Analysis of the results of application of the rational-emotive behaviour therapy for mothers of newborns with hypoxic affection of the central nervous system

Authors

  • Irina Mamaychuk St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation
  • Yulia Milanich St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation

DOI:

https://doi.org/10.21638/spbu16.2022.309

Abstract

Parents of hospitalized newborns tend to experience more severe psychological distress. Rel- evant to this is the impact on the specific irrational beliefs of mothers for the purpose of improving adaptation to the life situation. It is necessary to study the possibilities of cognitive- behavioral methods of intervention in working with this client category. The objective of this work is to study the dynamics of distress indicators in mothers of newborns with hypoxic affection of the central nervous system (CNS) in the process of the program developed on the basis of rational-emotive behaviour therapy (REBT). The study included 98 mothers of newborns with hypoxic affection of CNS. Based on the results of a semi-structured inter- view, 80 mothers were identified with a dysfunctional type of response to a life situation. The intervention group (N=50) received 8 REBT sessions for three weeks. The main target for psychotherapy was irrational beliefs, which underlie negative emotions and non-constructive ways coping with stress caused by hospitalization and facing information on the condition and developmental prognosis of a newborn. The control group (N=30) received one consul- tation session. To assess the dynamics of distress indicators, the Integrative Anxiety Test and Zung Self-Rating Depression Scale were used before and after the program in the intervention group and with an interval of three weeks in the control group. In the intervention group, the indicators of depression, situational anxiety, emotional discomfort and the phobic component of anxiety decreased. In the control group, the indicators of situational anxiety and asthenic component of anxiety decreased. In comparison with the control group, the mothers in the intervention group showed more significant positive changes. The programs developed on the basis of REBT have moderate efficacy in reduction of the distress in mothers of newborns with hypoxic affection of CNS.

Keywords:

mothers, newborns, hypoxic affection of the central nervous system, distress, rational-emotive behaviour therapy, effectiveness of psychotherapy

Downloads

Download data is not yet available.
 

Author Biographies

Irina Mamaychuk , St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation

Dr. Sci. in Psychology, Professor

Yulia Milanich, St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation

PhD in Psychology, Associate Professor

References


References

Advances in REBT Theory, Practice, Research, Measurement, Prevention and Promotion (2019), eds M.E.Bernard, W.Dryden. Cham, Springer, 2019. https://doi.org/10.1007/978-3-319-93118-0

Bernard, R. S., Williams, S.E., Storfer-Isser, A., Rhine, W., Horwitz, S.M., Koopman, C., Shaw, R.J. (2011). Brief cognitive-behavioral intervention for maternal depression and trauma in the neonatal intensive care unit: a pilot study. Journal of Traumatic Stress, 24 (2), 230–234. https://doi.org/10.1002/jts.20626

Bernardo, J., Rent, S., Arias-Shah, A., Hoge, M.K., Shaw, R.J. (2021). Parental stress and mental health symptoms in the NICU: Recognition and interventions. Neoreviews, 22 (8), e496–e505. https://doi.org/10.1542/neo.22-8-e496

Craig, A.K., James, C., Bainter, J., Evans, S., Gerwin, R. (2020). Parental perceptions of neonatal therapeutic hypothermia; emotional and healing experiences. The Journal of Maternal-Fetal & Neonatal Medicine, 33 (17), 2817–2889. https://doi.org/10.1080/14767058.2018.1563592

Danguecan, A., El Shahed, A.I., Somerset, E., Fan, C. S., Ly, L.G., Williams T. (2021). Towards a biopsycho- social understanding of neurodevelopmental outcomes in children with hypoxic-ischemic encephalopathy: A mixed-methods study. The Clinical Neuropsycholist, 35 (5), 925–947. https://doi.org/10.1080/13854046.2020.1833987 388

Ede, M.O., Anyanwu, J.I., Onuigbo, L.N., Ifelunni, C. O., Alabi-Oparaocha, F. C., Okenyi, E. C., Agu, M. A., Ugwuanyi, L. T., Ugwuanyi, C., Eseadi, Ch., Awoke, N. N., Nwese, T., Victor-Aigbodion, V. (2020). Rational emotive family health therapy for reducing parenting stress in families of children with autism spectrum disorders: A group randomized control study. Journal of Rational-Emotive & Cognitive- Behavior Therapy, 38, 243–271. https://doi.org/10.1007/s10942-020-00342-7

Festant, F., Antonelli, C., Chorna, O., Corsi, G., Guzzetta, A. (2019). Parent-Infant interaction during the first year of life in infants at high risk for cerebral palsy: A systematic review of the literature. Neural Plasticity, 3, 1–19. https://doi.org/10.1155/2019/5759694

Jotzo, M., Poets, C.F. (2005). Helping parents cope with the trauma of premature birth: an evaluation of a trauma-preventive psychological intervention. Pediatrics, 115 (4), 915–919. https://doi.org/10.1542/peds.2004-0370

Kong, L.P., Cui, Y., Qiu, Y.F., Han, S.P., Yu, Z.B., Guo, X.R. (2013). Anxiety and depression in parents of sick neonates: a hospital-based study. Journal of Clinical Nursing, 22 (7–8), 1163–1172. https://doi. org/10.1111/jocn.12090

Laudi, A., Peeples, E. (2019). The relationship between neonatal encephalopathy and maternal postpartum depression. The Journal of Maternal-Fetal & Neonatal Medicine, 3, 1–5. https://doi.org/10.1080/14767058.2019.1571574

