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Updated: Sep 2, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Parental resilience and psychological distress in the neonatal intensive care unit
Ololade Okito1,2,3, Yvonne Yui4, Lisa Wallace4
1Division of Neonatology, Children's National Hospital, Washington, DC, USA. ookito2@childrensnational.org.
Insights
Parental resilience may reduce psychological distress in the neonatal intensive care unit (NICU). However, resilience alone did not independently predict lower depression or anxiety screening results in this NICU parent study.
Area of Science:
- Neonatal Intensive Care Unit (NICU) care
- Parental mental health
- Psychological resilience
Background:
- Neonatal intensive care unit (NICU) hospitalizations present significant stress for parents.
- Understanding factors influencing parental psychological distress is crucial for supportive care.
Purpose of the Study:
- To examine the relationship between parental resilience and psychological distress.
- To assess if resilience predicts depression or anxiety in parents of preterm infants in the NICU.
Main Methods:
- Observational cohort study of 45 parents of preterm infants admitted to the NICU.
- Validated scales measured resilience, depression, and anxiety.
- Regression analysis evaluated associations between resilience and distress.
Main Results:
- One-third of parents screened positive for depression or anxiety.
- Higher parental resilience correlated with lower depression and anxiety scores.
- Resilience was not an independent predictor of positive depression or anxiety screens.
Conclusions:
- Parental resilience may be linked to reduced psychological distress markers in the NICU.
- Resilience alone is not sufficient to independently predict lower rates of depression or anxiety screening in early NICU hospitalization.
Objective:
To evaluate the associations between parental resilience and psychological distress during the neonatal intensive care unit (NICU) hospitalization.
Study Design:
Observational cohort study of parents of preterm infants (n = 45) admitted to a NICU between December 2017-October 2019. Data on resilience and psychological distress were collected using validated scales. Regression analysis was used to evaluate associations.
Result:
One-third of NICU parents screened positive for depression or anxiety. There were no identified sociodemographic factors or parental engagement activities associated with resilience. Parents with higher resilience had lower scores on depression and anxiety screens. However, resilience alone was not a predictor for a positive depression or anxiety screen (aOR 0.93, CI 0.86-1.00; aOR 0.95, CI 0.89-1.02, respectively).
Conclusion:
Resilience may be associated with lower scores on depression and anxiety screens but is not an independent predictor for a positive screen during the early NICU hospitalization.
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