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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Biopsychosocial risks of parental care for high-risk neonates: implications for evidence-based parental counseling

F X Placencia1, L B McCullough

  • 1Department of Pediatrics, Section of Neonatology, Baylor College of Medicine, and Texas Children's Hospital, Houston, TX, USA. fxplacen@bcm.edu

Journal of Perinatology : Official Journal of the California Perinatal Association
|September 10, 2011
PubMed

Insights

Caring for high-risk neonates long-term impacts families physically, psychologically, and socially. Parents and siblings experience increased stress, health issues, and financial strain, necessitating preventative counseling strategies.

Area of Science:

  • Pediatric care
  • Family medicine
  • Psychology

Background:

  • High-risk neonates often require long-term care.
  • Families face significant challenges in providing this care.

Purpose of the Study:

  • To establish an evidence base for counseling parents of high-risk neonates.
  • To inform parents about the biopsychosocial impact of long-term caregiving.

Main Methods:

  • Systematic review of studies from 1993-2010.
  • Keywords: 'long-term care,' 'family,' 'neonate,' 'technology dependence.'
  • Analysis based on Engel's biopsychosocial model.

Main Results:

  • Parental caregivers reported increased physical health problems, reduced health behaviors, and lower vitality.
  • Higher rates of PTSD and depression in parental caregivers; siblings experienced more stress and depression.
  • Socially, caregivers had lower educational attainment, higher unemployment, and reduced income; family strain increased.

Conclusions:

  • Long-term caregiving for high-risk neonates presents substantial biopsychosocial risks.
  • Counseling should address these risks and promote preventative strategies for families.
Abstract

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