to improve maternal psychological health.
BACKGROUND: NCT04694261, Date of first trial registration: 05/01/2021.
摘要：
背景：不良围产期心理健康的负面影响超出了母婴；因此，怀孕期间对精神疾病的管理进行早期干预至关重要。复原力培养干预措施被证明可以减少孕妇的抑郁和焦虑，然而，在这一领域的研究是有限的。本研究旨在研究“安全孕产-无障碍复原力训练(SM-ART)”对复原力的影响，婚姻调整,抑郁症,以及卡拉奇孕妇样本中与妊娠相关的焦虑，巴基斯坦。
方法：在这项单盲区组随机对照研究中，招募了200名孕妇，并使用计算机生成的随机分组和不透明的密封信封随机分配到干预组或对照组。干预组接受SM-ART干预，包括六个，每周会议从60到90分钟。结果(弹性，抑郁症,在基线和干预组和对照组6周后，通过经过验证的仪器评估与妊娠相关的焦虑和婚姻和谐）。
结果：结果显示，与对照组相比，干预组的平均韧性得分显着增加（差异：6.91，效应大小：0.48，p值<0.05），抑郁症状减少（差异：-2.12，效应大小：0.21，p值<0.05）。然而,焦虑和婚姻适应评分无显著变化.
结论：SM-ART干预有可能提高孕妇的韧性评分和减少抑郁症状，并为改善产妇的心理健康提供了有希望的干预措施。
背景：NCT04694261，首次试用注册日期：2021年01月05日。
方法：在这项单盲区组随机对照研究中，招募了200名孕妇，并使用计算机生成的随机分组和不透明的密封信封随机分配到干预组或对照组。干预组接受SM-ART干预，包括六个，每周会议从60到90分钟。结果(弹性，抑郁症,在基线和干预组和对照组6周后，通过经过验证的仪器评估与妊娠相关的焦虑和婚姻和谐）。
结果：结果显示，与对照组相比，干预组的平均韧性得分显着增加（差异：6.91，效应大小：0.48，p值<0.05），抑郁症状减少（差异：-2.12，效应大小：0.21，p值<0.05）。然而,焦虑和婚姻适应评分无显著变化.
结论：SM-ART干预有可能提高孕妇的韧性评分和减少抑郁症状，并为改善产妇的心理健康提供了有希望的干预措施。
背景：NCT04694261，首次试用注册日期：2021年01月05日。
