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Professional and Non-Professional Intervention for Highly Anxious Primiparous Mothers

  • Bryanne Barnett (a1) and Gordon Parker (a2)


Primiparous women (n = 627) were screened on state and trait anxiety measures in the post-partum period; sub-groups of highly anxious (n = 89), moderately anxious (n = 29), and minimally anxious (n = 29) mothers were derived and subsequently interviewed. The high-anxiety mothers were randomly assigned to a professional intervention, to a non-professional intervention, and to a control group, and their progress was reviewed over the following 12 months. Compliance, both in responding to progressive assessments and in accepting therapeutic intervention, was extremely high. Changes in anxiety levels for mothers not receiving an intervention were minimal over the study. In the high-anxiety sub-groups, there was a 19% reduction in state anxiety levels for those receiving a professional intervention, a 12% reduction for those receiving a nonprofessional intervention, and a 3% reduction in the controls. A planned contrast analysis determined that only professional intervention had a significant effect, intervention successfully lowering state anxiety levels to a value comparable with the moderately anxious mothers.


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Ainsworth, M. D. S., Bell, S. M. V. & Stayton, D. J. (1971) Individual differences in strange-situation behaviour of one-year olds. In The Origins of Human Social Relations, (ed. Schaffer, H. R.). London: Academic Press.
Ascher, B. H. (1978) Maternal anxiety in pregnancy and fetal homeostasis. Journal of Obstetric, Gynecologic and Neonatal Nursing, May/June, 1821.
Barnett, B. E. W., Hanna, B. & Parker, G. (1983) Life event scales for obstetric groups. Journal of Psychosomatic Research, 27, 313320.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. & Erbaugh, J. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561571.
Benedek, T. (1959) Parenthood as a developmental phase: a contribution to the libido theory. Journal of the American Psychoanalytic Association, 7, 389417.
Bromwich, R. & Parmelee, A. (1979) An intervention program for pre-term infants. In Infants Bom at Risk. (ed. Field, T., Sostek, A., Goldberg, S. & Shuman, H. H.). New York: Spectrum.
Congalton, A. A. (1969) Status/ranking list of occupations in Australia. In Status and Prestige in Australia, Melbourne: F. W. Cheshire Publishing Pty Ltd.
Costello, C. G. & Comrey, A. L. (1967) Scales for measuring depression and anxiety. The Journal of Psychology, 66, 303313.
Crandon, A. J. (1979a) Maternal anxiety and obstetric complications. Journal of Psychosomatic Research, 23, 109111.
Crandon, A. J. (1979b) Maternal anxiety and neonatal wellbeing. Journal of Psychosomatic Research, 23, 113115.
Dalton, K. (1971) A prospective study into puerperal depression. British Journal of Psychiatry, 118, 689692.
Eysenck, H. J. & Eysenck, S. B. G. (1964) Manual of the Eysenck Personality Inventory. London: University of London Press.
Field, T. M., Widmayer, S. M., & Stringer, S. (1980) Teenage, lower-class, black mothers and their preterm infants: An intervention and developmental follow-up. Child Development, 51, 426436.
Henderson, S. with Byrne, D. G. & Duncan-Jones, P. (1981) Neurosis and the Social Environment. Sydney: Academic Press.
Hereford, C. F. (1963) Changing Parental Attitudes Through Group Discussion. Austin: University of Texas Press.
Kendell, R. E. & DiScipio, W. J. (1968) Eysenck personality inventory scores of patients with depressive illnesses. British Journal of Psychiatry, 114, 767770.
Kumar, R. & Robson, K. M. (1984) A prospective study of emotional disorders in childbearing women. British Journal of Psychiatry, 144, 3547.
Larson, C. P. (1980) Efficacy of prenatal and postpartum home visits on child health and development. Pediatrics, 66, 191197.
Lubin, B., Gardener, S. H. & Roth, A. (1975) Mood and somatic symptoms during pregnancy. Psychosomatic Medicine, 37, 136146.
Margison, F. (1982) The pathology of the mother-child relationship. In Motherhood and Mental Illness, (ed. Brockington, I. F. and Kumar, R.) London: Academic Press.
Meares, R., Grimwade, J. & Wood, C. (1976) A possible relationship between anxiety in pregnancy and puerperal depression. Journal of Psychosomatic Research, 20, 605610.
Oakley, A. (1980) Women Confined: Towards a Sociology of Childbirth. Oxford: Martin Robertson.
Osofsky, J. D. & Connors, K. (1979) Mother-infant interaction: An integrative view of a complex system. In Handbook of Infant Development, (ed. Osofsky, J. D.) New York: Wiley.
Parker, G. (1983) Parental Overprotection: A Risk Factor in Psychosocial Development. New York: Grune and Stratton.
Pines, D. (1972) Pregnancy and motherhood: interaction between fantasy and reality. British Journal of Medical Psychology, 45, 333343.
Raphael-Leff, J. (1980) Psychotherapy with pregnant women. In Psychological Aspects of Pregnancy, Birthing and Bonding, (ed. Blum, B. L.). New York: Human Sciences Press.
Shereshefsky, P. M. & Yarrow, L. J. (1973) Psychological Aspects of a First Pregnancy and Early Postnatal Adaptation. New York: Raven Press.
Siegel, E., Bauman, K. E., Schaefer, E. S., Saunders, M. M. & Ingram, D. D. (1980) Hospital and home support during infancy: impact on maternal attachment, child abuse and neglect, and health care utilization. Pediatrics, 66, 183190.
Single, T. (1979) Failure to bond: A study of maternal behaviour. Master of Psychology, Unpublished thesis. Australia: University of Newcastle.
Spielberger, C. D., Gorsuch, R. L. & Lushene, R. E. (1970) Manual for the State-Trait Anxiety Inventory (Self-Evaluation Questionnaire). Palo Alto, Calif., Consulting Psychologists Press.
Tod, E. D. M. (1964) Puerperal depression: a prospective epidemiological study. Lancet, 2, 12641266.

Professional and Non-Professional Intervention for Highly Anxious Primiparous Mothers

  • Bryanne Barnett (a1) and Gordon Parker (a2)


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Professional and Non-Professional Intervention for Highly Anxious Primiparous Mothers

  • Bryanne Barnett (a1) and Gordon Parker (a2)
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