Psychological Outcomes in Fathers of Critically Ill Children in the Pediatric Intensive Care Unit: A Systematic Review

Khoddam, Hannah; Emerson, Natacha D.; Bursch, Brenda

doi:10.1007/s10880-021-09800-5

Cited by 5 publications

(2 citation statements)

References 54 publications

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“…As the positive effect of effective coping strategies on mother child bonding was particularly relevant for the PICU group, the importance of instrumental coping should be highlighted. Therefore, to define the exact value of instrumental coping strategies, not only for mothers, but also for fathers 41,42 and siblings, further studies should be performed with structured use of instrumental tools for relatives with healthy infants to see possible improvements in the bonding to the child. It has to be further highlighted that some findings might be applicable to mothers of children treated at a PICU due to other diagnoses, while others might be specific for CHD.…”

Section: Discussionmentioning

confidence: 99%

“…40 As the positive effect of effective coping strategies on mother child bonding was particularly relevant for the PICU group, the importance of instrumental coping should be highlighted. Therefore, to define the exact value of instrumental coping strategies, not only for mothers, but also for fathers 41,42 and siblings, further studies should be performed with structured use of instrumental tools for relatives with healthy TA B L E 3 Absolute frequencies (percentages) of patients above cut-offs of PBQ total and subscores. infants to see possible improvements in the bonding to the child.…”

Section: Discussionmentioning

confidence: 99%

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Effects of paediatric intensive care due to congenital heart defects on maternal mental health

et al. 2023

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Aim: Successful mother-child-bonding is a fundamental step for a healthy development of the child. Different factors like postpartum depression can hinder the bonding process. This study aimed to investigate how intensive care treatment due to congenital heart diseases of the infant alters bonding and how mothers cope with the situation.Methods: Validated questionnaires were used to analyse postpartum depression, mother-child bonding, stress factors and coping strategies for mothers at a paediatric intensive care unit (PICU; n = 38) and a group of mothers without known psychiatric disorders attending a babywell visit with their child (n = 91). Descriptive statistics and interaction models were calculated. Results:The PICU group showed on average higher total scores on the postpartum bonding questionnaire indicating mother-child bonding impairment and a higher proportion of mothers with depression was observed (76% vs 11%). The model showed a significant interaction between effective coping strategies and mother infant bonding (p = 0.04). Ineffective coping had no effect on bonding or depression in the PICU group. Conclusion: Mothers of children treated at an ICU due a congenital heart disease are at increased risk for the development of depression and difficulties in different aspects of postpartum bonding. Our results show that coping mechanisms might significantly influence postpartum bonding. Implementation of tailored support is needed to optimise maternal outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effects of paediatric intensive care due to congenital heart defects on maternal mental health

et al. 2023

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Respiratory outcomes after cleft palate closure in Robin sequence: a retrospective study

Sullivan,

Lachkar,

Don Griot

et al. 2024

Clin Oral Invest

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Objectives There is a paucity of information about the possible risk factors that could identify patients with Robin sequence (RS) who are more prone to developing obstructive airway complications after palate closure. This study aimed to compare the respiratory complication rates in patients with RS and isolated cleft palate (ICP). Materials and methods In this retrospective study, we reviewed the medical records of 243 consecutive patients with RS and ICP who were treated at Amsterdam University Medical Centers over the past 25 years. We collected preoperative data on previous treatment, diagnostic findings, surgical technique, weight, and presence of congenital anomalies. Results During cleft palate closure, patients with RS were older (11.9 versus 10.1 months; p = 0.001) and had a lower gestational age than those with ICP (37.7 versus 38.5 weeks; p = 0.002). Patients with RS had more respiratory complications (17 versus 5%; p = 0.005), were more often non-electively admitted to the pediatric intensive care unit (PICU) (13 versus 4.1%; p = 0.022), and had a longer hospital stay duration (3.7 versus 2.7 days; p = 0.011) than those with ICP. The identified risk factors for respiratory problems were a history of tongue-lip-adhesion (TLA) (p = 0.007) and a preoperative weight of < 8 kg (p = 0.015). Similar risk factors were identified for PICU admission (p = 0.015 and 0.004, respectively). Conclusions The possible risk factors for these outcomes were a low preoperative weight and history of TLA. Closer postoperative surveillance should be considered for patients with these risk factors. Clinical relevance Identifying risk factors for respiratory complications could provide clinicians better insight into their patients and allows them to provide optimal care for their patients.

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Psychiatric Symptoms, Posttraumatic Growth, and Life Satisfaction Among Parents of Seriously Ill Infants: A Prospective Case-Controlled Study

Koivula

Isokääntä

Tavast

et al. 2022

J Clin Psychol Med Settings

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We evaluated psychiatric symptoms, posttraumatic growth, and life satisfaction among the parents (n = 34) of newborns (n = 17) requiring therapeutic hypothermia or urgent surgery (interest group). Our control group included 60 parents of healthy newborns (n = 30). The first surveys were completed soon after diagnosis or delivery and the follow-up surveys 1 year later (participation rate 88% in the interest group and 70% in the control group). General stress was common in both groups but was more prevalent in the interest group as were depressive symptoms, too. Anxiety was more common in the interest group, although it showed a decrease from the baseline in both groups. Life satisfaction had an inverse correlation with all measures of psychiatric symptoms, and it was lower in the interest group in the early stage, but similar at 12 months due to the slight decline in the control group. Mothers in the interest group had more anxiety and depressive symptoms than fathers in the early stage. Mothers had more traumatic distress than fathers at both time points. Half of the parents experienced substantial posttraumatic growth at 12 months. In conclusion, the serious illness of an infant substantially affects the well-being of the parents in the early stages of illness and one year after the illness.

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Psychological Outcomes in Fathers of Critically Ill Children in the Pediatric Intensive Care Unit: A Systematic Review

Cited by 5 publications

References 54 publications

Effects of paediatric intensive care due to congenital heart defects on maternal mental health

Effects of paediatric intensive care due to congenital heart defects on maternal mental health

Respiratory outcomes after cleft palate closure in Robin sequence: a retrospective study

Psychiatric Symptoms, Posttraumatic Growth, and Life Satisfaction Among Parents of Seriously Ill Infants: A Prospective Case-Controlled Study

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