Depression, posttraumatic stress and relationship distress in parents of very preterm infants

Winter, Leanne; Colditz, Paul B.; Sanders, Matthew R.; Boyd, Roslyn N.; Pritchard, Margo; Gray, Peter H.; Whittingham, Koa; Forrest, Kylee; Leeks, Rebecca; Webb, Lachlan; Marquart, Louise; Taylor, Kerry; Macey, Judith

doi:10.1007/s00737-018-0821-6

Cited by 59 publications

(64 citation statements)

References 30 publications

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“…The findings indicate that the mental well-being of many fathers and even more mothers was severely affected by the caring process [10]. Also in a recent study depression, posttraumatic stress were reported to be higher in mothers of preterm infants than fathers of them [16]. In accordance with these studies, our mothers of children with CP had significantly higher anxious mood compared to the fathers of children with CP.…”

Section: Discussionsupporting

confidence: 86%

Serebral palsili çocukların klinik özellikleri ile ebeveynlerinin duygudurumları arasındaki ilişki

Sarsan¹

2019

Pamukkale Medical Journal

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Purpose: The aim of this study was to compare the depression and anxiety levels between mothers and fathers of children with ceebral palsy (CP) and to explore the association between the clinical features of children with CP and the moods of their parents. Materials and methods: A total of 95 children with CP and their parents were included in this cross sectional study. The type of CP was identified and their functional levels were assessed with the Gross Motor Functional Classification System and the Bimanual Fine Motor Function. The depression and anxiety levels of parents was evaluated with Hospital Anxiety and Depression Scale. Results: The mothers of children with CP had significantly higher anxiety levels compared to the fathers of children with CP whereas there were no statistically significant difference between depression levels of mothers and fathers. Mother's anxiety and depression levels showed positive correlation with functional status of children with CP. Father's depression level, furthermore a positive correlation between mother's anxiety level and father's anxiety level was demonstrated. Moreover, father's depression and anxiety level exhibited a poor positive correlation with functional status of children with CP. Conclusion: Our findings indicate that mothers of children with CP had significantly higher anxious mood compared to the fathers of them. Identifying which factors are associated with moods of each parents of children with CP may provide benefit in order to determine the active support for family. Key words: Cerebral palsy, moods of parents, depression, anxiety. Sarsan A. The relationship between the clinical features of children with cerebral palsy and the moods of their parents. Pam Med J 2019;12:107-114. ÖzetAmaç: Bu çalışmanın amacı, serebral palsili (SP) çocukların anneleri ve babaları arasındaki depresyon ve anksiyete düzeylerini karşılaştırmak ve SP'li çocukların klinik özellikleri ile ebeveynlerinin duygudurumları arasındaki ilişkiyi araştırmaktı. Gereç ve yöntem: Bu kesitsel çalışmaya, toplamda 95 SP'li çocuk ve onların ebeveynleri dahil edildi. SP'nin tipi tanımlandı ve SP'lilerin fonksiyonel seviyeleri Kaba Motor Fonksiyon Sınıflama Sistemi ve Bimanual Fine Motor Fonksiyon ile değerlendirildi. Ebeveynlerin depresyon ve anksiyete düzeyleri ise Hastane Anksiyete ve Depresyon Ölçeği ile değerlendirildi. Bulgular: SP'li çocukların anneleri ve babalarının depresyon düzeyleri arasında istatistiksel olarak anlamlı bir fark bulunmazken, SP'li çocukların annelerinin anksiyete düzeyleri babalarına göre anlamlı olarak daha yüksek bulunmuştur. Annelerin anksiyete ve depresyon düzeylerinin SP'li çocukların fonksiyonel durumu ve babaların depresyon düzeyi ile pozitif korelasyon gösterdiği, ayrıca annelerin anksiyete düzeyi ile babaların anksiyete düzeyleri arasında pozitif bir ilişki olduğu gösterilmiştir. Diğer taraftan, babaların depresyon ve anksiyete düzeyi, SP'li çocukların fonksiyonel durumları ile zayıf pozitif korelasyon göstermiştir. Sonuç: Elde ettiğimiz bulgular, SP'li çocukl...

