Parental resilience and psychological distress in the neonatal intensive care unit

Okito, Ololade; Yui, Yvonne; Wallace, Lisa S.; Knapp, Kelsi; Streisand, Randi; Tully, Carrie; Fratantoni, Karen; Soghier, Lamia

doi:10.1038/s41372-022-01478-3

Cited by 9 publications

(11 citation statements)

References 35 publications

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“…It has been observed that especially the support from their husbands influenced their psychological well-being. It can be said that perceived social support from the environment has a positive effect on mothers' resistance resources (Okito et al, 2019). On the other hand, some people tried to create pressure on the mothers.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study on Mothers whose Babies in the Neonatal Intensive Care Unit/ Yenidoğan Yoğun Bakım Ünitesinde Bebeği Olan Anneler Üzerine Nitel Bir Araştırma

Mukba

Atıcı

2022

Nitel Sosyal Bilimler

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We aimed to explore the feelings and thoughts of eastern Anatolian mothers whose newborns are hospitalized in Neonatal Intensive Care Unit (NICU). This research employed a descriptive hermeneutical phenomenology paradigm and used semi-structured interviews with ten mothers, in one public and one private hospital located in the city of Van (Eastern Anatolia/Turkey) in March 2016. We found the main categories as “relational resilience sources”, “destructive relational sources” and “the effects of both relational sources” according to the feelings and thoughts of mothers. While mothers have mostly had unpleasant feelings about their baby’s hospitalization newborn unit, pleasant feelings also have been revealed such as a sense of gratitude or optimism. Mothers in eastern culture can trigger element of “faith” and “environmental support” among “resources of resilience” when they face this kind of challenging issue.

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Section: Discussionmentioning

confidence: 99%

A Qualitative Study on Mothers whose Babies in the Neonatal Intensive Care Unit/ Yenidoğan Yoğun Bakım Ünitesinde Bebeği Olan Anneler Üzerine Nitel Bir Araştırma

Mukba

Atıcı

2022

Nitel Sosyal Bilimler

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“…Survey instruments included the Edinburgh Postnatal Depression Scale (EPDS), State-Trait Anxiety Inventory (STAI), Parent Stress Scale-NICU (PSS-NICU), and Multidimensional Scale of Perceived Social Support (MSPSS) (instruments previously described by Okito et al). 32 We did not have access to information on whether participants had formal mental health diagnoses or were receiving treatment for mental health challenges at the time of participation. 32 Infant covariates, including birthweight and clinical severity score, were abstracted from the EMR.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…32 We did not have access to information on whether participants had formal mental health diagnoses or were receiving treatment for mental health challenges at the time of participation. 32 Infant covariates, including birth weight and clinical severity score, were abstracted from the EMR. The infant Clinical Severity Score, which considered the number of active diagnoses and medications, level of respiratory support, recent surgery, and need for life-sustaining medications, was developed for this study to quantify illness severity over time (previously described by Okito et al).…”

Section: Parent Psychosocial and Infant Covariatesmentioning

confidence: 99%

Associations between Parental Engagement in the Neonatal Intensive Care Unit and Neighborhood-Level Socioeconomic Status

Wallace,

Okito,

Mellin

et al. 2024

Am J Perinatol

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Objectives: 1) To determine the effect of neighborhood-level socioeconomic status (SES), which considers the social and physical environment where a person lives, on parental engagement in the Neonatal Intensive Care Unit (NICU); 2) To compare the relationships between parental engagement and individual versus neighborhood-level measures of SES. Study Design: In this cohort study, parents (n=45) of premature neonates ≤ 34 weeks gestation were assessed at two and six weeks after birth from December 2017 to October 2019. Neighborhood-level SES was determined using census data per the Association of Maternal and Child Health Programs' methodology, and parents self-reported their education level as an individual-level measure of SES. Data on frequency of engagement in NICU activities, including telephone updates, visitation, providing expressed breastmilk, and participating in kangaroo care, were collected from the electronic medical record. Parent psychosocial factors were assessed using validated surveys. Statistical analysis was performed using Fisher’s exact test, t-test, and logistic regression. Results: In multivariate regression analysis, disadvantaged neighborhood-level SES was associated with decreased odds of kangaroo care (OR 0.16, 95% CI (0.03- 0.89)) and visitation (OR 0.14, 95% CI (0.02-0.87)), while lower individual-level SES was not significantly associated with kangaroo care, visiting, calling, or pumping (p > 0.05). Conclusion: Parental engagement was more consistently and significantly associated with neighborhood-level SES than with individual-level SES. Therefore, neighborhood-level SES measures may be more explanatory than individual-level SES measures. Further studies and targeted interventions are needed to address disparities in the frequency of kangaroo care and visitation according to SES.

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“…Furthermore, previous studies have shown that alterations in their role are the greatest source of stress for parents [ 8 , 9 , 10 ]. A recent meta-analysis showed that parental stress related to NICU admission is a worldwide healthcare issue.…”

Section: Introductionmentioning

confidence: 99%

Parents’ Participation in Care during Neonatal Intensive Care Unit Stay in COVID-19 Era: An Observational Study

Buccione,

Scarponcini Fornaro,

Pieragostino

et al. 2024

Nursing Reports

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Background: Parents play a crucial role in the care of infants during their stay in the neonatal intensive care unit (NICU). Recent studies have reported a decrease in parental participation due to the coronavirus disease (COVID-19) pandemic, which has led to restricted access policies in hospitals. The aim of this study was to describe the barriers to good parental participation during their stay in the neonatal intensive care unit in the COVID-19 era. Methods: This was a quantitative, observational study. Results: A total of 270 parents participated in this study. Mothers’ participation in care was higher than that of fathers (p = 0.017). Parents who lived at the birth of their first child reported a better level of participation in care compared to those who lived at the birth of their second-born (p = 0.005). Parents of extremely preterm neonates reported a lower interaction with their infants than parents of term newborns (p < 0.001). Conclusions: Some disadvantaged categories reported lower scores for cultural and linguistic minorities, parents of multiple children, and fathers. The COVID-19 pandemic has made several family-centred care activities impossible, with a higher impact on those who benefited most of these facilities. This study was prospectively approved by the IRB-CRRM of the University “G. d’Annunzio” Chieti-Pescara on 23 January 2024 (approval number CRRM: 2023_12_07_01).

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Parental resilience and psychological distress in the neonatal intensive care unit

Cited by 9 publications

References 35 publications

A Qualitative Study on Mothers whose Babies in the Neonatal Intensive Care Unit/ Yenidoğan Yoğun Bakım Ünitesinde Bebeği Olan Anneler Üzerine Nitel Bir Araştırma

A Qualitative Study on Mothers whose Babies in the Neonatal Intensive Care Unit/ Yenidoğan Yoğun Bakım Ünitesinde Bebeği Olan Anneler Üzerine Nitel Bir Araştırma

Associations between Parental Engagement in the Neonatal Intensive Care Unit and Neighborhood-Level Socioeconomic Status

Parents’ Participation in Care during Neonatal Intensive Care Unit Stay in COVID-19 Era: An Observational Study

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