Recommendations for mental health professionals in the NICU

Hynan, Michael T.; Steinberg, Zina; Baker, Lisa; Cicco, Rafael De; Geller, Pamela A.; Lassen, Stephen R.; Milford, Cheryl A.; Mounts, Kyle O.; Patterson, Chavis A.; Saxton, Sage N.; Segre, Lisa S.; Stuebe, Alison M.

doi:10.1038/jp.2015.144

Cited by 128 publications

(93 citation statements)

References 55 publications

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“…However, it is important for services to consider support offers prior to screening, if support is not available then screening should not be carried out (Hynan et al, 2013). Hynan et al (2015) set out clear recommendations in their paper for mental health support within NICUs including; having a social worker and psychologist on the unit, peerto-peer support, groups for parents and rigorous screening and referral processes for emotional support. This should be happening within the context of normalising and validating emotional distress for parents on the NICU and supporting NICU staff.…”

Section: Discussionmentioning

confidence: 99%

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PTSS in fathers of VLBW infants two to four years postpartum: A pilot study.

Alexander

Clarke

Rushworth

et al. 2020

Clinical Practice in Pediatric Psychology

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Aim:To conduct a pilot study to compare fathers of very low birth weight (VLBW; <1500grams) infants and of term infants at two to four years postpartum for self-reported post-traumatic stress symptoms (PTSS) related to the previous birth of their baby, and for depression, and anxiety. The prevalence of paternal PTSS was compared with that of a historical cohort of mothers of VLBW infants followed up at a similar postnatal age.Methods: 26 fathers of VLBW infants and 22 fathers of term infants completed four validated psychological questionnaires at two to four years postpartum. Results: PTSS levels were significantly higher in fathers of VLBW infants than in fathers of term infants, and PTSS levels did not differ significantly between fathers and the mothers of VLBW infants of an historical cohort. There was a significant association between perceived levels of social support and PTSS severity in fathers of VLBW infants, but not for their anxiety or depression severity. Conclusion: PTSS directly related to the birth of their VLBW infants are present in fathers at two to four years postpartum and occur at similar levels to those found in mothers of VLBW infants. Routine screening for PTSS in fathers of VLBW infants is important and targeted psychological support should be offered. Larger scale studies in the area are needed to elucidate further information about PTSS in fathers postpartum.

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Section: Discussionmentioning

confidence: 99%

“…The First 1001 Days, 2015). Nurturing the emotional well-being of parents in the NICU is important, both to optimise their long-term emotional well-being and to aid the relationship with their baby, which can positively impact the infant's growth and development (Hynan et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

PTSS in fathers of VLBW infants two to four years postpartum: A pilot study.

Alexander

Clarke

Rushworth

et al. 2020

Clinical Practice in Pediatric Psychology

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“…Nurses can advocate for psychological screening and treatment strategies to address mothers’ physical and mental health conditions during their infants’ hospitalization[66]. Studies examining parental stress for this population should focus on the time points of diagnosis of CHD, birth, the day of surgery, and the subsequent ICU hospitalization as the infant recovers.…”

Section: Discussionmentioning

confidence: 99%

“…Studies examining parental stress for this population should focus on the time points of diagnosis of CHD, birth, the day of surgery, and the subsequent ICU hospitalization as the infant recovers. Nurses can lead the development of structured interventions, such as in-hospital parent education and support groups, to reduce parental stress throughout the PCICU admission and target these time points as well[66]. …”

Section: Discussionmentioning

confidence: 99%

The Pediatric Cardiac Intensive Care Unit Parental Stress Model

Lisanti

Golfenshtein

Medoff‐Cooper

2017

Advances in Nursing Science

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This descriptive, qualitative study used directed content analysis to explore and clarify specific foci of parental stress for mothers of infants with complex congenital heart disease in the pediatric cardiac intensive care unit (PCICU). The PCICU Parental Stress Model was used as the guiding theoretical framework. Three focus groups were conducted with 14 mothers of infants who were being cared for in a PCICU at a large mid-Atlantic children's hospital. Data provided themes to support and refine the PCICU Parental Stress Model that can be used to guide practice, education, and future research in this unique population and setting.

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“…Stress is related with the appearance of symptoms of depression and anxiety. Although not all parents present this type of symptomatology, it is estimated that between 20% and 30% of the parents of an hospitalized NB present a mental health problem during the first year after birth 12 , such as acute stress disorder 1 , posttraumatic stress 7,10,13 and postpartum depression 14,15 . In the latter case, rates could reach 70% in the case of mothers 10,16,17 .…”

Section: Introductionmentioning

confidence: 99%

Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal

Palma¹,

et al. 2017

Rev. chil. pediatr.

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Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal AbstractIntroduction: The birth of a child that requires hospitalization in a Neonatal Intensive Care Unit (NICU) can be very stressful for parents. Objective: To determine the stress level of parents of newborns (NB) hospitalized in a level III NICU in Santiago, and its association with clinical and sociodemographic variables. Patients and Method: Descriptive cross-sectional study. 373 admissions were evaluated. The sampling was non-probabilistic and included parents of RN admitted to the UPCN between 7 and 21 days of hospitalization. Only parents which have visited the RN at least three times were included. Instruments: i) Questionnaire to obtain data which could not be obtained from the medical record; ii) Parental Stress Scale: Neonatal Intensive Care Unit (PSS:NICU) which measures the perception of parents about stressors from the physical and psychological environment of the UPCN. Results: 100 parents of 59 hospitalized NB participated in the study. The average parental stress was 2.87±0.69. The subscale scores got higher was "Relationship with the baby and parental role". Complications in pregnancy, prenatal diagnosis or prenatal hospitalization, did not affect the stress level or the presence of prematurity, respiratory diseases, congenital malformations, genopathies or requirement of mechanical ventilation. Conclusions: Stress levels presented in parents are unrelated to gender and to the studied clinical variables.

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Recommendations for mental health professionals in the NICU

Cited by 128 publications

References 55 publications

PTSS in fathers of VLBW infants two to four years postpartum: A pilot study.

PTSS in fathers of VLBW infants two to four years postpartum: A pilot study.

The Pediatric Cardiac Intensive Care Unit Parental Stress Model

Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal

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