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Mental Health Symptoms in Parents of Infants 3 Months After Discharge Following Neonatal Cardiac Surgery
Amy J Lisanti1, Ryan Quinn2, Jesse L Chittams3
1Amy J. Lisanti is an assistant professor at University of Pennsylvania School of Nursing and Children's Hospital of Philadelphia Research Institute, Philadelphia, Pennsylvania.
Insights
Parental role alteration in the pediatric cardiac intensive care unit (PCICU) predicts anxiety, depression, and posttraumatic stress in parents of infants with congenital heart disease (CHD) after discharge.
Area of Science:
- Pediatric Cardiology
- Parental Mental Health
- Critical Care Nursing
Background:
- Parents of newborns with congenital heart disease (CHD) face significant mental health challenges, including anxiety, depression, and post-traumatic stress.
- Factors influencing parental mental health during the pediatric cardiac intensive care unit (PCICU) postoperative stay are not well understood.
Purpose of the Study:
- To assess mental health symptoms in parents of infants with CHD at 3 months post-PCICU discharge.
- To identify factors during the PCICU stay that predict these parental mental health symptoms.
Main Methods:
- A longitudinal cohort pilot study involving 56 parents (28 dyads) of 28 infants with CHD.
- Parents completed questionnaires during the first postoperative week in the PCICU.
- Validated measures of anxiety, depression, and posttraumatic stress were administered 3 months after discharge.
Main Results:
- At 3 months post-discharge, 26% of parents reported elevated anxiety, 21% significant depressive symptoms, and 19% posttraumatic stress symptoms.
- Parental role alteration in the PCICU predicted all three symptom types (anxiety, depression, posttraumatic stress).
- Higher education and postnatal CHD diagnosis were also significant predictors for specific symptoms.
Conclusions:
- Perceived parental role alteration during the PCICU stay is a modifiable stressor impacting parental mental health post-discharge.
- Interventions focused on mitigating parental role alteration in the PCICU are essential for improving long-term parental well-being.
Background:
Parents of newborns with congenital heart disease (CHD) are at risk for anxiety, depression, and post-traumatic stress. Few studies have examined whether modifiable factors that influence parents' mental health after discharge are present during postoperative care in the pediatric cardiac intensive care unit (PCICU).
Objective:
To describe mental health symptoms of parents of infants with CHD 3 months after PCICU discharge and to determine factors during the PCICU stay that are predictors of such symptoms.
Methods:
A longitudinal cohort pilot study of 56 parents (28 mother-father dyads) of 28 infants with CHD. During the first postoperative week after cardiac surgery, parents completed questionnaires measuring factors potentially influencing mental health. Three months after discharge, 42 parents of 22 infants completed validated measures of anxiety, depression, and posttraumatic stress.
Results:
Three months after discharge, 26% of parents had clinically elevated levels of anxiety symptoms, 21% had clinically significant levels of depressive symptoms, and 19% had posttraumatic stress symptoms. In multi-variable analysis, parental role alteration in the PCICU was predictive of anxiety (P = .002), depressive (P = .02), and posttraumatic stress (P = .02) symptoms 3 months after discharge. Higher education level was predictive of anxiety symptoms (P = .009). Postnatal CHD diagnosis was predictive of posttraumatic stress symptoms (P = .04).
Conclusions:
Parental role alteration perceived by parents during the PCICU stay is a modifiable stressor contributing to adverse mental health symptoms 3 months after discharge. Interventions targeting parental role alteration in the PCICU are critically needed.
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