Allison Baylor Williams1,2, Karen D Hendricks-Muñoz3,4, Anna Beth Parlier-Ahmad5, Sarah Griffin6, Rachel Wallace5, Paul B Perrin5, Bruce Rybarczyk5, Alyssa Ward3,7. 1. Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA. abaylor@vcu.edu. 2. Department of Psychology, Hunter Holmes McGuire VA Medical Center, Richmond, VA, USA. abaylor@vcu.edu. 3. Department of Pediatrics, Division of Neonatal Medicine, Virginia Commonwealth University School of Medicine and Children's Hospital of Richmond, Richmond, USA. 4. Virginia Commonwealth Center on Health Disparities, Richmond, VA, USA. 5. Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA. 6. MIRECC Research Fellowship, Durham Veteran Affairs Medical Center, Durham, NC, USA. 7. Behavioral Health Division, Department of Medical Assistance Services, Richmond, VA, USA.
Abstract
OBJECTIVE: To evaluate acute stress disorder (ASD) symptoms and their predictors in Neonatal Intensive Care Unit (NICU) mothers. STUDY DESIGN: In this cross-sectional study, 119 mothers (~72% Medicaid) completed surveys during the first month of their infants' hospitalizations. Correlations and structural equation models (SEMs) evaluated relations among mothers' childhood trauma history, infant health appraisals, objective infant health, and ASD. RESULT: ASD symptoms (~55%) and childhood trauma (~33%) were prevalent. ASD was correlated with childhood trauma, infant health, and infant health appraisals. All SEMs had good fit, indicating that (a) infant health appraisals partially mediated relations between childhood trauma and ASD, and (b) infant health appraisals fully mediated relations between objective infant health and ASD. CONCLUSION: ASD symptoms are prevalent among NICU mothers regardless of infant health severity. Recognition of childhood trauma history and appraisals of infant health is critical for trauma-informed care.
OBJECTIVE: To evaluate acute stress disorder (ASD) symptoms and their predictors in Neonatal Intensive Care Unit (NICU) mothers. STUDY DESIGN: In this cross-sectional study, 119 mothers (~72% Medicaid) completed surveys during the first month of their infants' hospitalizations. Correlations and structural equation models (SEMs) evaluated relations among mothers' childhood trauma history, infant health appraisals, objective infant health, and ASD. RESULT: ASD symptoms (~55%) and childhood trauma (~33%) were prevalent. ASD was correlated with childhood trauma, infant health, and infant health appraisals. All SEMs had good fit, indicating that (a) infant health appraisals partially mediated relations between childhood trauma and ASD, and (b) infant health appraisals fully mediated relations between objective infant health and ASD. CONCLUSION: ASD symptoms are prevalent among NICU mothers regardless of infant health severity. Recognition of childhood trauma history and appraisals of infant health is critical for trauma-informed care.
Authors: Claudia Holzman; Janet Eyster; Mary Kleyn; Lynne C Messer; Jay S Kaufman; Barbara A Laraia; Patricia O'Campo; Jessica G Burke; Jennifer Culhane; Irma T Elo Journal: Am J Public Health Date: 2009-08-20 Impact factor: 9.308
Authors: Richard J Shaw; Rebecca S Bernard; Thomas Deblois; Linda M Ikuta; Karni Ginzburg; Cheryl Koopman Journal: Psychosomatics Date: 2009 Mar-Apr Impact factor: 2.386