Impact of psychological distress and psychophysical wellbeing on posttraumatic symptoms in parents of preterm infants after NICU discharge
Open Access
- 24 January 2022
- journal article
- research article
- Published by Springer Science and Business Media LLC in Italian Journal of Pediatrics
- Vol. 48 (1), 1-9
- https://doi.org/10.1186/s13052-022-01202-z
Abstract
Parents after Neonatal Intensive Care Unit (NICU) hospitalization of preterm infant may develop psychopathological symptoms. The aim of the study was to determine how parental stress and psychophysical wellbeing affect posttraumatic symptoms (PTTS) in parents during the first year after NICU discharge. Moreover, this study aimed to explore any gender-specific difference in psychological distress among mothers and fathers. Prospective study design from September 2018 to September 2019. 20 pairs of parents of preterm infants admitted to a tertiary-level NICU were enrolled. Primary outcome was evaluation of PTTS in parents of preterm infants at one year after NICU discharge through Impact of Event Scale- Revised. Secondary outcomes were: impact of parental stress, psychophysical wellbeing, anxiety and depression respectively through Parental Stressor Scale: NICU, Short Form Health Survey-36(SF-36), Self-rating Anxiety Scale and Self-rating Depression Scale. Mothers experienced higher rates of PTTS than fathers across the first year after NICU discharge (55% vs 20%). Maternal avoidance symptoms were associated with perception of their own infant look. Emotional aspects linked to maternal role predicted 36,8% of their hyperarousal symptoms. Maternal PTTS severity was predicted by their social functioning. Paternal mental health was associated both with maternal and paternal intrusive symptoms.. Maternal stress was associated with paternal avoidance symptoms. Paternal mental health predicted their hyperarousal symptoms (40%) and PTSD severity (52%). Parents who experienced NICU hospitalization of their own infant are at heightened risk to develop psychopathological symptoms. According to our initial hypothesis, investigating parental psychophysical wellbeing, through SF-36, originally provides a valuable support to detect parents at higher risk to develop posttraumatic outcomes across the first year after NICU discharge. In addition, paternal depression deserves to be taken into account since hospitalization as it could impact paternal PTSD development. Finally, these findings provide an initial evidence of gender-related patterns in PTSD development and psychological distress among mothers and fathers across the first year of their infant.Keywords
This publication has 26 references indexed in Scilit:
- Depression and Anxiety Symptoms in Mothers of Newborns Hospitalized on the Neonatal Intensive Care UnitNursing Research, 2014
- Parent and family outcomes following very preterm or very low birth weight birth: A reviewSeminars in Fetal and Neonatal Medicine, 2014
- Measuring maternal stress and perceived support in 25 Italian NICUsActa Paediatrica, 2011
- Prevalence and Correlates of Posttraumatic Stress and Postpartum Depression in Parents of Infants in the Neonatal Intensive Care Unit (NICU)Journal of Clinical Psychology in Medical Settings, 2010
- Stress in Fathers of Surgical Neonatal Intensive Care Unit BabiesAdvances in Neonatal Care, 2007
- The Italian SF-36 Health Survey: Translation, Validation and NormingJournal of Clinical Epidemiology, 1998
- Parental Stressor ScaleNursing Research, 1993
- The MOS 36-ltem Short-Form Health Survey (SF-36)Medical Care, 1992
- A Rating Instrument For Anxiety DisordersPsychosomatics, 1971
- A Self-Rating Depression ScaleArchives of General Psychiatry, 1965