Measuring maternal stress and perceived support in 25 Italian NICUs

Montirosso, Rosario; Provenzi, Livio; Calciolari, G; Borgatti, Renato

doi:10.1111/j.1651-2227.2011.02440.x

Cited by 122 publications

(148 citation statements)

References 27 publications

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“…and the relationship with the staff generate lower levels of stress in the parents. This is consistent with other studies that have investigated parental stress in the context of NICU 4,5,8,17,20,23,24,27,31 .…”

Section: Discussionsupporting

confidence: 82%

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Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal

Palma¹,

et al. 2017

Rev. chil. pediatr.

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Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal AbstractIntroduction: The birth of a child that requires hospitalization in a Neonatal Intensive Care Unit (NICU) can be very stressful for parents. Objective: To determine the stress level of parents of newborns (NB) hospitalized in a level III NICU in Santiago, and its association with clinical and sociodemographic variables. Patients and Method: Descriptive cross-sectional study. 373 admissions were evaluated. The sampling was non-probabilistic and included parents of RN admitted to the UPCN between 7 and 21 days of hospitalization. Only parents which have visited the RN at least three times were included. Instruments: i) Questionnaire to obtain data which could not be obtained from the medical record; ii) Parental Stress Scale: Neonatal Intensive Care Unit (PSS:NICU) which measures the perception of parents about stressors from the physical and psychological environment of the UPCN. Results: 100 parents of 59 hospitalized NB participated in the study. The average parental stress was 2.87±0.69. The subscale scores got higher was "Relationship with the baby and parental role". Complications in pregnancy, prenatal diagnosis or prenatal hospitalization, did not affect the stress level or the presence of prematurity, respiratory diseases, congenital malformations, genopathies or requirement of mechanical ventilation. Conclusions: Stress levels presented in parents are unrelated to gender and to the studied clinical variables.

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Section: Discussionsupporting

confidence: 82%

“…This scale has been widely used in the neonatal literature 1,5,8,17,[23][24][25][26][27][28][29][30][31] and has been shown to have high validity and reliability 4 . Authors' permission was obtained for their use.…”

Section: Instrumentsmentioning

confidence: 99%

Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal

Palma¹,

et al. 2017

Rev. chil. pediatr.

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“…26 Otros estudios también han reportado que existe un mayor nivel de estrés en madres más jóvenes. 19 En el presente estudio, los padres que habían tomado en brazos, al menos, una vez a su RN mostraron un menor nivel de estrés inicial. Este hallazgo es muy relevante y refuerza lo importante que es para los padres el contacto físico precoz con su hijo, tanto para reducir el estrés como para promover interacciones tempranas positivas que favorezcan un apego seguro.…”

Section: Resultsunclassified

“…[18][19][20] La subescala con el puntaje promedio más alto para estrés fue la alteración en el rol parental, seguida por el aspecto y comportamiento del RN y las vistas y sonidos de la UCIN. Estos hallazgos son consistentes con otros estudios que han empleado la PSS: NICU [19][20][21][22] y muestran que una importante causa de estrés en las familias es no poder satisfacer las necesidades básicas de su hijo/a, así como no poder protegerlos y tener que estar separados de ellos. 23 Un reciente estudio de India 22 muestra resultados similares a los nuestros.…”

Section: Discussionunclassified

Estrés en padres de recién nacidos prematuros de muy bajo peso hospitalizados en unidades de cuidados intensivos neonatales. Estudio multicéntrico

Wormald

Tapia

Torres³

et al. 2015

Arch Argent Pediat

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“…The stressors examined in previous studies were more controlled and had less variability. For example, cognitive load (Hjortskov et al, 2004;Lattimore & Maxwell, 2004;Shi et al, 2007), unfriendly attitude (Hjortskov et al, 2004;Montirosso, Provenzi, Calciolari, Borgatti, & Group, 2011), and emotion (Kim, Bang, & Kim, 2004) are the most common stressors used in experimental tasks. However, none of them provides continuous and diverse changes in stress, and therefore could not reveal the relationship between different physiological signals during such changes.…”

Section: Discussionmentioning

confidence: 99%

Continuous Estimation of Stress Using Physiological Signals during a Car Race

Wen¹,

Tomoi²,

Yamakawa³

et al. 2017

PSYCH

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Mental stress refers to the feeling of strain and anxiety caused by internal and/or external factors. Stress may have both positive and negative influences on cognitive performance. For example, small amounts of stress may improve concentration, athletic performance, and reaction speed. However, excessive stress may harm health, and disturb concentration and motor control. Furthermore, increase in short-term stress has a considerable effect on physiological processes such as heart rate and sweating. However, to our knowledge, so far no study has estimated mental stress through continuous monitoring of physiological signals under a situation with various stressors. Therefore, it remains unclear how different physiological signals correlate with each other and how they change continuously in response to the changes in stressors. Here, we measured heart rate variability, galvanic skin response, and activity of the masseter muscle in a professional racer during a real car race. Car racing is one of the most dangerous sports, and the competition with other racers and physical discomfort during the race induce great short-term stresses. We used factor analysis to examine the relation between the three types of physiological signals, and clarified the events associated with stress (e.g., acceleration, competing car in vision, overtaking). The results showed that the heart rate variability and galvanic skin response correlated with each other, and were associated with the event of competition, which brought great mental stress. In contrast, activity of the masseter muscle did not correlate with the other two physiological signals, but was associated with the events of acceleration or deceleration, which brought great physical discomfort. We concluded that heart rate variability and galvanic skin response reflect mental stress, which is associated with an internal desire to win and is triggered by changes in the external world (e.g., the appearance of competing cars). In contrast, masseter muscle activity reflects the endurance of body discomfort, which is not linked to any internal state. Our results indicated that internal and external stressors may be dissociated from each other, and may affect different orHow to cite this paper:

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Measuring maternal stress and perceived support in 25 Italian NICUs

Abstract: PSS: NICU and NPST demonstrated adequate psychometric properties in a large sample of Italian mothers. The need for a psychologically informed support to NICU mothers is suggested.

Cited by 122 publications

References 27 publications

Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal

Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal

Estrés en padres de recién nacidos prematuros de muy bajo peso hospitalizados en unidades de cuidados intensivos neonatales. Estudio multicéntrico

Continuous Estimation of Stress Using Physiological Signals during a Car Race

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