Reducing Stress, Anxiety, and Depression for NICU Parents

This project aims to appraise evidence of the effectiveness of various practices on reducing stress, anxiety, and depression among parents of infants in the neonatal intensive care unit (NICU). The project contains six research articles from both national and international journals. Study designs include one meta-analysis, one randomized controlled trial, one small scale randomized controlled trial, one prospective phase lag cohort study, on pretest-posttest study, and one mixed-methods pretest-posttest study. Recommendations for effective interventions were based on best evidence discovered through quality appraisal and study outcomes. All interventions, except for educational programs and Kangaroo Care, resulted in a statistically significant reduction of either stress, anxiety, and/ or depression. Family centered care and mindfulness-based intervention reduced all barriers of interest. There is strong and high-quality evidence for the effect of Cognitive Behavioral Therapy on depression, moderate evidence for the effect of activity-based group therapy on anxiety, and promising evidence for the effect of HUG Your Baby on stress.

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The Effect of Supportive Nursing Interventions on Reducing Stress Levels of Mothers of Infants in the Neonatal Intensive Care Unit: A Randomized Controlled Trial

Clinical Nursing Research ◽

10.1177/10547738211047359 ◽

2021 ◽

pp. 105477382110473

Author(s):

Gamze Yilmaz ◽

Dilek Küçük Alemdar

Keyword(s):

Intensive Care Unit ◽

Randomized Controlled Trial ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Controlled Trial ◽

Nursing Interventions ◽

Randomized Controlled ◽

Supportive Interventions ◽

Reducing Stress

The purpose of this study was to determine the effects of supportive interventions on the stress levels of mothers with infants hospitalized in the Neonatal Intensive Care Unit (NICU). This study was a prospective, pre-and post-test randomized controlled trial. The research was completed with 85 mothers in two groups of 45 subjects and 40 controls selected at random. Data collection used the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU), NICU Parent Belief Scale (NICU:PBS), State-Trait Anxiety Inventory (STAI TX-2) and saliva cortisol analysis. There were statistically significant differences in favor of the experiment group for the PSS:NICU images and sounds subscale and PBS total points after supportive interventions ( p < .05). Supportive nursing interventions were effective in reducing stress related to the intensive care environment, anxiety levels and saliva cortisol levels and increasing parental belief among mothers.

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Twelve-Month Follow-up of the U-CARE Heart Randomized Controlled Trial: Internet-Based Cognitive Behavioral Therapy (iCBT) for Patients Reporting Symptoms of Anxiety and Depression after Myocardial Infarction (Preprint)

JMIR Cardio ◽

10.2196/25465 ◽

2020 ◽

Author(s):

Sophia Monica Humphries ◽

John Wallert ◽

Fredrika Norlund ◽

Emma Wallin ◽

Gunilla Burell ◽

...

Keyword(s):

Myocardial Infarction ◽

Randomized Controlled Trial ◽

Cognitive Behavioral Therapy ◽

Behavioral Therapy ◽

Controlled Trial ◽

Cognitive Behavioral ◽

Anxiety And Depression ◽

Randomized Controlled

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Reducing Stress and Preventing Depression (RESPOND): Randomized Controlled Trial of Web-Based Rumination-Focused Cognitive Behavioral Therapy for High-Ruminating University Students

Journal of Medical Internet Research ◽

10.2196/11349 ◽

2019 ◽

Vol 21 (5) ◽

pp. e11349 ◽

Cited By ~ 7

Author(s):

Lorna Cook ◽

Mohammod Mostazir ◽

Edward Watkins

Keyword(s):

Randomized Controlled Trial ◽

Cognitive Behavioral Therapy ◽

University Students ◽

Behavioral Therapy ◽

Controlled Trial ◽

Cognitive Behavioral ◽

Web Based ◽

Randomized Controlled ◽

Reducing Stress

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COPD education and cognitive behavioral therapy group treatment for clinically significant symptoms of depression and anxiety in COPD patients: a randomized controlled trial

Psychological Medicine ◽

10.1017/s0033291707001687 ◽

2007 ◽

Vol 38 (3) ◽

pp. 385-396 ◽

Cited By ~ 102

Author(s):

M. E. Kunik ◽

C. Veazey ◽

J. A. Cully ◽

J. Souchek ◽

D. P. Graham ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Depressive Symptoms ◽

Group Treatment ◽

Behavioral Therapy ◽

Controlled Trial ◽

Anxiety And Depression ◽

Symptoms Of Depression ◽

Randomized Controlled ◽

Copd Patients ◽

Use Of Health Services

BackgroundChronic obstructive pulmonary disease (COPD) affects 14 to 20 million Americans and is associated with increased prevalence of affective disorders, contributing significantly to disability. This study compared cognitive behavioral therapy (CBT) group treatment for anxiety and depression with COPD education for COPD patients with moderate-to-severe anxiety and/or depressive symptoms.MethodA randomized controlled trial (RCT) was conducted between 11 July 2002 and 30 April 2005 at the Michael E. DeBakey VA Medical Center, Houston, TX. Participants were 238 patients treated for COPD the year before, with forced expiratory value in 1 second (FEV)1/forced vital capacity (FVC)<70% and FEV1<70% predicted, and symptoms of moderate anxiety and/or moderate depression, who were being treated by a primary care provider or pulmonologist. Participants attended eight sessions of CBT or COPD education. Assessments were at baseline, at 4 and 8 weeks, and 4, 8 and 12 months. Primary outcomes were disease-specific and generic quality of life (QoL) [Chronic Respiratory Questionnaire (CRQ) and Medical Outcomes Survey Short Form-36 (SF-36) respectively]. Secondary outcomes were anxiety [Beck Anxiety Inventory (BAI)], depressive symptoms [Beck Depression Inventory-II (BDI-II)], 6-minute walk distance (6MWD) and use of health services.ResultsBoth treatments significantly improved QoL, anxiety and depression (p<0.005) over 8 weeks; the rate of change did not differ between groups. Improvements were maintained with no significant change during follow-up. Ratios of post- to pretreatment use of health services were equal to 1 for both groups.ConclusionsCBT group treatment and COPD education can achieve sustainable improvements in QoL for COPD patients experiencing moderate-to-severe symptoms of depression or anxiety.

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