A Psychosomatic intervention in pregnant in-patient women with prenatal somatic risks
Abstract
PURPOSE: This study examined whether a short-term psychosomatic intervention during pregnancy had effects on characteristics of labour and delivery as well as on the long-term course of anxiety, depression and physical complaints in pregnant in-patient women. METHODS: All gynaecological and obstetric inpatients of a university hospital, who had either exhibited complications during their pregnancy or were considered high-risk pregnancies, were examined. Symptoms of anxiety and depression (HADS) and physical symptoms (GBB) were assessed by standardised questionnaires. Women with elevated scores on either the HADS or the GBB were randomly assigned to either a treatment group, which had received a psychosomatic intervention or an untreated control group. Of the n = 238 women who were assessed during their stay in our hospital, n = 135 were included in the follow-up 1-year later. RESULTS: More than one-third of the participants (38.7%) had elevated scores of anxiety, depression and/or physical symptoms. The psychosomatic intervention had a significant effect on anxiety scores (p = 0.006), but not on depression scores, physical complaints and characteristics of labour and delivery. CONCLUSIONS: Findings suggest that a short-term psychosomatic intervention can have a positive long-term effect on anxiety symptoms. Future studies are needed to show whether the reduction of anxiety symptoms in turn can lead to a reduction of postnatal complications and lower rates of disturbed mother-child interactions.
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Study quality assessment showed 4 studies in the top quartile, 13 in the third quartile, and 1 in the second quartile.
“Study quality assessment using the NIH quality assessment tool demonstrated 4 studies42,43,46,49 in the top quartile (rating ≥ 75%), 13 studies45,47,48,50–59 in the third quartile (with rating ≥ 50–74%), and a single study44 in the second quartile (rating < 50%) (Table 2).”
From Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications (2021) · cites this paper as [45]
Existing studies suggest that hospitalized pregnant women with severe maternal or fetal risk have prevalence rates of up to 39-44% for symptoms of anxiety and depression.
“Existing studies suggest that these women represent a particularly vulnerable group with prevalence rates of up to 39–44% for symptoms of anxiety and depression (5–8).”
From Acceptance, experiences, and needs of hospitalized pregnant women toward an electronic mindfulness-based intervention: A pilot mixed-methods study (2022) · cites this paper as [6]
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- Authors
- Weidner, K., Bittner, A., Junge-Hoffmeister, J., Zimmermann, K., Siedentopf, F., Richter, J., Joraschky, P., Gatzweiler, A., & Stöbel-Richter, Y.
- Affiliations
- University Hospital Carl Gustav Carus (DE)
- DRK Kliniken Berlin (DE)
- Corresponding author
- Weidner, Kerstin
- Venue
- Journal of Psychosomatic Obstetrics & Gynecology
- Publisher
- Informa UK Limited
- Published
- 2010-06-29
- Volume
- 31
- Issue
- 3
- Pages
- 188-198
- ISSN
- 0167-482X (ISSN-L)
- 1743-8942
- OpenAlex
- W2148725161
- Cited by
- 26
- References
- 37
- Citations by year
- 2023: 1 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 0.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Obstetrics & Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
- Keywords
- psychosomatic treatment, pregnancy, high-risk pregnancy, prenatal anxiety, depression, somatic symptoms, labor and delivery, obstetric inpatients, postpartum follow-up, maternal mental health
- MeSH terms
- Analysis of Variance, Anxiety, Depression, Female, Humans, Inpatients, Pregnancy, Psychiatric Status Rating Scales, Psychotherapy, Brief, Surveys and Questionnaires, Chi-Square Distribution, Treatment Outcome, Pregnancy, High-Risk
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