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Prevention of Postpartum Traumatic Stress (PTSD) in Mothers With Preterm Infants.
Trial ID: NCT01307293
The purpose of the study includes: 1. To develop a treatment manual and pilot test this treatment intervention which is designed to prevent and reduce psychological distress in parents who have infants hospitalized in the neonatal intensive care unit (NICU). 2. To conduct a treatment intervention study in which parents of NICU infants will receive a 6-12 session treatment designed to reduce psychological distress, and to compare outcomes with parents who do not receive the intervention. We hope to learn whether or not a simple psychotherapeutic and psychoeducational intervention offered to parents of NICU infants can prevent or minimize the development of symptoms of psychological distress in parents, including symptoms of anxiety and depression and posttraumatic stress disorder (PTSD).
Randomized Controlled Trial of a Brief Cognitive Behavioral Intervention Designed to Prevent and Reduce Symptoms of Posttraumatic Stress in Mothers of Preterm Infants.
English and Spanish-speaking mothers greater than 18 years of age of infants in the LPCH
NICU >=26 weeks of gestation are eligible for screening.
1. Mothers of children awaiting cardiac surgery, those who have congenital abnormities
and those who are unlikely to survive, will be excluded.
2. Mothers of NICU infants who are found on their routine clinical psychosocial
evaluation to be at high psychiatric risk (i.e., those with either psychotic symptoms
or suicidal or infanticidal ideation) will also be excluded. These parents, however,
will be referred for and receive appropriate mental health intervention.
3. Mothers who do not speak English or Spanish, or who do not have the ability to
understand the questionnaires will be excluded.
4. Mothers who have active and current symptoms of suicidal ideation, or psychotic
symptoms (delusions or hallucinations) as identified by self report or following a
diagnostic interview will be excluded from the study, but will also be referred for
emergency psychiatric evaluation.
behavioral: Cognitive behavior therapy
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Richard J Shaw, MD