Psychological and sleep-related functioning among women with unsettled infants in Victoria, Australia: a cross-sectional study

Wynter, Karen; Wilson, Nathan; Thean, P.; Bei, Bei; Fisher, Jane

doi:10.1080/02646838.2018.1556787

Cited by 7 publications

(6 citation statements)

References 47 publications

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“…Five additional tools were used to ascertain psychosocial risk factors associated with mental health disturbances amongst participants, including assessments of coinciding negative life events and/or other risk factors, the impacts of fertility treatment, and maternal attitudes and personality styles associated with increased vulnerability (Tables 1 and 3). Findings from these and other purposively designed assessments demonstrated that psychological issues detected at admission were statistically significantly associated with: previous mental health disorders (Barnett et al, 1993;Wynter et al, 2019b); emotional abuse as a child (Christl et al, 2013;Kohlhoff, Barnett, & Eapen, 2015); negative birth experiences (Christl et al, 2013); unsatisfactory intimate partner relationships (Barnett et al, 1993); insufficient practical and emotional support (Fisher, Feekery, & Rowe-Murray, 2002;Wynter et al, 2019b); vulnerable maternal personality styles (Hammarberg et al, 2009); fatigue (Giallo et al, 2011;Wynter et al, 2019b); and pronounced unsettled infant behaviour (Don et al, 2002;Hammarberg et al, 2009) and sleep patterns (Giallo et al, 2011). Similarly, high prevalence rates of previous mental health concerns (Christl et al, 2013;Priddis, Thornton, et al, 2018;Rowe & Fisher, 2010;Wilson et al, 2018); trauma or abuse (Christl et al, 2013;Rowe & Fisher, 2010) and fatigue/sleep deprivation (Crum et al, 2013;Fisher, Feekery, Amir, & Sneddon, 2002;Fisher, Feekery, & Rowe-Murray, 2002;Giallo et al, 2012;Halle & Smout, 2004;Hammarberg et al, 2009;Kohlhoff, Charles, et al, 2015;Priddis, Thornton, et al, 2018;Rowe & Fisher, 2010;…”

Section: Risk Factors Associated With Parental Mental Healthmentioning

confidence: 88%

“…Eleven studies assessed levels at admission. Wynter et al (2019aWynter et al ( , 2019b used the Epworth Sleepiness Scale (ESS) to identify statistically significantly elevated fatigue symptoms in both mothers and fathers, when compared to healthy adults. In addition, the authors' reported that 89.6% of mothers (Fatigue Severity Scale, FSS) and 52.8% of fathers (Fatigue Assessment Scale [FAS]) achieved scores that were above clinical thresholds.…”

Section: Fatigue/exhaustionmentioning

confidence: 99%

“…Many parents experience statistically significant difficulties with early parenting, in particular with breastfeeding, settling an infant with severely disrupted sleep patterns, and soothing an infant who is dysregulated and with persistent crying (Coyle, 2011 ; Dahlen et al, 2019 ; Matthey & Speyer, 2008 ; Taylor & Johnson, 2010 ; Waylen & Stewart‐Brown, 2010 ). For many parents, these difficulties are accompanied by symptoms of fatigue and distress (Barnett et al, 1993 ; Fisher, Feekery, & Rowe‐Murray, 2002 ; Fisher, Feekery, & Rowe, 2004 ; Giallo et al, 2011 , 2013 ; Wilson et al, 2018 ; Wynter et al, 2019a , 2019b ), and depression (Barnett et al, 1993 ; Fisher, Feekery, & Rowe, 2004 ; Giallo et al, 2011 ; McMahon et al, 2001 ; Priddis, Thornton, et al, 2018 ) and anxiety (Christl et al, 2013 ; Fisher, Feekery, & Rowe, 2004 ; Giallo et al, 2011 ; Kohlhoff, Barnett, & Eapen, 2015 ; Priddis, Thornton, et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

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Residential parenting services: An integrative literature review of characteristics, service usage and parent and staff perspectives

et al. 2022

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Aims The primary aim of the review was to provide an overall assessment of residential parenting services in Australia, by describing the characteristics of infants and parents using residential parenting services, their prior service use and reasons for admission, referral pathways for access and parenting and infant outcomes. The secondary aims were to explore parent and staff perception of the programmes. Design An integrative literature review. Methods A systematic and comprehensive search of health and social sciences databases was conducted for studies related to residential parenting services (published between 1st January 1990–31st December 2019). Six hundred and eleven peer‐reviewed papers were identified, after which 301 duplicates were removed and an additional 256 papers excluded after titles/abstracts were read. Of the remaining 54 abstracts/papers, a further 14 were omitted as not relevant. Forty papers were independently reviewed by four authors. ENTREQ and MOOSE checklists were applied. Results Thirty studies were quantitative, nine were qualitative, and one was mixed methods. All studies originated from in Australia. Women and babies admitted to residential parenting services were found more likely to be: older, Australian born, from higher socio‐economic groups, and first‐time mothers, and having labour and birth interventions and a history of mental health disorders. The babies were more likely to be twins, male and admitted with sleep disorders and dysregulated behaviour. Studies reporting postintervention outcomes demonstrated improvements to maternal mental health, breastfeeding, parenting confidence and sleep quality, and infant sleeping and behaviour.

