The effect of a prenatal hypnotherapeutic programme on postnatal maternal psychological well-being / Catharina Guse
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|Title||The effect of a prenatal hypnotherapeutic programme on postnatal maternal psychological well-being / Catharina Guse|
|Abstract||The aim of this study was to develop and evaluate the effect of a prenatal hypnotherapeutic programme on the maintenance and promotion of postpartum psychological well-being of a group of first-time mother. Relevant literature on pregnancy, early motherhood and psychological well-being were explained in order to abstract important facets and perspectives to use as a background for the development and implementation of an intervention programme for the facilitation of psychological well-being of first-time mothers. Theoretical perspectives on, and practical applications of, clinical hypnosis were further analysed and used as foundation for the development of the hypnotherapeutic intervention. A hypnotherapeutic programme was developed, based on existing theoretical knowledge regarding pregnancy, childbirth and early motherhood, as well as clinical hypnosis, with specific emphasis on Ericksonian principles and ego state therapy techniques, enriched from the perspective of psychofortology. The empirical study consisted of a quantitative component and a qualitative component. In the quantitative component, a pretest-posttest-follow-up comparative design was implemented, with random assignment of participants to the experimental and control groups within the limits of practicalities. Both groups, each consisting of 23 women in their first pregnancy, completed the following questionnaires: (i) Perception of Labour and Delivery Scale (PLD), adapted from Padawer et al. (1988). Feelings about the baby and relationship with the baby (FRB), adapted from Wwllett and Parr (1997), Maternal Self- Confidence Scale (MSC), adapted from Ruble et al. (1990) and Maternal Self-Efficacy Scale (MSE) (Teti & Gelfand, 1991), to explore aspects of psychological well-being related to early motherhood; (ii) The Edinburgh Postnatal Depression Scale (EPDS) ofCox et al. (1987) and the General Health Questionnaire (GHQ) (Goldberg & Hillier, 1979), to investigate aspects of psychological well-being as evident by the absence of pathology; and (iii) the Satisfaction with Life Scale (SWLS) (Diener et al., 1985), the Affectometer 2 (AFM) (Kammann & Flett, 1983), the Sense of Coherence Scale (SOC) of Antonovsky (1979) and the Generalised Self-efficacy Scale (GSE), developed by Schwarrer, (1993), to measure general psychological well-being. The Stanford Hypnotic Clinical Scale (SHCS) (Morgan & Hilgard, 1978) was used for the experimental group to assess hypnotisabili. The qualitative component consisted of in-depth interviews and an analysis of written responses of mothers in the experimental group. They commented on their experience of the programme and its impact at two weeks and ten weeks postpartum. Results from the empirical study indicated that the experimental group showed significantly more symptoms of depression and symptomatology during the prenatal evaluation than the control group. Since the experimental group was possibly more vulnerable than the control group in a psychological sense, the effect of the intervention programme could not be…|
|Subjects/Keywords||Pregnancy; Childbirth; Postpartum period; Motherhood; Psychological wellbeing; Hypnosis; Ericksonian therapy; Ego state therapy; Hypnotherapy|
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