Mental health monitoring in parents after very preterm birth

Vriend, Eline; Wassenaer-Leemhuis, Aleid van; Flierman, Monique; Schie, Petra E. M. van; Nollet, Frans; Jeukens-Visser, Martine

doi:10.1111/apa.16064

Cited by 10 publications

(4 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings seem to suggest that the risk for PND is related to higher severity of prematurity (ELBW) and that the most challenging period for fathers’ emotional and psychological adaptation is represented by the first months postpartum when the demands tied to the preterm birth are more relevant (infant hospitalization, medical complications, support to the partner, etc.). Additionally, the reduction in depressive symptoms observed in the following months seems to be in line with other studies [ 11 , 19 , 22 ], allowing prudent hope about the fact that the effects of severely preterm birth could be acute but not chronic.…”

Section: Discussionsupporting

confidence: 87%

“…The authors concluded that being a father of a VPT infant increases the risk for a chronic course of depressive symptoms. Vriend et al [ 22 ] investigated levels of depression at 1 and 12 months in VPT infants’ parents, finding that rates with high symptoms tended to decrease across time in both mothers and fathers; regarding the latter, the rate of depressive symptoms decreased from 9% to 4% from 1 month to 12 months. Additionally, Genova et al [ 11 ] longitudinally explored PND trajectories, specifically at 3, 9, and 12 months postpartum, but they compared different conditions of the severity of prematurity and FT: 38 parental couples of ELBW, 56 for VLBW, and 83 FT ones.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Depressive Symptoms in Fathers during the First Postpartum Year: The Influence of Severity of Preterm Birth, Parenting Stress and Partners’ Depression

Agostini

Neri

Genova

et al. 2022

IJERPH

View full text Add to dashboard Cite

Although preterm birth constitutes a risk factor for postpartum depressive symptomatology, perinatal depression (PND) has not been investigated extensively in fathers of very low (VLBW) and extremely low birth weight (ELBW) infants. This study explored paternal depression levels at 3, 9, and 12 months of infant corrected age, investigating also the predictive role played by the severity of prematurity, maternal and paternal PND levels, and parenting stress. We recruited 153 fathers of 33 ELBW, 42 VLBW, and 78 full-term (FT) infants, respectively. Depression was investigated by the Edinburgh Postnatal Depression Scale (EPDS) and distress by the Parenting Stress Index-Short Form-PSI-SF (Total and subscales: Parental Distress, Parent–Child Dysfunctional Interaction, and Difficult Child). ELBW fathers showed a significant decrease (improvement) in EPDS, total PSI-SF, and Parental Distress mean scores after 3 months. Paternal EPDS scores at 12 months were significantly predicted by VLBW and FT infants’ birth weight categories, fathers’ EPDS scores at 3 and 9 months, Parent–Child Dysfunctional Interaction subscale at 3 months, and Difficult Child subscale at 9 months. This study strengthens the relevance of including early routine screening and parenting support for fathers in perinatal health services, with particular attention to fathers who might be more vulnerable to mental health difficulties due to severely preterm birth.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Depressive Symptoms in Fathers during the First Postpartum Year: The Influence of Severity of Preterm Birth, Parenting Stress and Partners’ Depression

Agostini

Neri

Genova

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…The 7-item subscales for anxiety or depressive symptoms range from 0–26, with a higher score indicating higher levels of symptoms. While the original questionnaire was not developed to specifically assess mental health of parents after preterm birth, Vriend et al recently reported increased level of anxiety and depression in parents of preterm neonates with social risks (migration background, educational level and employment status) [ 37 ]. The validated French version has good psychometric characteristics [ 38 ].…”

Section: Methodsmentioning

confidence: 99%

Joint observation in NICU (JOIN): A randomized controlled trial testing an early, one-session intervention during preterm care to improve perceived maternal self-efficacy and other mental health outcomes

