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Updated: Jun 27, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Person-Centered Exploration of Neonatal Intensive Care Unit Stressors and Social Support in Parenting Very Preterm
Federica Vallone1, Carmine Vincenzo Lambiase1, Mariana Amorim2
1Dynamic Psychology Laboratory, Department of Humanities, University of Naples Federico II, 80133 Naples, Italy.
Insights
Parents of very preterm infants in Neonatal Intensive Care Units (NICUs) face unique challenges. Identifying parental risk and support profiles can help tailor interventions for better adjustment to NICU stressors.
Area of Science:
- Neonatal care
- Parental well-being
- Psychosocial support
Background:
- Parents of very preterm (VPT) infants in Neonatal Intensive Care Units (NICUs) experience significant stressors.
- Understanding parental perceived risks and resources is crucial for effective support.
- Cross-cultural and sociodemographic factors may influence parental experiences in the NICU.
Purpose of the Study:
- To classify parents of VPT infants based on perceived NICU stressors and social support resources.
- To identify latent classes of parental risk and resource profiles.
- To investigate the influence of country of belonging and sociodemographic factors on class membership.
Main Methods:
- Survey data collected from 303 parents (92 Italian, 211 Portuguese) in NICUs.
- Utilized the Parental-Stressor-Scale-NICU and Multidimensional-Scale-of-Perceived-Social-Support.
- Analyzed data using multigroup latent class analysis and multinomial logistic regression.
Main Results:
- Three distinct cross-country parental classes were identified: 'Adjusted/Beneficial-and-Supported-System', 'Stressed-and-Supported-System', and 'Parental-Role-Alteration-with-Family-Supported-System'.
- Portuguese parents predominantly belonged to Classes 1 and 2, while Italian parents were more represented in Class 3.
- Male gender, older age, and having another child were associated with specific class memberships, indicating sociodemographic influences.
Conclusions:
- Parental experiences in the NICU are complex, varying by perceived risks and support systems.
- Latent class analysis effectively identified distinct parental profiles.
- Tailored interventions, considering country, gender, age, and family structure, are essential for supporting parents of VPT infants.
Objective:
Based on the Person-Centered Approach, this study targeted parents of very preterm (VPT) infants in Neonatal Intensive Care Units (NICUs) from Italy and Portugal. The primary aim was to classify parents by identifying latent classes of perceived risks (NICU stressors) and resources (sources of social support). Potential specificities in class membership according to Country of Belonging and sociodemographic factors were also investigated.
Methods:
Overall, 303 parents (92 Italian; 211 Portuguese) completed a survey including sociodemographic factors, Parental-Stressor-Scale-NICU, and Multidimensional-Scale-of-Perceived-Social-Support. Data were analyzed by multigroup latent class analysis and multinomial logistic regression.
Results:
Three statistically valid and cross-country classes were identified and labelled as Class 1, Adjusted/Beneficial-and-Supported-System, Class 2, Stressed-and-Supported-System, and Class 3, Parental-Role-Alteration-with-Family-Supported-System. Portuguese parents were mainly grouped in Classes 1 and 2, while Italian parents were in Class 3. Men were less likely to belong to Classes 2 and 3, while older parents having another child were more likely to belong to Class 3.
Conclusions:
The experience of parents of VPT infants in NICUs is inherently challenging, yet identifying specific risk profiles featured by the unique nuances of stressors and sources of support while accounting for further factors (Country of Belonging, Gender, Age, Having another child) can foster the customization of interventions aimed at providing parents with the necessary resources for adjusting to this extremely demanding experience.
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