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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Infants admitted to a neonatal intensive care unit: parental psychological status at 9 months
Janet D Carter1, Roger T Mulder, Christopher M A Frampton
1Department of Psychology, University of Canterbury, Christchurch, New Zealand. janet.carter@canterbury.ac.nz
Insights
Parents whose infants were admitted to the neonatal intensive care unit (NICU) showed no lasting psychological distress at 9 months. Factors like initial symptom severity and relationship quality influenced recovery from parental depression and anxiety.
Area of Science:
- Psychology
- Neonatal Care
- Parental Mental Health
Background:
- Infant hospitalization in the neonatal intensive care unit (NICU) can cause significant parental stress.
- Longitudinal studies are needed to understand the long-term psychological impact on parents.
Purpose of the Study:
- To compare the psychological status of parents with NICU-admitted infants versus parents of healthy term infants at 9-month follow-up.
- To identify factors associated with changes in parental psychological status over time.
Main Methods:
- Prospective longitudinal study involving 447 parents of NICU infants and 189 parents of healthy term infants.
- Assessment of parental depression and anxiety symptoms at infant birth and 9 months postpartum.
Main Results:
- Initial elevated depression and anxiety symptoms in NICU parents resolved by 9 months.
- Higher initial symptom severity and better couple relationship quality predicted improvement.
- For fathers, factors like infant hospitalizations and for mothers, age and living situation influenced symptom changes.
Conclusions:
- NICU admission does not typically lead to persistent psychological distress for the majority of parents.
- Parental psychological well-being post-NICU admission is influenced by initial severity and relationship factors.
Aim:
This paper reports on the 9-month follow-up of parents who had an infant admitted to neonatal intensive care unit (NICU) compared to parents of full-term health infants. The psychological status of the parent groups is compared and factors associated with status change are examined.
Methods:
Prospective longitudinal study of random sample of 447 parents (mother and father with an infant admitted to the NICU and 189 parents (mother and father) with term infant not requiring NICU admission. Parents' depression and anxiety symptoms were assessed at infant birth and 9 months later.
Results:
The increased levels of depression and anxiety symptoms evident in NICU parents after their infant's birth were no longer apparent by 9 months. Higher initial symptom severity and perceived quality of the couple relationship were most commonly associated with improvement. Other factors related to symptoms change were number of baby hospitalizations for fathers and being in the NICU, age and living with the infant's father or mother.
Conclusion:
For the majority of parents having an infant admitted to the NICU does not result in ongoing psychological distress.
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