Maternal Psychological Distress and Parenting Stress After the Birth of a Very Low-Birth-Weight Infant

Singer, Lynn T.; Salvator, Ann; Guo, Shenyang; Collin, Marc; Lilien, Lawrence D.; Baley, Jill E.

doi:10.1001/jama.281.9.799

Cited by 650 publications

(523 citation statements)

References 36 publications

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“…These observations concur with earlier studies suggesting that maternal postpartum depression may be further exacerbated by the infant's ill health. 17,62,63 Maternal stress is correlated with their lactation performance Our second aim investigated the associations that may exist among various psychosocial factors, lactation-enhancing interventions and lactation performance. Studies have addressed these issues.…”

Section: Subjects' Compliancementioning

confidence: 99%

“…8,[11][12][13][14][15] Stress, be it physical or psychological, may hinder lactation via physiologic/hormonal responses that inhibit milk synthesis (for example, prolactin), milk release (for example, oxytocin) and/or maternal behavior. 16 The stress that mother's experience, following a premature delivery, may include not only maternal concerns over infant's health, 8,17,18 but also their own health, lifestyle (for example, employment, family responsibilities), lack of social support and/or limited socioeconomic resources, just to name a few. 19,20 These difficult situations may lead to maternal psychological distress that can be manifested as depression, anxiety and/or post-traumatic stress.…”

Section: Introductionmentioning

confidence: 99%

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Ethnic/racial diversity, maternal stress, lactation and very low birthweight infants

et al. 2007

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Objective: (1) To compare maternal characteristics and psychological stress profile among African-American, Caucasian and Hispanic mothers who delivered very low birthweight infants. (2) To investigate associations between psychosocial factors, frequency of milk expression, skin-to-skin holding (STS), and lactation performance, defined as maternal drive to express milk and milk volume.Study Design: Self-reported psychological questionnaires were given every 2 weeks after delivery over 10 weeks. Milk expression frequency, STS, and socioeconomic variables were collected.Result: Infant birthweight, education, and milk expression frequency differed between groups. Trait anxiety, depression and parental stress in a neonatal intensive care unit (PSS:NICU) were similar. African-American and Caucasian mothers reported the lowest scores in state anxiety and social desirability, respectively. Maternal drive to express milk, measured by maintenance of milk expression, correlated negatively with parental role alteration (subset of PSS:NICU) and positively with infant birthweight and STS. Milk volume correlated negatively with depression and positively with milk expression frequency and STS.Conclusion: Differences between groups were observed for certain psychosocial factors. The response bias to self-reported questionnaires between groups may not provide an accurate profile of maternal psychosocial profile. With different factors correlating with maintenance of milk expression and milk volume, lactation performance can be best enhanced with a multi-faceted intervention program, incorporating parental involvement in infant care, close awareness and management of maternal mental health, and encouragement for frequent milk expression and STS.

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Section: Subjects' Compliancementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ethnic/racial diversity, maternal stress, lactation and very low birthweight infants

et al. 2007

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“…Singer et al 25 , área de atuação, Neonatologia, estudaram o nível de estresse vivenciado através do tempo, por mães cujos recém-nascidos tinham diferentes graus de prematuridade e risco clínico, e de desenvolvimento. Foi realizado estudo prospectivo, longitudinal, do tipo coorte, de mães de recém-nascidos prematuros de muito baixo peso e de alto risco (portadores de broncodisplasia pulmonar) e de baixo risco e recém-nascidos a termo do grupo controle, do nascimento até a idade de 3 anos.…”

Section: Cox and Bialoskurski 36 (2001) Enfermagemunclassified

A metodologia utilizada em estudos que envolvem ecos da prematuridade na história da família