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Section: Risk Factors Associated With Parental Mental Healthmentioning

confidence: 88%

Section: Fatigue/exhaustionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Residential parenting services: An integrative literature review of characteristics, service usage and parent and staff perspectives

et al. 2022

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“…feeding to sleep, night‐time waking, co‐sleeping). Infant sleep and feeding issues, if not addressed, can often represent the start of ongoing sleep issues (Henderson et al., 2020), with considerable potential impact on parental sleep, mental health and family functioning (Wynter et al., 2019). It is therefore positive to learn that, in alignment with findings reported for in‐person RU programs (Dahlen et al., 2022b), parents experienced notable gains in this area.…”

Section: Discussionmentioning

confidence: 99%

Supporting families with complex early parenting needs through a virtual residential parenting service: An investigation of outcomes, facilitators and barriers

Traynor,

Hughes,

Wood

et al. 2023

Journal of Clinical Nursing

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AimTo investigate clients' perspectives about outcomes of a telehealth residential unit (RU) program for families experiencing complex early parenting issues, and to explore facilitators and barriers to positive client outcomes.DesignQualitative study using semi‐structured interviews.MethodsSemi‐structured interviews were conducted with mothers (n = 18) admitted to a telehealth RU program. Interview transcripts were analysed using thematic analysis.ResultsMothers reported short‐term improvements in their child's presenting issues (e.g. feeding to sleep, night‐time waking, co‐sleeping), increased confidence and increased partner involvement. According to participants, program outcomes were facilitated by a positive parent–clinician relationship, the accessibility of clinicians and being able to take part in the program from their own home. Barriers included difficulties with technical equipment and connecting with the clinician overnight, and challenges with implementing strategies in the longer term.ConclusionThis nurse‐led telehealth program was viewed positively by parents and the study identified a number of areas for improvement.Implications for the profession and/or Patient careTelehealth early parenting programs provide an important way for parents to receive support with early child sleep, settling and feeding issues. Clinicians working in this area should focus on the development of positive parent–nurse relationships, enhancing communication and availability for parents during overnight periods and supporting parents to develop early parenting skills that will be applicable across the early childhood period.ImpactThe study is the first to address client experiences of a telehealth RU program. Facilitators and barriers identified will inform service improvements to the program going forward, and similar telehealth programs for families; to ensure benefits and service outcomes are maximised for parents for such a crucial service.Reporting methodThe Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines for qualitative research were followed.

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“…Infant sleep disturbance (eg, difficulties settling to sleep and frequent night-time waking) and feeding difficulties occur commonly in the early months of life. 1 2 These difficulties can be the cause of significant fatigue and distress for many parents, 3 4 and when left untreated, can lead to negative child outcomes including toddler behavioural difficulties, 5 anxiety/emotional difficulties in middle childhood, 6 and stress and mental health challenges for parents. 7–9 …”

Section: Introductionmentioning

confidence: 99%

Prospective evaluation of parent and child outcomes following admission to a ‘virtual’ early parenting residential programme

Kohlhoff,

Traynor

2024

BMJ Open

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ObjectivesAustralian early parenting residential services provide interventions for families experiencing complex early parenting issues. Many services have recently shifted to virtual care models but the clinical effectiveness of such programmes is currently unknown. This study sought to test outcomes of a ‘virtual’ early parenting residential programme and to compare these with those of an in-person programme.DesignProspective cohort study; self-report questionnaires on admission, at discharge and 6-week follow-up.SettingAn early parenting residential unit in Sydney, Australia.ParticipantsConsecutive series of parent–child dyads admitted to the unit virtually (n=56) or in person (n=44) between August 2021 and January 2022.InterventionsParticipants in both groups received a 4-night/5-day intervention programme involving access to 24-hour support from a multidisciplinary team of health professionals. The in-person programme was delivered at a residential unit; the virtual programme involved provision of support via video calls, phone calls, SMS and emails.Primary and secondary outcome measuresInfant sleep, parenting self-efficacy (primary outcomes); parenting empathy, emotion, hostility, helplessness, mentalisation and stress (secondary outcomes).ResultsParents who received the virtual programme reported improvements from admission to discharge, and from admission to 6-week follow-up, in a range of areas including parenting self-efficacy, empathy, mentalisation, hostility, helplessness, stress and infant sleep resistance (ps<0.05). At 6 weeks, they also reported improvements in emotion and understanding related to their child (p<0.05). In contrast to expectation, outcomes at discharge and 6 weeks were not superior in the in-person group. In fact, at 6 weeks, parents who attended the virtual residential group reported significantly lower levels of parenting hostility and parenting stress, and greater levels of parenting confidence compared with those in the in-person group (ps<0.05).ConclusionsVirtual early parenting residential interventions may be effective in bringing positive changes for families, and there is no evidence to suggest that outcomes are inferior to those of in-person programmes.

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Psychological and sleep-related functioning among women with unsettled infants in Victoria, Australia: a cross-sectional study

Cited by 7 publications

References 47 publications

Residential parenting services: An integrative literature review of characteristics, service usage and parent and staff perspectives

Residential parenting services: An integrative literature review of characteristics, service usage and parent and staff perspectives

Supporting families with complex early parenting needs through a virtual residential parenting service: An investigation of outcomes, facilitators and barriers

Prospective evaluation of parent and child outcomes following admission to a ‘virtual’ early parenting residential programme

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