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Published on: July 10, 2017
[Pilot study on stress and resilience in families with premature newborns]
A Escartí1, N Boronat2, R Llopis3
1Departamento de Psicología Social, Facultat de Psicología, Universitat de Valencia, Valencia, España.
Insights
Prematurity significantly impacts family functioning, increasing parental stress and reducing resilience in parents of preterm infants. These findings highlight prematurity as a risk factor for family dysfunction.
Area of Science:
- Neonatal care
- Family psychology
- Developmental pediatrics
Background:
- Prematurity presents significant clinical challenges and outcome uncertainties, creating a stressful environment for families.
- These stressful circumstances can negatively affect overall family functioning and well-being.
Purpose of the Study:
- To investigate risk and protection factors influencing family functioning.
- To compare family functioning in parents of preterm infants versus healthy term infants.
Main Methods:
- Recruited preterm infants (n=40) and healthy term infants (n=31) at 24 months post-conception age.
- Parents completed the Inventory of Family Protection Factors and Parental Stress scales.
- Statistical analysis included Student t test, ANOVA, and Tukey test for group comparisons.
Main Results:
- Parents of healthy term infants reported higher overall family functioning scores compared to parents of preterm infants.
- Parents of preterm infants with pathological conditions reported significantly lower family resilience.
- Parents of preterm infants with pathological conditions experienced significantly higher parental stress related to child-rearing.
Conclusions:
- Prematurity is identified as a risk factor for family dysfunction.
- Elevated parental stress and challenges in developing protective factors like resilience are key consequences of prematurity.
- Interventions supporting parental resilience and stress reduction are crucial for families with preterm infants.
Introduction:
Prematurity is associated with severe clinical conditions, long hospital stays, and uncertainty about patient outcomes. These circumstances lead to a stressful situation that may affect family functioning. The aim of this study was to study risk and protection factors affecting family functioning in preterm as compared to healthy term infants.
Population And Methods:
Preterm infants with and without pathological conditions (n=40) were recruited at 24 months post-conception age, together with a control group of healthy term newborn infants (n=31). Parents or usual caregivers responded to the Inventory of Family Protection Factors and Parental Stress scales. The results were compared using the Student t test, unidirectional analysis of variance and the Tukey test.
Results:
Parents of the control group attained higher scores than those of the preterm group for all the items studied; however, parents of preterm infants with pathological conditions perceived significantly less family resilience and more stress related to the upbringing of their child.
Conclusions:
Prematurity itself is a risk factor for family dysfunction because it causes an elevated degree of parental stress and difficulties in the development of protection factors such as resilience.
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