Schneider,

Harari,

Faure

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background Parents of preterm infants in the Neonatal Intensive Care Unit (NICU) environment may experience psychological distress, decreased perceived self-efficacy, and/or difficulties in establishing an adaptive parent-infant relationship. Early developmental care interventions to support the parental role and infant development are essential and their impact can be assessed by an improvement of parental self-efficacy perception. The aims were to assess the effects of an early intervention provided in the NICU (the Joint Observation) on maternal perceived self-efficacy compared to controls (primary outcome) and to compare maternal mental health measures (perceived stress, anxiety, and depression), perception of the parent-infant relationship, and maternal responsiveness (secondary outcomes). Methods This study was a monocentric randomized controlled trial registered in clinicatrials.gov (NCT02736136), which aimed at testing a behavioural intervention compared with treatment-as-usual. Mothers of preterm neonates born 28 to 32 6/7 weeks gestation were randomly allocated to either the intervention or the control groups. Outcome measures consisted of self-report questionnaires completed by the mothers at 1 and 6 months after enrollment and assessing perceived self-efficacy, mental health, perception of the parent-infant relationship and responsiveness, as well as satisfaction with the intervention. Results No statistically significant group effects were observed for perceived maternal self-efficacy or the secondary outcomes. Over time, perceived maternal self-efficacy increased for mothers in both groups, while anxiety and depression symptoms decreased. High satisfaction with the intervention was reported. Conclusions The joint observation was not associated with improved perceived maternal self-efficacy or other mental health outcomes, but may constitute an additional supportive measure offered to parents in a vulnerable situation during the NICU stay.

show abstract

“…Paternal mental health: the importance of maternal mental health for parent–infant attachment and child development has been widely noticed 70 71. Moreover, mothers experiencing a PT birth or nursing a PT infant are at high risk for mental health issues 72. In the cohort study, the following self-report questionnaires will be used at each time-point to assess symptoms of anxiety and depression among mothers—Edinburgh postnatal depression scale (EPDS), Beck depression inventory (BDI) and Beck anxiety inventory (BAI).…”

Section: Methods and Analysesmentioning

confidence: 99%

Early biomarkers of neurodevelopmental disorders in preterm infants: protocol for a longitudinal cohort study

et al. 2023

View full text Add to dashboard Cite

IntroductionPreterm (PT) infants are at high likelihood for poor neurodevelopmental outcomes, including autism spectrum disorder (ASD), attention-deficit hyperactivity disorder (ADHD) and other neurodevelopmental disorders (NDDs), which could considerably impair the individuals’ functions throughout their whole life. The current cohort study aims to investigate adverse outcomes, especially NDDs, in PT children, and the related early aberrant brain developmental biomarkers.Methods and analysisThis is a prospective cohort study in Beijing, China. We plan to recruit 400 PT infants born at <37 weeks of gestational age (GA), and 200 full-term (FT) controls during the neonatal period (40 weeks corrected GA), then follow them up until they reach 6 years of age. This cohort is designed to assess neuropsychological functions, brain development, related environmental risk factors and the incidence of NDDs by using the following measures: (1) social, emotional, cognitive and sensorimotor functions; (2) MRI, electroencephalogram and functional near-infrared spectroscopy; (3) social economic status, maternal mental health and DNA methylation; and (4) symptoms and diagnosis of NDDs. Main data analyses will include comparing the neurodevelopment outcomes and brain developmental trajectories between PT and FT children using linear or logistic regressions and mixed-effects models. Regression analyses and machine learning will be used to identify early biological predictors and environmental risk or protective factors for later NDDs outcomes.Ethics and disseminationEthical approval has been obtained from the research ethics committee of Peking University Third Hospital (M2021087). This study is under review in the Chinese Clinical Trial Register. The study results from the current cohort will be disseminated and popularised through social media to participating parents, as well as parents who are giving care to PT children.

show abstract

Mental health monitoring in parents after very preterm birth

Cited by 10 publications

References 31 publications

Depressive Symptoms in Fathers during the First Postpartum Year: The Influence of Severity of Preterm Birth, Parenting Stress and Partners’ Depression

Depressive Symptoms in Fathers during the First Postpartum Year: The Influence of Severity of Preterm Birth, Parenting Stress and Partners’ Depression

Joint observation in NICU (JOIN): A randomized controlled trial testing an early, one-session intervention during preterm care to improve perceived maternal self-efficacy and other mental health outcomes

Early biomarkers of neurodevelopmental disorders in preterm infants: protocol for a longitudinal cohort study

Contact Info

Product

Resources

About