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Section: Discussionsupporting

confidence: 86%

Serebral palsili çocukların klinik özellikleri ile ebeveynlerinin duygudurumları arasındaki ilişki

Sarsan¹

2019

Pamukkale Medical Journal

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“…On the other hand, physicians who investigate only depression in mothers may be unaware of the distress that women experience [5].…”

Section: Introductionmentioning

confidence: 99%

“…Psychiatric disorders bring undesired consequences for mother and baby, including premature births and low birth weight at birth [5,6]. Moreover, children of depressed mothers, who have not been treated during or after pregnancy, are at risk of attachment disorders, poor relationship with the mother and developmental problems [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Persian version of postpartum distress measure scale

et al. 2020

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Background: The purpose of the present study was to determine psychometric properties of the Persian version of Postpartum Distress Measure Scale (PDM Scale). Methods: In this psychometric explorative study, the data were collected using a questionnaire containing demographic information, PDM Scale, and Depression and Anxiety Stress Scale-21 (DASS-21). The content, face and construct validity of the questionnaire was examined with participation of ten experts, 10 and 150 women referring to health care centers, who were under common care during their postpartum period, respectively. The concurrent validity of the tool was evaluated using DASS-21. The reliability of the items was evaluated with the participation of 30 women, calculating Cronbach's alpha coefficient and intra-class correlation coefficient. Results: The Content Validity Index, Content Validity Ratio and Impact Score of the Persian version of the PDM were 0.94, 0.73, and 2.97, respectively. The ten items of the questionnaire were loaded in two factors (general distress and obsessive compulsive symptoms subscale). Those two factors explained 50.78% of the total variance of women's distress. Internal consistency of the items and stability of the results were confirmed by Cronbach's alpha of 0.72 and Intra-class correlation coefficient of 0.75. Conclusion: According to the study results, the Persian version of PDM Scale has acceptable psychometric properties. Care providers and researchers can use it as a tool for screening anxiety, depression and obsessivecompulsive disorder in women.

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“…Indeed, one would envision that healthy mother-infant exchanges would be mutualistic with a balanced "give and take" as illustrated by a smooth behavioral synchrony and the development of positive attachment between mother and child [15][16][17][18]. If detrimental, unbalanced exchanges, such as those resulting from maternal/infant ill-health, stressful environment, family imbalances, would lead to unfavorable consequences straining their relationship and likely increasing the stress level of both partners of the dyad [14,17,[19][20][21]. With stress encompassing physical, mental, and physiologic elements interfering with an individual's normal activities, one can appreciate how stressors can readily challenge the balanced exchanges between a mother and her infant(s).…”

Section: Introductionmentioning

confidence: 99%

“…The latter puts them at greater risk of developing suboptimal relationships when compared with their counterparts who deliver healthy term infants. The literature relating to maternal distress, anxiety, depression among mothers of preterm infants has grown as survival of these infants is increasing [17,[21][22][23][24][25][26][27][28][29]. Interventions have been proposed to assist mothers' behavioral sensitivity towards specific issues encountered by their children, e.g.…”

Section: Introductionmentioning

confidence: 99%

Early detection of parenting stress in mothers of preterm infants during their first-year home

2020

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Background: Maternal stress following the birth of an infant is well acknowledged. It is particularly so when infants are born prematurely as their mothers cannot fully take on their parenting role until their infant(s) is discharged from neonatal intensive care units (NICUs). In this exploratory study, we examined whether these mothers' parenting stress would lessen during their first-year reunification with their infant(s) as they settle into motherhood at home. Methods: Two groups of mothers with infants born between 24-and 33-week gestational age were recruited. A group of 25 mothers were monitored at their infants' 1-month corrected age (CA) and a second group of 24 mothers were monitored at their infants' 12-month CA. Subjects completed the long form Parental Stress Index (PSI) ranking how stressful they perceive the individual subscales in the Child and Parent Domains of the selfreported questionnaire (PSI-3; Abidin; PAR Inc). The PSI theorizes that the stress mothers perceive is a resultant of their respective characteristics, interactions with their infant(s), family, and environment. Statistical analyses include descriptive statistics, χ 2 square analysis, and independent t-test. Results: There was no significant difference in the levels of perceived stress in the PSI subscales between the two groups of mothers at 1-and 12-month CA. Scores for the majority of respondents fell within the 15th to 80th percentile (% ile) distribution of Abidin's normative population, with some mothers falling below the 15th % ile. Discussion/conclusion: The data collected suggest that: 1. the perceived stress experienced by mothers during their first-year reunited with their preterm infants is within the normal range observed in Abidin's normative population. 2. As the PSI is a self-reported survey, care providers need to be aware that some mothers may downplay their stress responses. 3. With the ability to monitor individual participants, the PSI can be readily offered to mothers at their infants' first year routine clinical visits to assist in the early identification of parenting issues that may threaten the development of a healthy mother-infant dyad. Early appropriate guidance and social support would help "at-risk" mothers develop more constructive parenting routines.

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Depression, posttraumatic stress and relationship distress in parents of very preterm infants

Cited by 59 publications

References 30 publications

Serebral palsili çocukların klinik özellikleri ile ebeveynlerinin duygudurumları arasındaki ilişki

Serebral palsili çocukların klinik özellikleri ile ebeveynlerinin duygudurumları arasındaki ilişki

Psychometric properties of the Persian version of postpartum distress measure scale

Early detection of parenting stress in mothers of preterm infants during their first-year home

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