Prevention of Postpartum Traumatic Stress (PTSD) in Mothers With Preterm Infants.
Randomized Controlled Trial of a Brief Cognitive Behavioral Intervention Designed to Prevent and Reduce Symptoms of Posttraumatic Stress in Mothers of Preterm Infants.
1 other identifier
interventional
110
1 country
1
Brief Summary
The purpose of the study includes:
- 1.To develop a treatment manual and pilot test this treatment intervention which is designed to prevent and reduce psychological distress in parents who have infants hospitalized in the neonatal intensive care unit (NICU).
- 2.To conduct a treatment intervention study in which parents of NICU infants will receive a 6-12 session treatment designed to reduce psychological distress, and to compare outcomes with parents who do not receive the intervention.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Apr 2011
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 28, 2011
CompletedFirst Posted
Study publicly available on registry
March 2, 2011
CompletedStudy Start
First participant enrolled
April 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2014
CompletedNovember 19, 2014
November 1, 2014
2.2 years
February 28, 2011
November 18, 2014
Conditions
Outcome Measures
Primary Outcomes (2)
Davidson Trauma Scale
6 months
BDI-II
6 months
Secondary Outcomes (1)
CAPUTE
6 months
Study Arms (2)
Cognitive Behavior Therapy
EXPERIMENTAL6-12 sessions of Cognitive Behavior Therapy to address PTSD symptoms and parenting issues related to premature infants.
Placebo comparison
NO INTERVENTIONEducation regarding NICU parenting issues.
Interventions
6 or 12 sessions of cognitive behavior therapy.
Eligibility Criteria
You may qualify if:
- English and Spanish-speaking mothers greater than 18 years of age of infants in the LPCH NICU \>=26 weeks of gestation are eligible for screening.
You may not qualify if:
- Mothers of children awaiting cardiac surgery, those who have congenital abnormities and those who are unlikely to survive, will be excluded.
- Mothers of NICU infants who are found on their routine clinical psychosocial evaluation to be at high psychiatric risk (i.e., those with either psychotic symptoms or suicidal or infanticidal ideation) will also be excluded. These parents, however, will be referred for and receive appropriate mental health intervention.
- Mothers who do not speak English or Spanish, or who do not have the ability to understand the questionnaires will be excluded.
- Mothers who have active and current symptoms of suicidal ideation, or psychotic symptoms (delusions or hallucinations) as identified by self report or following a diagnostic interview will be excluded from the study, but will also be referred for emergency psychiatric evaluation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Stanford University School of Medicine
Stanford, California, 94305, United States
Related Publications (3)
Shaw RJ, St John N, Lilo E, Jo B, Benitz W, Stevenson DK, Horwitz SM. Prevention of traumatic stress in mothers of preterms: 6-month outcomes. Pediatrics. 2014 Aug;134(2):e481-8. doi: 10.1542/peds.2014-0529.
PMID: 25049338RESULTShaw RJ, St John N, Lilo EA, Jo B, Benitz W, Stevenson DK, Horwitz SM. Prevention of traumatic stress in mothers with preterm infants: a randomized controlled trial. Pediatrics. 2013 Oct;132(4):e886-94. doi: 10.1542/peds.2013-1331. Epub 2013 Sep 2.
PMID: 23999956RESULTHorwitz SM, Storfer-Isser A, Kerker BD, Lilo E, Leibovitz A, St John N, Shaw RJ. A model for the development of mothers' perceived vulnerability of preterm infants. J Dev Behav Pediatr. 2015 Jun;36(5):371-80. doi: 10.1097/DBP.0000000000000173.
PMID: 25961903DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Richard J Shaw
Stanford University
- PRINCIPAL INVESTIGATOR
Sarah McCue Horwitz
Stanford University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 28, 2011
First Posted
March 2, 2011
Study Start
April 1, 2011
Primary Completion
June 1, 2013
Study Completion
June 1, 2014
Last Updated
November 19, 2014
Record last verified: 2014-11