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Professional and Non-Professional Intervention for Highly Anxious Primiparous Mothers

Published online by Cambridge University Press:  29 January 2018

Bryanne Barnett  and
Gordon Parker
Bryanne Barnett*
Affiliation:
Prince of Wales Hospital, Randwick, N.S.W. 2031 Australia
Gordon Parker
Affiliation:
University of New South Wales, Kensington, N.S. W. 2033 Australia
*
∗Correspondence
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Summary

Primiparous women (n = 627) were screened on state and trait anxiety measures in the post-partum period; sub-groups of highly anxious (n = 89), moderately anxious (n = 29), and minimally anxious (n = 29) mothers were derived and subsequently interviewed. The high-anxiety mothers were randomly assigned to a professional intervention, to a non-professional intervention, and to a control group, and their progress was reviewed over the following 12 months. Compliance, both in responding to progressive assessments and in accepting therapeutic intervention, was extremely high. Changes in anxiety levels for mothers not receiving an intervention were minimal over the study. In the high-anxiety sub-groups, there was a 19% reduction in state anxiety levels for those receiving a professional intervention, a 12% reduction for those receiving a nonprofessional intervention, and a 3% reduction in the controls. A planned contrast analysis determined that only professional intervention had a significant effect, intervention successfully lowering state anxiety levels to a value comparable with the moderately anxious mothers.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 146 , Issue 3 , March 1985 , pp. 287 - 293
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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References

Ainsworth, M. D. S., Bell, S. M. V. & Stayton, D. J. (1971) Individual differences in strange-situation behaviour of one-year olds. In The Origins of Human Social Relations, (ed. Schaffer, H. R.). London: Academic Press.Google Scholar
Ascher, B. H. (1978) Maternal anxiety in pregnancy and fetal homeostasis. Journal of Obstetric, Gynecologic and Neonatal Nursing, May/June, 18–21.CrossRefGoogle Scholar
Barnett, B. E. W., Hanna, B. & Parker, G. (1983) Life event scales for obstetric groups. Journal of Psychosomatic Research, 27, 313–320.Google Scholar
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. & Erbaugh, J. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.Google Scholar
Benedek, T. (1959) Parenthood as a developmental phase: a contribution to the libido theory. Journal of the American Psychoanalytic Association, 7, 389–417.Google Scholar
Bromwich, R. & Parmelee, A. (1979) An intervention program for pre-term infants. In Infants Bom at Risk. (ed. Field, T., Sostek, A., Goldberg, S. & Shuman, H. H.). New York: Spectrum.Google Scholar
Congalton, A. A. (1969) Status/ranking list of occupations in Australia. In Status and Prestige in Australia, Melbourne: F. W. Cheshire Publishing Pty Ltd.Google Scholar
Costello, C. G. & Comrey, A. L. (1967) Scales for measuring depression and anxiety. The Journal of Psychology, 66, 303–313.Google Scholar
Crandon, A. J. (1979a) Maternal anxiety and obstetric complications. Journal of Psychosomatic Research, 23, 109–111.Google Scholar
Crandon, A. J. (1979b) Maternal anxiety and neonatal wellbeing. Journal of Psychosomatic Research, 23, 113–115.Google Scholar
Dalton, K. (1971) A prospective study into puerperal depression. British Journal of Psychiatry, 118, 689–692.Google Scholar
Eysenck, H. J. & Eysenck, S. B. G. (1964) Manual of the Eysenck Personality Inventory. London: University of London Press.Google Scholar
Field, T. M., Widmayer, S. M., & Stringer, S. (1980) Teenage, lower-class, black mothers and their preterm infants: An intervention and developmental follow-up. Child Development, 51, 426–436.Google Scholar
Henderson, S. with Byrne, D. G. & Duncan-Jones, P. (1981) Neurosis and the Social Environment. Sydney: Academic Press.Google Scholar
Hereford, C. F. (1963) Changing Parental Attitudes Through Group Discussion. Austin: University of Texas Press.Google Scholar
Kendell, R. E. & DiScipio, W. J. (1968) Eysenck personality inventory scores of patients with depressive illnesses. British Journal of Psychiatry, 114, 767–770.CrossRefGoogle ScholarPubMed
Kumar, R. & Robson, K. M. (1984) A prospective study of emotional disorders in childbearing women. British Journal of Psychiatry, 144, 35–47.CrossRefGoogle ScholarPubMed
Larson, C. P. (1980) Efficacy of prenatal and postpartum home visits on child health and development. Pediatrics, 66, 191–197.Google Scholar
Lubin, B., Gardener, S. H. & Roth, A. (1975) Mood and somatic symptoms during pregnancy. Psychosomatic Medicine, 37, 136–146.Google Scholar
Margison, F. (1982) The pathology of the mother-child relationship. In Motherhood and Mental Illness, (ed. Brockington, I. F. and Kumar, R.) London: Academic Press.Google Scholar
Meares, R., Grimwade, J. & Wood, C. (1976) A possible relationship between anxiety in pregnancy and puerperal depression. Journal of Psychosomatic Research, 20, 605–610.Google Scholar
Oakley, A. (1980) Women Confined: Towards a Sociology of Childbirth. Oxford: Martin Robertson.Google Scholar
Osofsky, J. D. & Connors, K. (1979) Mother-infant interaction: An integrative view of a complex system. In Handbook of Infant Development, (ed. Osofsky, J. D.) New York: Wiley.Google Scholar
Parker, G. (1983) Parental Overprotection: A Risk Factor in Psychosocial Development. New York: Grune and Stratton.Google Scholar
Pines, D. (1972) Pregnancy and motherhood: interaction between fantasy and reality. British Journal of Medical Psychology, 45, 333–343.Google Scholar
Raphael-Leff, J. (1980) Psychotherapy with pregnant women. In Psychological Aspects of Pregnancy, Birthing and Bonding, (ed. Blum, B. L.). New York: Human Sciences Press.Google Scholar
Shereshefsky, P. M. & Yarrow, L. J. (1973) Psychological Aspects of a First Pregnancy and Early Postnatal Adaptation. New York: Raven Press.Google Scholar
Siegel, E., Bauman, K. E., Schaefer, E. S., Saunders, M. M. & Ingram, D. D. (1980) Hospital and home support during infancy: impact on maternal attachment, child abuse and neglect, and health care utilization. Pediatrics, 66, 183–190.Google Scholar
Single, T. (1979) Failure to bond: A study of maternal behaviour. Master of Psychology, Unpublished thesis. Australia: University of Newcastle.Google Scholar
Spielberger, C. D., Gorsuch, R. L. & Lushene, R. E. (1970) Manual for the State-Trait Anxiety Inventory (Self-Evaluation Questionnaire). Palo Alto, Calif., Consulting Psychologists Press.Google Scholar
Tod, E. D. M. (1964) Puerperal depression: a prospective epidemiological study. Lancet, 2, 1264–1266.Google Scholar
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