Anna Aftyka1, Beata Rybojad2,3, Wojciech Rosa4, Aleksandra Wróbel1, Hanna Karakuła-Juchnowicz5,6. 1. Department of Nursing Anesthesia and Intensive Care, Medical University of Lublin, Lublin, Poland. 2. Department of Emergency Unit, Medical University of Lublin, Medical University of Lublin, Lublin, Poland. 3. Department of Anesthesiology and Intensive Care, Pediatric University Hospital of Lublin, Lublin, Poland. 4. Department of Applied Mathematics, Lublin University of Technology, Lublin, Poland. 5. Department of Clinical Neuropsychiatry, Medical University of Lublin, Lublin, Poland. 6. Ist Department of Psychiatry, Psychotherapy and Early Intervention, Medical University of Lublin, Lublin, Poland.
Abstract
AIMS AND OBJECTIVES: The aim of this study was to identify the potential risk factors for the development of post-traumatic stress disorder in mothers and fathers following infant hospitalisation in the neonatal intensive care unit. BACKGROUND: The development of neonatal intensive care units has increased the survival rate of infants. However, one of the major parental problems is post-traumatic stress disorder. DESIGN: An observational study covered 125 parents (72 mothers and 53 fathers) of infants aged 3-12 months who were hospitalised in the neonatal intensive care unit during the neonatal period. SETTING: Third-referral neonatal intensive care unit. Several standardised and self-reported research tools were used to estimate the level of post-traumatic stress symptoms (Impact Event Scale-Revised), perceived stress (Perceived Stress Scale) and coping strategies (COPE Inventory). The respondents also completed a Parent and Infant Characteristic Questionnaire. RESULTS: The mothers and fathers did not differ in their parental and infant characteristics. Post-traumatic stress disorder was present in 60% of the mothers and 47% of the fathers. Compared to the fathers, the mothers felt greater stress (p = .020) and presented a higher severity of post-traumatic stress disorder (p < .001). Previous miscarriages (p = .023) and the presence of chronic diseases (p = .032) were risk factors for post-traumatic stress disorder in the mothers. In the fathers, an Apgar test at 1 min after birth (p = .030) and a partner's post-traumatic stress disorder (p = .038) were related to post-traumatic stress disorder. The mothers compared to the fathers were more likely to use strategies such as: positive reinterpretation and growth, focusing on and venting of emotions, instrumental social support, religious coping and acceptance. In the fathers, the predictors included an Apgar score at 1 min after birth, a lack of congenital anomalies in the child and mental disengagement. CONCLUSION: Risk factors for post-traumatic stress disorder, as well as coping strategies, differ in women compare to men. RELEVANCE TO CLINICAL PRACTICE: Knowledge of risk factors for post-traumatic stress disorder, specific to men and women, may help identify the parents in whom probability of the occurrence of this disorder is increased.
AIMS AND OBJECTIVES: The aim of this study was to identify the potential risk factors for the development of post-traumatic stress disorder in mothers and fathers following infant hospitalisation in the neonatal intensive care unit. BACKGROUND: The development of neonatal intensive care units has increased the survival rate of infants. However, one of the major parental problems is post-traumatic stress disorder. DESIGN: An observational study covered 125 parents (72 mothers and 53 fathers) of infants aged 3-12 months who were hospitalised in the neonatal intensive care unit during the neonatal period. SETTING: Third-referral neonatal intensive care unit. Several standardised and self-reported research tools were used to estimate the level of post-traumatic stress symptoms (Impact Event Scale-Revised), perceived stress (Perceived Stress Scale) and coping strategies (COPE Inventory). The respondents also completed a Parent and Infant Characteristic Questionnaire. RESULTS: The mothers and fathers did not differ in their parental and infant characteristics. Post-traumatic stress disorder was present in 60% of the mothers and 47% of the fathers. Compared to the fathers, the mothers felt greater stress (p = .020) and presented a higher severity of post-traumatic stress disorder (p < .001). Previous miscarriages (p = .023) and the presence of chronic diseases (p = .032) were risk factors for post-traumatic stress disorder in the mothers. In the fathers, an Apgar test at 1 min after birth (p = .030) and a partner's post-traumatic stress disorder (p = .038) were related to post-traumatic stress disorder. The mothers compared to the fathers were more likely to use strategies such as: positive reinterpretation and growth, focusing on and venting of emotions, instrumental social support, religious coping and acceptance. In the fathers, the predictors included an Apgar score at 1 min after birth, a lack of congenital anomalies in the child and mental disengagement. CONCLUSION: Risk factors for post-traumatic stress disorder, as well as coping strategies, differ in women compare to men. RELEVANCE TO CLINICAL PRACTICE: Knowledge of risk factors for post-traumatic stress disorder, specific to men and women, may help identify the parents in whom probability of the occurrence of this disorder is increased.
Authors: Allison Baylor Williams; Karen D Hendricks-Muñoz; Anna Beth Parlier-Ahmad; Sarah Griffin; Rachel Wallace; Paul B Perrin; Bruce Rybarczyk; Alyssa Ward Journal: J Perinatol Date: 2021-06-24 Impact factor: 2.521
Authors: Snehal Murthy; Laurel Haeusslein; Stephen Bent; Elizabeth Fitelson; Linda S Franck; Christina Mangurian Journal: J Perinatol Date: 2021-03-10 Impact factor: 2.521