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Published on: January 7, 2020
Parent Psychological Distress in the Neonatal Intensive Care Unit Within the Context of the Social Ecological Model:
11 Kristy Loewenstein, MSN, RN-BC, PMHNP-BC, Medical University of South Carolina College of Nursing, Charleston, SC, USA; Zucker Hillside Hospital, Northwell Health, Glen Oaks, NY, USA.
Insights
Parents in the neonatal intensive care unit (NICU) face significant mental health risks. Socioeconomic factors, infant characteristics, and parental history influence their psychological distress during NICU stays.
Area of Science:
- Neonatal care
- Parental mental health
- Psychosocial well-being
Background:
- Parents in neonatal intensive care units (NICU) are susceptible to psychological distress and mental health challenges.
- Existing statistics on parental psychological distress in the NICU setting show considerable variation.
Purpose of the Study:
- To comprehensively review the existing literature on the mental health and psychosocial well-being of parents with infants in the NICU.
- To identify factors contributing to parent mental health within the NICU environment.
Main Methods:
- A scoping review was conducted using the Arksey and O'Malley framework and the Social-Ecological Model (SEM).
- A systematic literature review adhering to the PRISMA methodology was performed.
- The review aimed to answer: "What factors contribute to parent's mental health in the NICU?"
Main Results:
- Common socioeconomic factors and specific infant and parent characteristics increase the risk of parental distress.
- Identified themes contributing to distress include: history of mental illness, family cohesion, birth trauma, altered parenting role, gestational age, birth weight, and illness severity.
Conclusions:
- Further research is needed to establish standardized screening and assessment protocols for parental mental health in the NICU.
- The mental health impact on all types of parents, including non-birth parents, requires further investigation.
Background:
Neonatal intensive care unit (NICU) parents are at risk for psychological distress and impaired mental health, and statistics related to parent psychological distress vary.
Objective:
To determine the scope of literature regarding the mental health and psychosocial well-being of parents in the NICU.
Design:
A scoping review within the Arksey and O'Malley framework and the SEM was undertaken to answer, "What factors contribute to parent's mental health in the NICU?" A systematic review of the literature was performed using the PRISMA methodology.
Results:
Common socioeconomic factors and infant and parent characteristics may place parents at a greater risk for developing distress. History of mental illness, family cohesion, birth trauma, altered parenting role, gestational age, birth weight, and severity of prematurity/illness emerged as themes.
Conclusion:
Further research is required to provide a standard for the screening and assessment of parents' mental health and psychosocial well-being during a NICU hospitalization. The experiences of nonbirth parents in the NICU should be explored to examine the effects of the hospitalization on all types of parents.
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