Document Detail

A controlled trial of early interventions to promote maternal adjustment and development in infants born with severe congenital heart disease.
MedLine Citation:
PMID:  19961494     Owner:  NLM     Status:  MEDLINE    
Abstract Background Congenital heart disease can have a negative impact on both infant development and maternal adjustment. This study considered the impact of a new programme of early psychosocial interventions on such outcomes, following the birth of a child with severe congenital heart disease. Methods Seventy infants and their mothers were assigned to an intervention or control group based on order of presentation to the unit. Interventions aimed at bolstering mother-infant transactions, through psychoeducation, parent skills training and narrative therapy techniques were implemented. Results Clinically and statistically significant gains were observed at 6-month follow-up on the mental (but not the psychomotor) scale of the Bayleys-II. Positive gains were also manifested on feeding practices, maternal anxiety, worry and appraisal of their situation. Conclusions A programme of generalizable psychosocial interventions is shown to have a positive impact on the infant with severe congenital heart disease and the mother.
C G McCusker; N N Doherty; B Molloy; N Rooney; C Mulholland; A Sands; B Craig; M Stewart; F Casey
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-11-26
Journal Detail:
Title:  Child: care, health and development     Volume:  36     ISSN:  1365-2214     ISO Abbreviation:  Child Care Health Dev     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-04-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7602632     Medline TA:  Child Care Health Dev     Country:  England    
Other Details:
Languages:  eng     Pagination:  110-7     Citation Subset:  IM    
Department of Clinical Psychology, 4th Floor Bostock House, The Royal Hospitals, Grosvenor Road, Belfast, Northern Ireland, UK.
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MeSH Terms
Adaptation, Psychological*
Anxiety / psychology,  therapy
Child Development
Follow-Up Studies
Great Britain
Heart Diseases / congenital*
Maternal Behavior / psychology*
Mother-Child Relations
Mothers / psychology*
Outcome Assessment (Health Care)
Parenting / psychology
Psychotherapy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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