Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of an emotional regulation program on maladaptive cognitive emotion regulation, stress, anxiety, and postpartum depression among South Korean mothers of premature infants in the neonatal intensive care unit

  • Received : 2020.10.14
  • Accepted : 2020.11.17
  • Published : 2021.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to evaluate the effects of a rational emotive behavior therapy (REBT)-based emotional regulation program for mothers of premature infants in the neonatal intensive care unit (NICU). Methods: The study utilized a nonequivalent control group pretest-posttest design. Seventeen mothers were recruited for the experimental group and 21 mothers for the control group. Data were collected from July 9, 2018, to Oct 12, 2018 from mothers of premature infants in the NICU regarding parental stress, state anxiety, depression, and maladaptive cognitive emotion regulation. The experimental group received eight sessions of the REBT-based emotional regulation program for 3~4 weeks, and the control group only received standard nursing care. Results: Significant differences were found between the two groups in maladaptive cognitive emotion regulation (Z=-3.88, p<.001), stress (Z=-2.76, p=.006), state anxiety (Z=-3.72, p<.001), and postpartum depression(Z=-2.62, p=.009) after the intervention in the experimental group. Conclusion: The REBT-based emotional regulation program for mothers of premature infants was effective for reducing maladaptive cognitive emotion regulation, stress, anxiety, and postpartum depression. Therefore, it may be necessary to provide an REBT-based emotional regulation program for mothers of premature infants in the NICU in clinical practice.

