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首页> 外文期刊>BMC Psychiatry >Save the children by treating their mothers (PriVileG-M-study) - study protocol: a sequentially randomized controlled trial of individualized psychotherapy and telemedicine to reduce mental stress in pregnant women and young mothers and to improve Child’s health
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Save the children by treating their mothers (PriVileG-M-study) - study protocol: a sequentially randomized controlled trial of individualized psychotherapy and telemedicine to reduce mental stress in pregnant women and young mothers and to improve Child’s health

机译：通过治疗母亲（PROVILEG-M-SCHONE） - 研究方案：依次随机对照试验，依次随机对照试验，以减少孕妇和年轻母亲的精神压力，并改善孩子的健康

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BACKGROUND:As early as pregnancy, maternal mental stress impinges on the child's development and health. Thus, this may cause enhanced risk for premature birth, lowered fetal growth, and lower fetal birth weight as well as enhanced levels of the stress hormone cortisol and lowered levels of the bonding hormone oxytocin. Maternal stress further reduces maternal sensitivity for the child's needs which impairs the mother-child-interaction and bonding. Therefore, prevention and intervention studies on mental stress are necessary, beginning prenatally and applying rigorous research methodology, such as randomized controlled trials, to ensure high validity.METHODS:A randomized controlled trial is used to assess the impact of psychotherapy and telemedicine on maternal mental stress and the child's mental and physical health. Mentally stressed pregnant women are randomized to an intervention (IG) and a not intervened control group. The IG receives an individualized psychotherapy starting prenatal and lasting for 10?months. Afterwards, a second randomization is used to investigate whether the use of telemedicine can stabilize the therapeutic effects. Using ecological momentary assessments and video recordings, the transfer into daily life, maternal sensitivity and mother-child-bonding are assessed. Psycho-biologically, the synchronicity of cortisol and oxytocin levels between mother and child are assessed as well as the peptidome of the colostrum and breast milk, which are assumed to be essential for the adaptation to the extra-uterine environment. All assessments are compared to an additional control group of healthy women. Finally, the results of the study will lead to the development of a qualification measure for health professionals to detect mental stress, to treat it with low-level interventions and to refer those women with high stress levels to mental health professionals.DISCUSSION:The study aims to prevent the transgenerational transfer of psychiatric and somatic disorders from the mother to her child. The effects of the psychotherapy will be stabilized through telemedicine and long-term impacts on the child's and mothers' mental health are enhanced. The combination of psychotherapy, telemedicine and methodologies of ecological momentary assessment, video recording and bio banking are new in content-related and methodological manner.TRIAL REGISTRATION:German Clinical Trials Register: DRKS00017065. Registered 02 May 2019. World Health Organization, Universal Trial Number: U1111-1230-9826. Registered 01 April 2019.
机译：背景：早在怀孕期间，产妇精神压力会影响孩子的发展和健康。因此，这可能导致过早出生，降低胎儿生长和胎儿出生体重的增强风险，以及增强的应激激素皮质醇水平，降低粘合激素催产素的水平。母体压力进一步降低了儿童需求的母体敏感性，这些需要损害母儿童的互动和粘合。因此，对精神压力的预防和干预研究是必要的，开始是经产和应用严格的研究方法，例如随机对照试验，以确保高效性。方法：随机对照试验用于评估心理治疗和远程医疗对孕产妇精神的影响压力和孩子的心理和身体健康。精神上压力的孕妇被随机化为干预（IG）和NOT干预对照组。 Ig接受个性化的心理治疗开始产前和持续10个月。之后，使用第二种随机化来研究远程尿液是否可以稳定治疗效果。使用生态瞬间评估和视频录制，评估母亲敏感性和母亲粘合的日常生活转移。精神生物学上，评估母婴和儿童之间皮质醇和催产素水平的同步性以及初乳和母乳的肽，这被认为是适应外尿尿针环境的必要条件。将所有评估与额外的健康妇女进行比较。最后，该研究的结果将导致卫生专业人员的资格措施，以检测精神压力，以低级干预措施对待它，并将那些具有高压力水平的妇女与心理健康专业人员提交。探讨：该研究旨在防止从母亲到她孩子的精神科和体细胞疾病的转基因转移。心理治疗的影响将通过远程医疗和对儿童和母亲的心理健康的长期影响稳定。心理治疗，远程医疗和生态瞬间评估方法的组合，视频录制和生物银行业都具有与内容相关和方法论的新功能.Trial注册：德国临床试验登记册：DRKS00017065。注册2019年5月02日。世界卫生组织，通用试验号码：U1111-1230-9826。注册01 2019年4月。

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