Acculturation and Stress in Chinese-American Parents of Infants Cared for in the Intensive Care Unit

Lee, Shih-Yu Sylvia; Lee, Kathryn A.; Rankin, Sally H.; Alkon, Abbey; Weiss, Sandra J.

doi:10.1016/j.adnc.2005.08.011

Cited by 36 publications

(47 citation statements)

References 32 publications

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“…While sleep deprivation could be a symptom of parental stress (S. Y. Lee et al, 2005; S. Y. Lee & Kimble, 2009), it could also become a stressor for mothers in its own right, causing these women's allostatic loads to exceed their thresholds and leading to adverse mental health effects (Ganzel, Morris, & Wethington, 2010).…”

Section: Discussionmentioning

confidence: 99%

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Bright Light Therapy to Promote Sleep in Mothers of Low-Birth-Weight Infants

Lee

Aycock

Moloney

2012

Biological Research For Nursing

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Having a low-birth-weight (LBW) infant in a neonatal intensive care unit (NICU) can intensify a mother’s sleep disturbances due to both stress and the dim lighting in the ICU setting, which desynchronizes circadian rhythms. The purpose of this pilot study was to examine the effectiveness of a 3-week bright light therapy intervention on sleep and health outcomes of mothers with LBW infants in the NICU. Controlled stratified randomization was used to assign 30 mothers to a treatment or control group. Data were collected at pretreatment (second week postpartum) and after the 3-week intervention. Sleep data were assessed by wrist actigraph (total sleep time [TST], circadian activity rhythms [CARs]) and the General Sleep Disturbance scale. Other outcome variables were measured by the Lee’s Fatigue scale, Edinburgh Postpartum Depression scale, and the Medical Outcomes Short Form 36, version 2. Mothers averaged 26.6 ( SD = 6.3) years of age, and the majority were Black (73%). The mean gestational age for the infants was 27.7 ( SD = 2.0) weeks. Small to large effect sizes were found when comparing the pre- to posttreatment differences between groups. Although none of the differences were statistically significant in this small sample, for mothers in the treatment group nocturnal TST ( d = .33), CAR ( d = 1.06), morning fatigue ( d = .22), depressive symptoms ( d = .40), physical health–related quality of life ( d = .33), and mental health–related quality of life ( d = .60) all improved compared to the control group. Bright light therapy is feasible for mothers with infants in an NICU. Clinically significant improvements have been evidenced; a larger-scale trial of effectiveness is needed.

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Section: Discussionmentioning

confidence: 99%

“…Prior studies with mothers with infants in the NICU have correlated poor sleep with fatigue and depressive symptoms (Lee & Kimble, 2009; S. Y. Lee, K. A. Lee, Rankin, Alkon, & Weiss, 2005;Stremler, Dhukai, Wong, & Parshuram, 2011). The determination of mitigating factors for sleep, such as light exposure, may allow for the development of preventive strategies.…”

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confidence: 99%

Bright Light Therapy to Promote Sleep in Mothers of Low-Birth-Weight Infants

Lee

Aycock

Moloney

2012

Biological Research For Nursing

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“…A life change may be the birth of a preterm infant or transition to the role of motherhood, whereas chronic stress may relate to demographic variables, such as financial burden, relationship strain, or social discrimination. Researchers have shown that mothers with a newborn in the NICU describe this as an extremely stressful experience [15][16][17][18] , and there is a positive linear association between high stress perception and severe depressive symptoms and poor sleep quality in mothers with preterm infants [19][20][21] .…”

Section: Introductionmentioning

confidence: 99%

“…Limited literature exists for mothers with a preterm infant, and less is known about their rates of postpartum depression, stress, sleep disturbances, and well-being while their infant remains in the NICU. Compared to the general population, mothers with an infant in the NICU may be more vulnerable to depressive symptoms due to stress they endure in association with their preterm infant's medical conditions [16] . This study aimed to compare perceived stress, sleep characteristics, and well-being (fatigue, health-related quality of life) in NICU mothers categorized as having high or low depressive symptoms.…”

Section: Introductionmentioning

confidence: 99%

Depressive symptoms and the relationship of stress, sleep, and well-being among NICU mothers

Shelton

Meaney‐Delman

Hunter

et al. 2014

JNEP

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Objective: To compare the level of self-reported perceived global and situational stress, sleep disturbance, and the level of wellness between mothers with an infant in Neonatal Intensive Care Units (NICU) who are categorized as having high or low depressive symptoms.Methods: Cross-sectional comparative design which included 55 first-time mothers who were in their second postpartum week and had a preterm infant admitted to the NICU of three urban hospitals in the southeastern United States. Participants wore wrist actigraphy and completed sleep diary for 2-3 days, in addition to completing self-report questionnaires for depressive symptoms, stress, perceived sleep disturbance, and well-being. Participants were categorized as having high (≥ 13) or low (< 13) depressive symptoms by using the total score of Edinburgh Postnatal Depression Scale.Results: Approximately 62% of the study participants reported high depressive symptoms. Mothers with high depressive symptoms reported greater stress and less well-being compared to those with less depressive symptoms. With the exception of wake after sleep onset, there was no statistically significant difference in the sleep between the two groups; all of the mothers had clinically significant poor sleep. Conclusions:Mothers of infants in the NICU who experienced higher depressive symptoms also reported greater stress and experienced poorer sleep; altogether, this may compromise one's ability to learn and care for a child in the NICU. Nurses and members of the healthcare team should be attuned to signs and symptoms of depression, perhaps incorporating more formal screening of mothers, educational and support resources, and referral systems.

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“…Findings from the stress literature were incongruent about whether different infant and parental characteristics were associated with stress levels in the NICU parents (Ichijima, Kirk, & Hornblow, 2011;Mackley, Locke, & Spear, 2010;Reid & Bramwell, 2003;Turan et al, 2008). A small number of investigators evaluated predictors of stress in NICU parents (Dudek-Shriber, 2004;Lee, Lee, Rankin, Alkon, & Weiss, 2005;Meyer et al, 1995;Shields-Poë & Pinelli, 1997). Numerous researchers investigated the topic of parental stress but few investigators explored parental uncertainty and predictors of uncertainty experienced by parents with infants in the NICU (Lam, Spence, & Halliday, 2007;.…”

Section: Background and Significancementioning

confidence: 99%

Predictors of uncertainty, stress, anxiety, and depressive symptoms of parents of preterm infants in the neonatal intensive care unit.

Alaradi

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Acculturation and Stress in Chinese-American Parents of Infants Cared for in the Intensive Care Unit

Abstract: Findings from this study suggest implications for the education of both families and the ICU staffs.

Cited by 36 publications

References 32 publications

Bright Light Therapy to Promote Sleep in Mothers of Low-Birth-Weight Infants

Bright Light Therapy to Promote Sleep in Mothers of Low-Birth-Weight Infants

Depressive symptoms and the relationship of stress, sleep, and well-being among NICU mothers

Predictors of uncertainty, stress, anxiety, and depressive symptoms of parents of preterm infants in the neonatal intensive care unit.

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