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Post-traumatic growth in parents after infants' neonatal intensive care unit hospitalisation
Anna Aftyka1, Ilona Rozalska-Walaszek1, Wojciech Rosa2
1Department of Nursing Anesthesia and Intensive Care, Medical University of Lublin, Lublin, Poland.
Insights
Parents experiencing infant hospitalization in intensive care may exhibit post-traumatic growth, influenced more by psychological factors than demographics. This growth, particularly in mothers and fathers, is often under-evaluated in clinical practice.
Area of Science:
- Psychology
- Neonatal Care
- Parental Well-being
Background:
- Premature birth or life-threatening conditions in infants are traumatic for parents.
- This trauma can lead to positive psychological changes known as post-traumatic growth (PTG).
Purpose of the Study:
- To determine the incidence and severity of PTG in parents whose children were hospitalized in intensive care.
- To identify factors influencing PTG in this population.
Main Methods:
- A survey of 106 parents (of 67 infants aged 3-12 months) was conducted.
- Standardized tools included the Impact Event Scale-Revised, Perceived Stress Scale, COPE Inventory, and Post-traumatic Growth Inventory.
Main Results:
- Three factors explained 29% of PTG variation: post-traumatic stress symptoms, positive reinterpretation/growth, and infant survival.
- Models for mothers and fathers separately showed no significant improvement.
Conclusions:
- PTG is more strongly related to psychological factors than sociodemographic variables or the stressor itself.
- PTG in parents of neonates in NICU settings is currently under-evaluated.
Aims And Objectives:
To determine the incidence and severity of post-traumatic growth in a group of parents of children hospitalised in the intensive care unit in the past.
Background:
A premature birth or a birth with life-threatening conditions is a traumatic event for the parents and may lead to a number of changes, some of which are positive, known as post-traumatic growth.
Method:
The survey covered 106 parents of 67 infants aged 3-12 months. An original questionnaire and standardised research tools were used in the study: Impact Event Scale - Revised, Perceived Stress Scale, COPE Inventory: Positive Reinterpretation and Growth, Coping Inventory for Stressful Situations, Post-traumatic Growth Inventory and Parent and Infant Characteristic Questionnaire.
Results:
Due to a stepwise backward variables selection, we found three main factors that explain post-traumatic growth: post-traumatic stress symptoms, positive reinterpretation and growth and dichotomic variable infants' survival. This model explained 29% of the post-traumatic growth variation. Similar models that were considered separately for mothers and fathers showed no significantly better properties.
Conclusion:
Post-traumatic growth was related to a lesser extent to sociodemographic variables or the stressor itself, and related to a far greater extent to psychological factors.
Relevance To Clinical Practice:
Our study highlights the fact that post-traumatic growth in the parents of neonates hospitalised in the neonatal intensive care units remains under-evaluated.
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