Lotterman, J.H., Lorenz, J.M., Bonanno, G.A. (2019). You сan’t take your baby home yet: A longitudinal study of psychological symptoms in mothers of infants hospitalized in the NICU. Journal of Clinical Psychology in Medical Settings, 26 (1), 116–122. https://doi.org/10.1007/s10880-018-9570-y

Mamaychuk, I., Milanich, J. (2021). Features of mothers’ emotional experience during the hospitalization of newborns in connection with hypoxic affection of the central nervous system. Vestnik of Saint Petersburg University. Psychology, 11 (1), 89–102. https://doi.org/10.21638/spbu16.2021.106 (In Russian)

Mendelson, T., Cluxton-Keller, F., Vullo, G.C, Tandon, S.D., Noazin, S. (2017). NICU-based interventions to reduce maternal depressive and anxiety symptoms: A meta-analysis. Pediatrics, 139 (3), e2016– 1870. https://doi.org/10.1542/peds.2016-1870

Meyer, E., Zeanah, C.H. Boukydis, C.F.Z., Lester, B.M. (2006). A clinical interview for parents of high- risk infants: Concept and applications. Infant Mental Health Journal, 14 (3), 192–207. https://doi.org/10.1002/1097-0355(199323)14:3<192::AID-IMHJ2280140305>3.0.CO;2-R

Nagata, M., Nagai, Y., Sobajima, H., Ando, T., Honjo, S. (2004). Depression in the early postpartum period and attachment to children-in mothers of NICU infants. Infant and Child Development, 13 (2), 93–110. https://doi.org/10.1002/icd.339

Nassef, S.K., Blennow, M., Jirwe, M. (2013). Experiences of parents whose newborns undergo hypothermia treatment following perinatal asphyxia. Journal of Obstetric, Gynecologic & Neonatal Nursing, 42 (1), 38–47. https://doi.org/10.1111/j.1552-6909.2012.01429.x

Pisoni, C., Spairani, S., Fauci, F., Ariaudo, G., Tzialla, C., Tinelli, C., Politi, P., Balottin, U., Stronati, M., Orcesi, S. (2020). Effect of maternal psychopathology on neurodevelopmental outcome and quality of the dyadic relationship in preterm infants: an explorative study. Journal of Maternal-Fetal & Neonatal Medicine, 33 (1), 103–112. https://doi.org/10.1080/14767058.2018.1487935

Roque, A.T.F., Lasiuk, G.C., Radünz, V., Hegadoren, K. (2017). Scoping review of the mental health of parents of infants in the NICU. Journal of Obstetric, Gynecologic & Neonatal Nursing: Clinical Scholarship for the Care of Women, Childbearing Families & Newborns, 46 (4), 576–587. https://doi.org/10.1016/j.jogn.2017.02.005

Sabnis, A., Fojo, S., Nayak, S. S., Lopez, E., Tarn, D.M., Zeltzer, L. (2019). Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions. Journal of Perinatology, 39 (3), 375–386. https://doi.org/10.1038/s41372-018-0310-9

Shaw, R.J., St John, N., Lilo, E., Jo, B., Benitz, W., Stevenson, D.K., Horwitz, S.M. (2014). Prevention of traumatic stress in mothers of preterms: 6-month outcomes. Pediatrics, 134 (2), e481–e488. https://doi.org/10.1542/peds.2014-0529

Shaw, R.J., Sweester, C.J., St John, N., Lilo, E., Corcoran, J.B., Jo, B., Howell, S.H., Benitz, W.E., Feinstein, N., Milnyk, B., Horwitz, S.M. (2013). Prevention of postpartum traumatic stress in mothers with preterm infants: manual development and evaluation. Issues Mental Health Nursing, 34 (8), 578–586. https://doi.org/10.3109/01612840.2013.789943

Simon, S., Moreyra, A., Wharton, E., Dowtin, L.L., Borkovi, T.C., Armer, E., Shaw, R.J. (2021). Prevention of posttraumatic stress disorder in mothers of preterm infants using trauma-focused group therapy: Manual development and evaluation. Early Human Development, 154, 105282.https://doi.org/10.1016/j.earlhumdev.2020.105282

Staver, M.A., Moore, T.A., Hanna, K.M. (2021). An integrative review of maternal distress during neonatal intensive care hospitalization. Archives of Women’s Mental Health, 24 (2), 217–229. https://proxy.library.spbu.ru:2060/10.1007/s00737-020-01063-7

Treatment of Psychological Distress in Parents of Premature Infants: PTSD in the NICU (2021). Eds R. J. Shaw, S.Horwitz. Washington, American Psychiatric Publishing, Inc.

Trost, M.J., Molas-Torreblanca, K., Man, C., Cassilas, E., Sapir, H., Schrager, S.M. (2016). Screening for maternal postpartum depression during infant hospitalizations. Journal of Hospital Medicine, 11 (12), 840–846. https://doi.org/10.1002/jhm.2646

Downloads

Published

2022-09-21

How to Cite

Mamaychuk , I., & Milanich, Y. (2022). Analysis of the results of application of the rational-emotive behaviour therapy for mothers of newborns with hypoxic affection of the central nervous system. Vestnik of Saint Petersburg University. Psychology, 12(3), 376–390. https://doi.org/10.21638/spbu16.2022.309

Issue

Vol. 12 No. 3 (2022)

Section

Empirical and Experimental Research

License

Articles of "Vestnik of Saint Petersburg University. Psychology" are open access distributed under the terms of the License Agreement with Saint Petersburg State University, which permits to the authors unrestricted distribution and self-archiving free of charge.