RESUMO
Studies of intervention programs that aim to improve the emotional state of parents of children admitted to the neonatal intensive care units (NICU) are scarce in Spain. The aims of this single-arm pilot study are to get to know the emotional profile of parents of high-risk preterm newborns, and to explore parents' patterns of emotional well-being before and after a psychological program called the Parental Empowerment Program, to increase parental readiness levels. The sample was made up of 100 parents (50 couples) who participated in the program. Measurements were taken of post-traumatic stress, depression, and resilience at 1 month and 12 months. Repeated measurements and dyadic data analyses were performed. One month after the birth of the baby and prior to the start of the program, mothers show more symptoms of stress and depression than fathers. After the intervention, both parents experienced improvements in their mood levels. The evidence obtained seems to show that high resilience levels and low post-traumatic stress symptoms are associated with reduced depression levels after implementing the program. However, the heterogeneity of the responses obtained, the observed associations between stress, resilience, and maternal depression, along with the reciprocal influence between maternal and paternal depression 1 year after the intervention, highlight the need for a more in-depth exploration of the interplay between risk and protective factors in this population. Despite the identified potential threats to validity, further work in this direction is recommended, including the implementation of clinical trials to demonstrate intervention efficacy. The adaptation of the parents' mutual emotional adjustment at each stage would allow them to participate more actively in the baby's care.
RESUMO
El diagnóstico de una enfermedad crónica en un hijo es un acontecimiento que alterael funcionamiento de la familia. En algunas ocasiones es necesaria la intervención de losprofesionales de la psicología. Estas familias se enfrentan a situaciones estresantes quepueden afectarles a nivel individual, conyugal y/o familiar. Las técnicas de orientacióny terapia familiar son instrumentos muy útiles para abordar estos casos. En el presentetrabajo, nos centraremos en la descripción, explicación y comprensión del funcionamientode una familia con una adolescente que fue diagnosticada de cáncer. Desarrollaremosaspectos de la fase final de la intervención psicoterapeutica en las que se trataron dificultadesrelativas al curso crónico de la enfermedad y a la reincorporación a la vidacotidiana tras la finalización del tratamiento oncológico(AU)
A child chronic illness diagnosis is an event that disturbs the family functioning.Sometimes is necessary an psychologists intervention. These families cope stressfulsituations that may hurt them in an individual, conjugal or family level. Orientation andFamily Therapy techniques are very useful tools to broach these cases. This paper regardto the description, explanation and understanding of a teenager cancer diagnosed on 2004family functioning. We will try to develop some final phase aspects of the psychotherapyintervention where were treat some difficulties that concern to the illness chronic courseand the re-entry in the normal life after the oncological treatment finish(AU)