Pereira

Cardoso

2005

J. Hum. Growth Dev.

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Resumo: O objetivo deste artigo foi revisar a literatura para identificar a natureza da metodologia utilizada e qual a área de atuação dos autores na abordagem do impacto da prematuridade na família e, a longo prazo, na criança. Baseou-se em: bases de dados do Medline e Lilacs utilizandose como palavras-chaves: "premature, family"; "intensive care unit, neonatal"; "quality of life"; "qualitative research". Foram selecionados artigos médicos nas áreas de Pediatria, Psiquiatria, Medicina Psicossocial e nas áreas de Enfermagem e Ciências Humanas, publicados nos idiomas inglês, espanhol e português, nos últimos dez anos e artigos identificados a partir das referências bibliográficas citadas nos primeiros artigos. Utilizadas teses de pós-graduação com informações relevantes. foram revistos onze artigos que utilizaram a metodologia quantitativa com questionários estruturados e semi-estruturados, analisados por testes estatísticos de distribuição de freqüência, qui-quadrado, regressão logística e covariância e seis estudos, sendo duas teses de mestrado e quatro artigos que utilizaram a metodologia qualitativa, com entrevista não estruturada, entrevista com grupos focais, história de vida e observação participante, analisados por fenomenologia, fenomenologia-hermenêutica e análise temática. Concluiu-se que os estudos que abordam o impacto da prematuridade na família, em sua maioria, utilizam metodologia quantitativa e são produzidos na área da Medicina, principalmente Neonatologia e Psiquiatria. A metodologia qualitativa está começando a ser aplicada a esses estudos, em áreas não médicas. São necessárias novas pesquisas para que os médicos, especialmente Neonatologistas, conheçam a especificidade da metodologia qualitativa em gerar evidências, podendo ser fonte de observação tão significativa quanto aquela proveniente da pesquisa quantitativa, para estudos que abordam prematuridade e família. Palavras

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“…29 A growing body of developmental research has demonstrated that mothers of children with chronic health conditions experience significant psychologic distress and that the level of distress is often related to the severity of the child's health condition. 55 If parents become depressed, their own functioning will be impaired with the possible consequences of unemployment, child neglect or abuse, marital distress or dissolution, and their own accidental injury. Thus, providing care to an impaired child could negatively affect the parents' physical and mental health, resulting in increased health care costs.…”

Section: Effects On Parentsmentioning

confidence: 99%

“…Initially, family coping is directed to the child's survival and physical recovery, but neuropsychologic deficits may cause significant functional disabilities in motivation, ability to learn new information, and behavioral and social capabilities, even after the child physically appears to have recovered to his or her premorbid condition. 53,55 Because of this frequent discrepancy between functional improvement and physical normalcy, the National Head Injury Association calls head injury the silent epidemic. Only recently has head injury been recognized as a disability in the absence of frank mental retardation and physical handicap.…”

Section: Effects On Parentsmentioning

confidence: 99%

Effects of Pediatric Head Trauma for Children, Parents, and Families

Youngblut

Singer

Boyer

et al. 2000

Critical Care Nursing Clinics of North America

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SUMMARYSevere pediatric head injury has negative consequences for children of all ages. Even mild and moderate head injury results in residual impairment for school-age children and adolescents. Data are needed on the effects of these less severe insults, especially for preschoolers. Although research on the impact of the child's head injury on the parent-child relationship and family functioning is limited, the experience is likely to be very stressful for the parent and the family. Indeed, family integrity may be at risk. Research is needed that examines the effects of a child's head injury for the parent and the family over time and identifies factors related to these outcomes.Accidental injury is the leading cause of death and acquired disability for children over 1 year of age. Children under 15 years of age account for 22.4% of over 35 million emergency department visits each year that result from injury. 42 Head injuries account for 29% of children's hospitalizations caused by injury. 34 Most pediatric head injuries are caused by accidental falls and motor vehicle accidents for 1-to 9-year olds and sports injuries for 5-to 9-year olds. 28 Continued progress in emergency medical care has led to increased survival of children with traumatic brain injury, but many survivors are at high risk for acute and chronic impairments in functioning. Thus, brain-injured children and their families face significant challenges because of impairment that affects the children's daily lives, their school performance, their future, and frequently, the well-being of family members and the family system. When a preschool child suffers an accidental head injury, families are suddenly faced with fears about the child's survival and current condition and uncertainty about the child's future. Hospitalization in a pediatric intensive care unit (PICU) may exacerbate these fears. 64, 66 Severely brain-injured school-age children and adolescents are often left with significant disabilities. 16 Even school-age children and adolescents with mild traumatic brain injuries experience decreased functional status initially and problems with neurobehavioral abilities, such as attention deficit and memory loss, for at least a year after the injury. 47 The stress associated with adapting to a "new" child with continuing but subtle deficits is likely to have negative effects for the parent's mental health, with potential deterioration of the parent-child and family relationships. The purpose of this article is to review the research on effects of head injury for the injured child, the parents, and the family.Address reprint requests to

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Maternal Psychological Distress and Parenting Stress After the Birth of a Very Low-Birth-Weight Infant

Cited by 650 publications

References 36 publications

Ethnic/racial diversity, maternal stress, lactation and very low birthweight infants

Ethnic/racial diversity, maternal stress, lactation and very low birthweight infants

A metodologia utilizada em estudos que envolvem ecos da prematuridade na história da família

Effects of Pediatric Head Trauma for Children, Parents, and Families

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