Cristin-prosjekt-ID: 286128
Sist endret: 27. desember 2016, 15:43

Cristin-prosjekt-ID: 286128
Sist endret: 27. desember 2016, 15:43
Prosjekt

The influence of maternal psychological distress and trauma reaction on early mother-child interaction after preterm birth.

prosjektleder

Aud R. Misund
ved Institutt for sykepleie og helsefremmende arbeid ved OsloMet - storbyuniversitetet

prosjekteier / koordinerende forskningsansvarlig enhet

  • Institutt for sykepleie og helsefremmende arbeid ved OsloMet - storbyuniversitetet

Godkjenninger

  • Regionale komitéer for medisinsk og helsefaglig forskningsetikk (REK)

Klassifisering

Vitenskapsdisipliner

Psykologi

Emneord

Depresjon • Preterm fødsel • Psykisk stress • PTSD • Angst

HRCS-helsekategori

  • Mental helse

HRCS-forskningsaktivitet

  • 5.6 Psykologiske og atferdsmessige

Kategorier

Prosjektkategori

  • Anvendt forskning

Kontaktinformasjon

Telefon
67236149
Sted
Aud R. Misund

Tidsramme

Avsluttet
Start: 1. mars 2005 Slutt: 13. oktober 2014

Beskrivelse Beskrivelse

Tittel

The influence of maternal psychological distress and trauma reaction on early mother-child interaction after preterm birth.

Sammendrag

This project intends to explore how Post-Traumatic Stress Reactions (PTSS) in mothers giving preterm birth influences the early mother-child interaction. This study has a bio-psychosocial focus. The psychological theories in this study are Dynamic and Interactional theories of Development, Parent-Infant Interaction and Adults Mental Health. The study is explorative and the results will serve to generate further hypothesis and the results are assumed to be of importance for early intervention programs for premature babies.Research questions:What is the risk of mental health problems in women experiencing preterm birth in this study, compared to women experiencing birth at term?What is the risk of mental health problems in women experiencing preterm birth in this study, compared to women experiencing birth at term?What is the longitudinal risk of mental health problems in women experiencing preterm birth in this study?What characterizes the development of the mother-child relationship longitudinally, for twenty-nine mothers having experienced preterm birth and their premature babies?

Vitenskapelig sammendrag

In accordance to "The National research plan for childrens and adolescences psychological health" also this research prosject stresses the need for different professions to cooperate in the benefit of early intervention to children at risk for developing psychological problems and in particular attachment problems in parent-child interactions.Prematurely born children are at high-risk for developmental problems. Disturbances in early brain development and problems in early parent- child interaction seems to be significant to nevro-psychological problems in prematurely born children. More infants that weighs less than 1500 grams (VLBW) survives today thar earlier. Nevro-psychological problems at schoolage is estimatet to 40% for children in this group. Preterm birth is described as a psychological trauma, however there is very little reasearch in how such a trauma influences early mother-child interaction.

Metode

This is a prospective observational and interviewing study of individual items and their influence on the mother-child interaction. From June 2005 to July 2008 through two periods of 8 and 10 months 29 mothers of total 35 premature children born in or earlier than 32nd weeks of pregnancy at the Oslo University Hospital, Norway consecutive were included in the investigation group in the study. Non-Norwegian speakers were excluded when their language skills were estimated to be too low to attend to in-depth interviews. Severly ill babies with uncertain survival were not included. Medical charts and a semistructured interview were used to collect data about socio-demographics and the childbirth. The data was collected: 1) Within 14 days after birth (T0). 2) Within 3 weeks after hospitalization (T1). 3) At 6 months corrected age (T2). At 18 months corrected age (T3). The data collection was closed 01.05.10. 1)The parents physical and mental health, levels of stress, copingstrategy, psycho-social functioning and quality of life will be measured by: Parents self-report schemes and semi-structured interview with parents. Evaluation of self-report schemes for PTSS will be conducted by a psychiatric. 2)Evaluation of attachment will be done by: Semi-structured interview with parents, video-taping of parent-child interactions. External ("blinded") professional will be used in the process of scoring the material to gain interraterreliability. A comparison group consisting of 126 mothers of 126 healthy babies born at term was included. The group was recruited form a district general hospital that served one country in southern Norway. During November and December 1998, all parents of healthy babies from Aust-Agder County Hospital were invited to participate in the study. The hospital is the only hospital in the county serving a population of 100 000 people. A healthy baby was defined as a baby without congenital malformation who was not admittet to the neonatal intensive care unit (NICU). Maternal psychological responses were assessed at 0-4 days after birth. Socio-demographics and data about childbirth were collected from the medical charts and by questionnaires. The sample has previously been described (Skari H. et al. 2002).Progresion: 01.03.05-01.05.10 Collecting/processing data from investigation group. 01.03.08-01.08.12 Analysis, publishing.01.08.12-31.06.13 Publishing, finishing Ph,D.

prosjektdeltakere

prosjektleder

Aud R. Misund

  • Tilknyttet:
    Prosjektleder
    ved Institutt for sykepleie og helsefremmende arbeid ved OsloMet - storbyuniversitetet

Per Nerdrum

  • Tilknyttet:
    Prosjektdeltaker
    ved Institutt for sykepleie og helsefremmende arbeid ved OsloMet - storbyuniversitetet

Stein Bråten

  • Tilknyttet:
    Prosjektdeltaker
    ved Universitetet i Oslo

Trond Haaken Diseth

  • Tilknyttet:
    Prosjektdeltaker
    ved Pediatri ved Universitetet i Oslo
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Resultater Resultater

A Norwegian prospective study of preterm mother–infant interactions at 6 and 18 months and the impact of maternal mental health problems, pregnancy and birth complications.

Misund, Aud R.; Bråten, Stein Leif; Nerdrum, Per; Pripp, Are Hugo; Diseth, Trond H. 2016, BMJ Open. OSLOMET, UIOVitenskapelig artikkel

Mental health in women experiencing preterm birth.

Misund, Aud R.; Nerdrum, Per; Diseth, Trond H. 2014, BMC Pregnancy and Childbirth. OSLOMET, UIO, OUSVitenskapelig artikkel

Long-term risk of mental health problems in women experiencing preterm birth: a longitudinal study of 29 mothers.

Misund, Aud R.; Nerdrum, Per; Bråten, Stein Leif; Pripp, Are Hugo; Diseth, Trond H. 2013, Annals of General Psychiatry. OSLOMET, UIO, OUSVitenskapelig artikkel
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