利用睡眠教育减少新妈妈产后情绪障碍

Virginia Osorio, Daniel Martin
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摘要

背景:婴儿睡眠生物学和母亲直觉对西方社会认为行为睡眠训练是权威知识的观念提出了挑战。行为睡眠训练可能会增加产后母亲的压力水平,她们感到矛盾,希望使用其他方法。本研究的目的是确定接受婴儿睡眠教育是否能改善母亲的心理健康。研究对象和方法:采用基于网络调查的准实验前测后测设计来评估为期三周的虚拟婴儿睡眠教育计划对抑郁结果和巩固婴儿睡眠的因变量的影响。目标人群是年龄在18到50岁之间的产后妇女。样本量为18例,采用方便抽样和标准抽样。前测和后测包括名义题、李克特量表项目和爱丁堡产后抑郁量表(EPDS)。分析包括差异分析、Shaprio-Wilk正态性检验、Spearman的rho和Bayes因子界。结果:EPDS的平均改善下降1.89点,95% CI= -∞至0.11;p= 0.116), VS-MPR = 1.47,如果他们的孩子晚上睡不着觉,他们在失败感方面的改善幅度最大(r= 0.78;95% CI= 0.40至∞;P = 0.012,渴望睡眠训练(r= 0.50;95% CI = -0.10到∞;P = 0.091),自责感降低(r= 0.34;95% CI= -0.13到∞;P = 0.080)。结论:睡眠教育有助于减轻产后妇女因婴儿睡眠而产生的压力和作为父母的失败感。关键词:行为训练;孕产妇心理健康;睡眠教育;
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Utilizing Sleep Education to Reduce Postpartum Mood Disorder in New Mothers
Background: Infant sleep biology and maternal intuition challenge the idea of behavioral sleep training being authoritative knowledge in Western society. Behavioral sleep training may increase stress levels in postpartum mothers who feel conflicted and wish to use alternative methods. The aim of this study was to determine whether having access to infant sleep education improves maternal mental health. Subjects and Method: A quasi-experimental pretest-posttest design using web-based surveys was used to assess the impact of a three-week virtual infant sleep education program on the dependent variables of depression outcomes and consolidated infant sleep. The target population were postpartum women between the age of 18 and 50. Sample size was 18 subjects were recruited through convenience and criterion sampling. Pre-tests and post-tests included nominal questions, Likert scale items, and the Edinburg Postnatal Depression Scale (EPDS). Analysis included difference analyses, Shaprio-Wilk normality checks, Spearman’s rho and Bayes factor bounds. Results: The average improvement on the EPDS was a decrease of 1.89 points, 95% CI= -∞ to 0.11; p= 0.116), VS-MPR = 1.47, with the highest magnitude of improvements in domains regarding feelings of failure if their baby does not sleep through the night (r= 0.78; 95% CI= 0.40 to ∞; p= 0.012, desire to sleep train (r= 0.50; 95% CI = -0.10 to ∞; p= 0.091) and decreased feelings of self-blame (r= 0.34; 95% CI= -0.13 to ∞; p = 0.080). Conclusion: Sleep education can be beneficial in reducing stress related to infant sleep and feelings of failure as a parent in postpartum women. Keywords: behavioral training, maternal mental health, sleep education, postpartum depression.
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