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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Relationship Between Parents' Mental Health and Infant Admission to the Neonatal Intensive Care Unit at Sultan Qaboos
Jahad Al Omairi1, Abrar Al Balushi1, Hana Al Sumri1
1Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Insights
Parents of infants in the neonatal intensive care unit (NICU) experience high rates of depression and anxiety. Factors like younger parental age, prematurity, and infant resuscitation are linked to increased psychological distress.
Area of Science:
- Neonatal Intensive Care Unit (NICU) Care
- Parental Mental Health
- Perinatal Psychology
Background:
- Neonatal intensive care units (NICUs) provide critical care for vulnerable infants.
- Parental mental health is significantly impacted by infant admission to the NICU.
- Understanding risk factors for parental psychological distress is crucial for timely intervention.
Purpose of the Study:
- To assess depression, anxiety, and stress levels in parents of NICU-admitted infants.
- To examine associations between parental sociodemographic factors and infant clinical characteristics with parental mental health outcomes.
- To identify specific risk factors contributing to psychological distress in this population.
Main Methods:
- A cross-sectional study involving 86 parents of NICU-admitted infants at Sultan Qaboos University Hospital.
- Validated Arabic version of the Depression, Anxiety and Stress Scale (DASS-42) used for mental health assessment.
- Sociodemographic and clinical data collected via structured questionnaires; statistical analyses performed (P ≤0.05).
Main Results:
- Anxiety was most prevalent (23.3%), followed by depression (18.6%) and stress (10.5%).
- Younger parental age (20-29 years), prematurity, male infant sex, multiple births, infant resuscitation, and history of stillbirth were significantly associated with increased psychological distress.
- Parents of male infants reported higher depression and anxiety; anxiety was more prevalent in parents of multiples.
Conclusions:
- Younger parental age, prematurity, male infant sex, multiple births, infant resuscitation, and history of stillbirth are significant risk factors for parental psychological distress in the NICU setting.
- These findings underscore the necessity for routine psychological screening and support services for parents with infants in the NICU.
- Targeted interventions addressing identified risk factors can improve parental well-being and infant outcomes.
Objectives:
This study aimed to assess levels of depression, anxiety and stress among parents of neonatal intensive care unit (NICU)-admitted infants at Sultan Qaboos University Hospital (SQUH) in Muscat, Oman, and to examine their association with parental sociodemographic characteristics and infants' clinical factors.
Methods:
This cross-sectional study was conducted at SQUH between December 2024 and March 2025 and included parents of NICU-admitted infants. Mental health status was assessed using the validated Arabic version of the Depression, Anxiety and Stress Scale (DASS-42), while sociodemographic and clinical data were collected using structured questionnaires. Descriptive and inferential statistical analyses were performed, with significance set at P ≤0.05.
Results:
A total of 86 participating parents were included; 44.2% were fathers, 54.7% mothers and 1.2% other caregivers with a mean age of 33.85 ± 5.81 years. Anxiety was most prevalent (23.3%), followed by depression (18.6%) and stress (10.5%). Depression was significantly higher among parents aged 20-29 years (P = 0.048). Prematurity was significantly associated with both depression and stress, while stress was also higher among parents with a history of stillbirth or those whose infants required resuscitation (P <0.05 each). Parents of male infants were significantly more likely to report depression and anxiety (P <0.05 each). While anxiety was more prevalent among parents of multiples compared to those of singletons (P = 0.034).
Conclusions:
Younger parental age, prematurity, male infant sex, multiple newborn, resuscitation and history of stillbirth were associated with psychological distress, highlighting the need for routine psychological screening and support in NICU.
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