Screening parents of high-risk infants for emotional distress: rationale and recommendations

Hynan, Michael T.; Mounts, Kyle O.; Vanderbilt, Douglas

doi:10.1038/jp.2013.72

Cited by 129 publications

(119 citation statements)

References 76 publications

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“…Similarly, rates of elevated post-traumatic stress symptomatology decline from approximately 50% shortly after birth to 27% at 30 days after birth (14). These trends are consistent with clinical recommendations to re-screen mothers of preterm infants throughout their infants’ NICU hospitalization (15). However, most investigations of maternal distress in the NICU have measured distress at only one time point (5,13).…”

Section: Introductionsupporting

confidence: 85%

Depression, Anxiety, and Perinatal-Specific Posttraumatic Distress in Mothers of Very Low Birth Weight Infants in the Neonatal Intensive Care Unit

Greene

Rossman

Patra

et al. 2015

Journal of Developmental &Amp; Behavioral Pediatrics

117

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Objective To compare the trajectories and determine the predictors of maternal distress, defined as a continuous spectrum of symptomatology and elevated symptomatology, of depression, anxiety and perinatal-specific post-traumatic stress (PPTS), in mothers of very low birth weight (VLBW) infants throughout the neonatal intensive care unit (NICU) hospitalization. Method 69 mothers completed psychological questionnaires within the first month of their infant’s NICU hospitalization and again two weeks prior to NICU discharge. Multiple regression models determined maternal psychological, reproductive, sociodemographic, and infant medical predictors of maternal distress. Results PPTS remained stable throughout the NICU hospitalization while other aspects of distress declined. Previous psychological history and infant medical variables predicted higher PPTS but no other aspects of distress. Reproductive variables predicted anxiety and PPTS; history of fetal loss initially predicted lower PPTS, but throughout hospitalization primipara status emerged as a predictor of higher anxiety and PPTS. Sociodemographic variables predicated initial, but not later, depressive distress. Conclusion Psychological screening is important in the NICU. The PPTS profile suggests it may require distinct treatment. Primiparas should be targeted for intervention.

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Section: Introductionsupporting

confidence: 85%

Depression, Anxiety, and Perinatal-Specific Posttraumatic Distress in Mothers of Very Low Birth Weight Infants in the Neonatal Intensive Care Unit

Greene

Rossman

Patra

et al. 2015

Journal of Developmental &Amp; Behavioral Pediatrics

117

View full text Add to dashboard Cite

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“…This self-report questionnaire consists of 14 items, specially adapted to the parents of perinatal high-risk children, in order to evaluate the presence of traumatic elements concerning the birth. For this measurement, we decided to use a cut-off score of ≥19 [10], [12], which identifies a high risk of trauma in the maternal population needing specific care (referral for therapy) when the PPQ has reached 19 or more.…”

Section: Methodsmentioning

confidence: 99%

Emotional Reactions of Mothers Facing Premature Births: Study of 100 Mother-Infant Dyads 32 Gestational Weeks

et al. 2014

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ObjectivesThis current study has been conducted to clarify the relationship between the mother's post-traumatic reaction triggered by premature birth and the mother-infant interactions. In this article, the precocious maternal feelings are described.MethodsA multicenter prospective study was performed in three French hospitals. 100 dyads with 100 very premature infants and their mothers were recruited. Mothers completed, at two different times self-questionnaires of depression/anxiety, trauma and social support. The quality of interactions in the dyads was evaluated.ResultsThirty-nine percent of the mothers obtained a score at HADS suggesting a high risk of depression at the first visit and approximately one-third at visit two. Seventy-five percent of the mothers were at risk of suffering from an anxiety disorder at visit one and half remained so at visit two. A “depressed” score at visits one and two correlated with a hospitalization for a threatened premature labor. We noted a high risk of trauma for 35% of the mothers and high interactional synchrony was observed for approximately two-thirds of the dyads. The mothers' psychological reactions such as depression and anxiety or postnatal depression correlate strongly with the presence of an initial trauma. At visit one and visit two, a high score of satisfaction concerning social support correlates negatively with presence of a trauma. A maternal risk of trauma is more frequent with a C-section delivery.ConclusionsMothers' psychological reactions such as depression and anxiety correlate greatly with the presence of an initial trauma. The maternal traumatic reaction linked to premature birth does not correlate with the term at birth, but rather with the weight of the baby. Social support perceived by the mother is correlated with the absence of maternal trauma before returning home, and also seems to inhibit from depressive symptoms from the time of the infant's premature birth.

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“…Several investigations [1][2][3][4][5][6][7][8][9][10] agree that having a hospitalized NB produces high levels of stress in parents. The expectation of having a healthy child is interrupted by the shock that means to be separated from him/her and not being able to take care of their baby as imagined.…”

Section: Introductionmentioning

confidence: 99%

“…Stress is related with the appearance of symptoms of depression and anxiety. Although not all parents present this type of symptomatology, it is estimated that between 20% and 30% of the parents of an hospitalized NB present a mental health problem during the first year after birth 12 , such as acute stress disorder 1 , posttraumatic stress 7,10,13 and postpartum depression 14,15 . In the latter case, rates could reach 70% in the case of mothers 10,16,17 .…”

Section: Introductionmentioning

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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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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Screening parents of high-risk infants for emotional distress: rationale and recommendations

Cited by 129 publications

References 76 publications

Depression, Anxiety, and Perinatal-Specific Posttraumatic Distress in Mothers of Very Low Birth Weight Infants in the Neonatal Intensive Care Unit

Depression, Anxiety, and Perinatal-Specific Posttraumatic Distress in Mothers of Very Low Birth Weight Infants in the Neonatal Intensive Care Unit

Emotional Reactions of Mothers Facing Premature Births: Study of 100 Mother-Infant Dyads 32 Gestational Weeks

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

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