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.

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