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Updated: Jun 28, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Stress disorder in parents of premature neonates--secondary publication]
Ask Elklit1, Tilde Hartvig, Marianne Christiansen
1Psykologisk Institut, Aarhus Universitet, DK-8000 Arhus C. aske@psy.au.dk
Insights
Parents of premature infants experienced significant psychological distress, with 20% developing post-traumatic stress disorder (PTSD). Child handicap and hospital experiences were key factors contributing to parental traumatization.
Area of Science:
- Psychology
- Neonatal care
- Parental mental health
Context:
- Premature neonates (mean birth weight 842 grams) require intensive care.
- Parental psychological well-being is often overlooked in neonatal intensive care units (NICUs).
Purpose:
- To evaluate the psychological sequelae in parents of premature neonates.
- To identify factors contributing to parental traumatization.
Summary:
- 35% of parents reported their premature infant had a handicap.
- 20% of mothers met criteria for post-traumatic stress disorder (PTSD), with an additional 10% showing subclinical PTSD.
- Parental distress was linked to child's handicap, hospitalization, staff interactions, homecoming, and coping mechanisms, explaining 72% of traumatization.
Impact:
- Highlights the significant psychological burden on parents of premature infants.
- Informs the development of targeted support interventions for this vulnerable population.
- Emphasizes the need for integrated mental health care within neonatal services.
Abstract:
The current study evaluated the psychological sequelae in 66 parents of premature neonates (mean weight 842 grams). A total of 35% of the parents reported that their child had a handicap, while 20% of the women met the criteria of post-traumatic stress disorder (PTSD) at the time of the study, and an additional 10% met the criteria for subclinical PTSD. Female gender, the child's handicap, general distress during hospitalization, distressing contact with hospital staff, experienced distress at homecoming, and emotional coping explained 72% of the degree of traumatization.
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