Keywords

References

  1. Statistics Korea. 2019 Birth tables for Korea [Internet]. Daejeon: Statistics Korea; 2019 [cited 2020 September 14]. Available from: http://kosis.kr/index/index.do
  2. Tami A, Harmon RJ. Relationships between preterm infants and their parents: Disruption and development. Infant Behavior and Development. 2003;24(2):13-20. https://doi.org/10.1016/0163-6383(90)90042-7
  3. Altimier L, Phillips RM. The neonatal integrative developmental care model: Seven neuroprotective core measures for family-centered developmental care. Newborn and Infant Nursing Reviews. 2013;13(1):9-22. https://doi.org/10.1053/j.nainr.2012.12.002
  4. Choi E, Lee Y. A mother's experience of hospitalization of her newborn in the neonatal intensive care unit. Child Health Nursing Research. 2018;24(4):407-419. https://doi.org/10.4094/chnr.2018.24.4.407
  5. Holditch Davis D, Bartlett TR, Blickman AL, Miles MS. Posttraumatic stress symptoms in mothers of premature infants. Journal of Obstetric, Gynecologic, Neonatal Nursing. 2003;32(2):161-171. https://doi.org/10.1177/0884217503252035
  6. Jeon CS. Family stress, resiliency and adaptation perceived by parents of the hospitalized prematurity in NICU [dissertation]. Seoul: Hanyang University; 2011. p. 1-92.
  7. Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation and emotional problems. Personality and Individual Differences. 2001;30(8):1311-1327. https://doi.org/10.1016/s0191-8869(00)00113-6
  8. Shaw RJ, St John N, Lilo EA, Jo B, Benitz W, Stevenson DK, et al. Prevention of traumatic stress in mothers with preterm infants: A randomized controlled trial. Pediatrics. 2013;132(4):e886-e894. https://doi.org/10.1542/peds.2013-1331
  9. Vigod SN, Villegas L, Dennis CL, Ross LE. Prevalence and risk factors for postpartum depression among women with preterm and low-birth-weight infants: A systematic review. BJOG: An International Journal of Obstetrics and Gynaecology. 2010;117(5):540-550. https://doi.org/10.1111/j.1471-0528.2009.02493.x
  10. Lee JY, Ju HO. Predictors of early postpartum depression in mothers of preterm infants in neonatal intensive care units. Child Health Nursing Research. 2014;20(2):87-95. https://doi.org/10.4094/chnr.2014.20.2.87
  11. Song JE, Ko JM. Influencing factors on maternal role adjustment among the primipara women in the first year after childbirth. Journal of the Korean Society of Maternal and Child Health. 2016; 20(3):284-296. https://doi.org/10.21896/jksmch.2016.20.3.284
  12. Treyvaud K, Doyle LW, Lee KJ, Roberts G, Lim J, Inder TE, et al. Social-emotional difficulties in very preterm and term 2 year olds predict specific social-Emotional problems at the age of 5 years. Journal of Pediatric Psychology. 2012;37(7):779-785. https://doi.org/10.1093/jpepsy/jss042
  13. Ellis A. Changing rational-emotive therapy (RET) to rational emotive behavior therapy (REBT). Journal of Rational-Emotive and Cognitive-Behavior Therapy. 1995;13:85-89. https://doi.org/10.1007/bf02354453
  14. Jackson CJ, Izadikah Z, Oei TPS. Mechanisms underlying REBT in mood disordered patients: Predicting depression from the hybrid model of learning. Journal of Affective Disorders. 2012;139(1):30-39. https://doi.org/10.1016/j.jad.2011.09.025
  15. Shin KA. Effect of the cinema therapy program for middle-aged women with depression. Journal of Digital Convergence. 2018; 16(10):511-522. https://doi.org/10.14400/JDC.2018.16.10.511
  16. Park KA, Back HS, Han JS. The effects of REBT group counseling on the job stress, positive affect, negative affect and self-esteem of nurses. Korea Journal of Counseling. 2007;8(3):951-963. https://doi.org/10.15703/kjc.8.3.200709.951
  17. Kim N, Jin J. The Meta-analysis on the effectiveness of cognitive behavioral therapy programs. The Journal of Humanities and Social Science. 2019;10(4):1663-1676. https://doi.org/10.22143/hss21.10.4.119
  18. Kim EY, Hwang SY. Development and evaluation of a small group-based cardiocerebrovascular disease prevention education program for male bus drivers. Journal of Korean Academy of Nursing. 2012;42(3):322-332. https://doi.org/10.4040/jkan.2012.42.3.322
  19. Kim SH. A study on relationships among the stressful events, cognitive emotion regulation strategies and psychological well-being. Journal of Student Guidance and Counseling. 2008;26:5-29.
  20. Miles MS, Funk SG, Carlson J. Parental stressor scale: Neonatal intensive care unit. Nursing Research. 1993;42(3):148-152. https://doi.org/10.1097/00006199-199305000-00005
  21. Hahn DW, Lee CH, Chon KG, Spielberger CD. Korean version State-Trait Anxiety Inventory for Adults Form YZ [Internet]. Seoul: Insight of Psychology; 2018 [cited 2018 April 20]. Available from: https://inpsyt.co.kr/psy/item/view/STAIKYZ_CO_SG
  22. Spielberger CD, Gorsuch RL, Lushene RE. Manual for the State Trait Anxiety Inventory: STAI. 10th ed. California: Palo Alto, Consulting Psychologists Press; 1970. p. 24.
  23. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry. 1987;150(6):782-786. https://doi.org/10.1192/bjp.150.6.782
  24. Han KW, Kim MJ, Park JM. The Edinburgh Postnatal Depression Scale, Korean version: Reliability and validity. Journal of the Korean Society Biological Therapies in Psychiatry. 2004;10(2):201-206.
  25. Ellis A, MacLaren C. Rational emotive behavior therapy: A therapist's guide. 2nd ed. Seo SK, Kim Yh, translator. Atascadero, CA: Impact; 2007. p. 85-144.
  26. Kim NY. The relationships between cognitive emotion regulation strategies and stress reaction in psychiatric outpatients: Centered on major depression disorder [master's thesis]. Chuncheon: Kangwon National University; 2013. p. 1-43.
  27. Holditch-Davis D, Santos H, Levy J, White-Traut R, O'Shea TM, Geraldo V, et al. Patterns of psychological distress in mothers of preterm infants. Infant Behavior and Development. 2015;41:154-163. https://doi.org/10.1016/j.infbeh.2015.10.004
  28. Kim YH, Kim HJ, Lee EJ, Lee JY, Lee MK. Effects of the home health care program on maternal anxiety and confidence, premature infants' growth and hospital utilization. Journal of the Korean Society of Maternal and Child Health. 2015;19(2):189-200. https://doi.org/10.21896/jksmch.2015.19.2.189
  29. Park JY, Bank KS. Knowledge and needs of premature infant development and rearing for mothers with premature infants. Korean Parent Child Health Journal. 2013;16(1):17-26.
  30. Melnyk BM, Feinstein NF, Alpert-Gillis L, Fairbanks E, Crean HF, Sinkin RA, et al. Reducing premature infants' length of stay and improving parents' mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: A randomized, controlled trial. Pediatrics. 2006; 118(5):e1414-e1427. https://doi.org/10.1542/peds.2005-2580