The Relationship between Infant Prematurity and Parental Anxiety: A Systematic Review

Satnarine, Travis; Ratna, Pranuthi; Sarker, Aditi; Ramesh, Adarsh Srinivas; Tello, Carlos Munoz; Jamil, Dawood; Tran, Hadrian Hoang-Vu; Mansoor, Mafaz; Butt, Samia Rauf; Khan, Safeera

doi:10.32996/jmhs.2022.3.3.5

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…The subgroup with very high anxiety scores is the most vulnerable and at risk for long-term sequelae. Previous adult and neonatal studies reported similar findings [20][21][22]. Nurses in adult ICUs poorly assessed stress and anxiety in their patients [20,21].…”

Section: Discussionsupporting

confidence: 62%

Provider’s Perception of Parental Anxiety in the Pediatric Intensive Unit

Aljabari¹,

Bırıscı²,

Kummerfeld³

2022

Cureus

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Parents of critically ill children in the Pediatric Intensive Care Unit (PICU) commonly experience new or worsening anxiety, which can lead to long-term sequelae in the form of post-traumatic stress disorder (PTSD). To investigate how well the PICU providers recognize and assess parental anxiety, we assessed the acute and baseline anxiety level of 30 parents in the PICU with the State-Trait Anxiety Inventory (STAI) and compared the results with the PICU physician's and nurses' assessments. All but four parents experienced higher acute anxiety scores compared to baseline, with a 34% increase in the number of parents with moderate and high anxiety scores. All PICU providers performed poorly in recognizing and assessing parental anxiety, with a tendency to underestimate the level of anxiety. Proper screening tools and strategies are essential to recognize and help parents in distress and potentially prevent long-term psychological sequelae.

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Section: Discussionsupporting

confidence: 62%

Provider’s Perception of Parental Anxiety in the Pediatric Intensive Unit

Aljabari¹,

Bırıscı²,

Kummerfeld³

2022

Cureus

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“…A substantial body of literature suggests that preterm birth is a significant risk factor for the occurrence of postpartum disorders in mothers. 1,2 Mothers of preterm infants report more postpartum psychological problems than other mothers. 3 These mothers experience premature birth as a bodily phenomenon: it is a perinatal complication that poses life-threatening risks for them, 4 as well as for their babies.…”

Section: Introductionmentioning

confidence: 99%

“…When delivery occurs before the 37th week of amenorrhea, the birth is considered to be premature. A substantial body of literature suggests that preterm birth is a significant risk factor for the occurrence of postpartum disorders in mothers 1,2 . Mothers of preterm infants report more postpartum psychological problems than other mothers 3 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of postnatal anxiety disorders in mothers of preterm infants: a systematic review protocol

Ndjomo,

Blairy,

Durieux

2024

JBI Evidence Synthesis

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Objective: The objective of this systematic review is to evaluate and synthesize the available evidence on the prevalence of postnatal anxiety disorders in mothers of preterm infants within 12 months of delivery. Introduction: Mothers of preterm infants report more postpartum psychological problems than other mothers. Anxiety disorders are among the most frequently reported manifestations, and affect the quality of maternal care and the baby’s development. However, data on the prevalence of postnatal anxiety disorders in mothers of preterm infants are inconsistent and imprecise. It is, therefore, necessary to estimate the prevalence of anxiety disorders among mothers of premature infants in order to develop appropriate interventions for screening, support, and treatment. Inclusion criteria: This review will consider studies conducted in any setting and any geographical location that report on the prevalence of any anxiety disorders in mothers of preterm infants within 12 months of delivery. Any analytical or descriptive observational studies and experimental or quasi-experimental studies will be included. Methods: MEDLINE (Ovid), PsycINFO (Ovid), Embase (Elsevier), CINAHL (EBSCOhost), Google Scholar, MedNar, and the World Health Organization website will be searched for studies written in English or French. Screening, critical appraisal, and data extraction will be performed by 2 independent reviewers using the relevant JBI systematic review tools. The findings will be presented in narrative format, including tables and figures to aid in data presentation. Review registration: PROSPERO CRD42023428202

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The effect of paternal anxiety on mother-infant bonding in neonatal intensive care

Ettenberger,

Bieleninik,

Stordal

et al. 2024

BMC Pregnancy Childbirth

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Background The hospitalization of a preterm infant in the NICU can lead to mental health difficulties in parents, but not much is known how paternal anxiety might affect the mother-infant relationship. Methods This prospective cohort study is a secondary analysis investigating how paternal anxiety levels might affect maternal bonding in the NICU using the dataset of the multinational pragmatic randomized controlled trial LongSTEP. A linear mixed-effects model was used for correlations of paternal anxiety (GAD-7) and maternal bonding (PBQ) at NICU discharge, and at 6 and 12 months infant corrected age. Secondary analyses examined effects on paternal anxiety related to: site (Argentina, Colombia, Israel, Norway, and Poland), maternal depression (EPDS), infant gestational age at birth, paternal age, and type of pregnancy. Results Paternal anxiety did not predict maternal bonding at NICU discharge (p = 0.096), at 6 months (p = 0.316), or at 12 months infant corrected age (p = 0.473). Secondary outcomes showed a statistically significant site effect, with higher paternal anxiety levels at the two Colombian sites at baseline (p = 0.014 and p = 0.020) and for one site at discharge (p = 0.012), but not for paternal age (p = 0.925 and p = 0.793), infant gestational age at birth (p = 0.974 and p = 0.686 and p = 0.340), or type of pregnancy (p = 0.381). Maternal depression predicted paternal anxiety at baseline (p < 0.001) and at discharge (p = 0.003). Conclusions In this study, paternal anxiety did not predict maternal bonding. Paternal anxiety varied by site, indicating a need for research on potential cultural differences in manifestation of paternal anxiety. Maternal depression predicted paternal anxiety, confirming a previously reported correlation. Further research on variations in paternal mental health in the neonatal period is warranted, as well as exploration of the social contagion of mental health in preterm parents. Trial registration ClinicalTrials.gov NCT03564184.

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The Relationship between Infant Prematurity and Parental Anxiety: A Systematic Review

Cited by 4 publications

References 12 publications

Provider’s Perception of Parental Anxiety in the Pediatric Intensive Unit

Provider’s Perception of Parental Anxiety in the Pediatric Intensive Unit

Prevalence of postnatal anxiety disorders in mothers of preterm infants: a systematic review protocol

The effect of paternal anxiety on mother-infant bonding in neonatal intensive care

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