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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Both parents of neonatal intensive care unit patients are at risk of depression
Deniz Gönülal1, Mehmet Yalaz, Ozge Altun-Köroğlu
1Division of Neonatology, Department of Pediatrics, Ege University Faculty of Medicine, İzmir,Turkey.
Insights
Neonatal intensive care unit (NICU) hospitalization can cause postpartum depression in both mothers and fathers. Screening and support for the whole family are recommended to address this issue.
Area of Science:
- Perinatal Psychiatry
- Neonatal Medicine
- Family Psychology
Background:
- Postpartum depression affects mothers and fathers, impacting the entire family unit.
- Neonatal intensive care unit (NICU) admission is a significant stressor for parents, potentially contributing to depression.
Purpose of the Study:
- To determine the frequency and risk factors of postpartum depression in parents of NICU patients.
- To assess maternal and paternal depression levels at 2 and 6 weeks postpartum.
Main Methods:
- Mothers were assessed using the Edinburgh Postnatal Depression Scale.
- Fathers were assessed using the Beck Depression Inventory.
- Infant disease severity was measured using SNAPPE-II risk scores.
Main Results:
- Maternal depression was observed in 38.3% at 2 weeks and 33.3% at 6 weeks postpartum.
- Paternal depression was observed in 11.7% at 2 weeks and 10.0% at 6 weeks postpartum.
- Infant disease severity at NICU admission correlated with maternal depression at 2 weeks postpartum.
Conclusions:
- NICU stays for high-risk infants can trigger parental depression, irrespective of prior risk factors.
- Fathers experience postpartum depression at lower rates than mothers but require attention.
- Comprehensive parental depression screening and family support during NICU stays are crucial.
Abstract:
Postpartum depression is a serious disorder that can be seen not only in mothers but also in fathers; therefore, it negatively affects the whole family. Hospitalization in the neonatal intensive care unit (NICU) is a stress factor for the parents and contributes to depression. We aimed to detect the frequency of postpartum depression and the contributing risk factors in parents of NICU patients. The Edinburgh Postnatal Depression Scale was used for mothers and the Beck Depression Inventory was performed for fathers in the 2nd and 6th weeks after delivery. At the 2nd week, maternal depression frequency was found as 38.3%, with a mean score [ms] of 10.97±6.93. At the 6th week, maternal depression frequency was 33.3% (ms: 9.57±5.78). Paternal depression was 11.7% (ms= 7.13±7.35) at the 2nd week and 10.0% (ms: 6.50±5.79) at the 6th week. The frequency of maternal depression remained stable, but mean maternal depression scores were decreased at the 6th week compared to the 2nd week (p=0.023). However, paternal depression scores were similar in both periods (p=0.428). The infants' disease severity at admission to the NICU, as shown by SNAPPE-II risk scores, was positively correlated with Edinburgh depression scores of the mothers at the postnatal 2nd week, but not at the 6th week. In conclusion, NICU stay of high-risk infants may cause depression in their mothers and fathers, even in the absence of any previous risk factor. Although at a lower rate than in mothers, fathers may also suffer from depression. Parental depression screening and whole family support during NICU hospitalization are strongly recommended.
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