Guided self helpProblem solving therapyFace to face PST courseProfessional psychological intervention
Guided self help: Introduce the knowledge about twins pregnancy, and reduce the pregnant stress, and relief the anxiety and depressor.
Problem solving therapy: Based on the steps of problem-solving therapy, nurses guide mothers with mild psychological problems to solve the existing problems through wechat and telephone, 10-15 min each time for 4 weeks
Face to face PST course: Face to face interviews with nurses with psychological counselors, combined with auxiliary tools, identify patients' problems, set goals for patients, provide different solutions, and let patients choose appropriate ways according to their preferences. Once a week, 1 hour for the first time and 45 min for the rest for 5 weeks.
Professional psychological intervention: The mental health physicians and (or) psychological counselors strengthened the intervention and carried out specialized nursing
Study summary
Objectives This research will screen the psychological problems of twin pregnant women step by step and detect early and treat early in order to reduce the incidence of mental diseases and promote the health of mother and baby.
Eligibility
Sex
FEMALE
Min age
18 Years
Max age
50 Years
Healthy volunteers
Accepted
Inclusion Criteria:
* Clinical diagnosis of intrauterine twin pregnancy.
* The patients whose psychological screening scale score reached the critical value (pregnancy stress scale \>50 and/or Self rating depression scale ≥ 40 and/or The self rating Anxiety Scale (SAS) was more than 50.
* The outpatient department of the research hospital was established and antenatal examination was carried out regularly.
* No mental and communication disorders (including depression and other mental diseases).
* Voluntary participation in this study
Exclusion Criteria:
* Pregnancy complicated with severe physical diseases;
* Drop out of this study due to various reasons (including abortion, unwilling to participate in this study)
Primary outcome measure(s)
Pregnancy stress scale Self rating Anxiety Scale Depression self rating scale（PPS/SAS/SDS） — pregnancy 6-14 week If scores are less than 50, it is defined as normal; If scores are 50-59, it is defined as mild pregnancy stress; If scores are 60-69, it is defined as moderate pressure; If scores are ≥70, it is defined as severe pregnancy stress
Self-rating Anxiety Scale (SAS) — pregnancy 6-14 week If scores are less than 50, it is defined as normal; If scores are 50-59, it is defined as mild anxiety; If scores are 60-69, it is defined as moderate anxiety; If scores are ≥70, it is defined as severe anxiety.
Self-rating Depression Scale (SDS) — pregnancy 6-14 week If scores are less than 50, it is defined as normal; If scores are 50-59, it is defined as mild depression; If scores are 60-69, it is defined as moderate depression; If scores are ≥70, it is defined as severe depression
Trial sites (1)
Facility
City
Region
Status
Shengjing Hospital Affiliated to China Medical University
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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