Posttraumatic stress in NICU mothers: modeling the roles of childhood trauma and infant health.


Journal

Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884

Informations de publication

Date de publication:
08 2021
Historique:
received: 21 12 2020
accepted: 10 05 2021
pubmed: 26 6 2021
medline: 21 10 2021
entrez: 25 6 2021
Statut: ppublish

Résumé

To evaluate acute stress disorder (ASD) symptoms and their predictors in Neonatal Intensive Care Unit (NICU) mothers. In this cross-sectional study, 119 mothers (~72% Medicaid) completed surveys during the first month of their infants' hospitalizations. Correlations and structural equation models (SEMs) evaluated relations among mothers' childhood trauma history, infant health appraisals, objective infant health, and ASD. ASD symptoms (~55%) and childhood trauma (~33%) were prevalent. ASD was correlated with childhood trauma, infant health, and infant health appraisals. All SEMs had good fit, indicating that (a) infant health appraisals partially mediated relations between childhood trauma and ASD, and (b) infant health appraisals fully mediated relations between objective infant health and ASD. ASD symptoms are prevalent among NICU mothers regardless of infant health severity. Recognition of childhood trauma history and appraisals of infant health is critical for trauma-informed care.

Identifiants

pubmed: 34168287
doi: 10.1038/s41372-021-01103-9
pii: 10.1038/s41372-021-01103-9
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2009-2018

Informations de copyright

© 2021. This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply.

Références

World Health Organization (WHO). https://www.who.int/mental_health/maternal-child/maternal_mental_health/en/ .
Lefkowitz DS, Baxt C, Evans JR. Prevalence and correlates of posttraumatic stress and postpartum depression in parents of infants in the neonatal intensive care unit (NICU). J Clin Psychol Med Settings 2010;17:230–7. https://doi.org/10.1007/s10880-010-9202-7 .
doi: 10.1007/s10880-010-9202-7 pubmed: 20632076
Misund AR, Nerdrum P, Diseth TH Mental health in women experiencing preterm birth. BMC Pregnancy Childbirth. 2014;14. https://doi.org/10.1186/1471-2393-14-263 .
Shaw RJ, Deblois T, Ikuta L, Ginzburg K, Fleisher B, Koopman C. Acute stress disorder among parents of infants in the neonatal intensive care nursery. Psychosomatics. 2006;47:206–12. https://doi.org/10.1176/appi.psy.47.3.206 .
doi: 10.1176/appi.psy.47.3.206 pubmed: 16684937
Shaw RJ, Bernard RS, Deblois T, Ikuta LM, Ginzburg K, Koopman C. the relationship between acute stress disorder and posttraumatic stress disorder in the neonatal intensive care unit. Psychosomatics. 2009;50:131–7. https://doi.org/10.1176/appi.psy.50.2.131 .
doi: 10.1176/appi.psy.50.2.131 pubmed: 19377021
Premature Birth. Center for Disease Control (CDC) and Prevention. https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pretermbirth.htm . Published 2019.
Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Arlington, VA: American Psychiatric Association; 2013.
Holzman C, Eyster J, Kleyn M, et al. Maternal weathering and risk of preterm delivery. Am J Public Health. 2009;99:1864–71. https://doi.org/10.2105/ajph.2008.151589 .
doi: 10.2105/ajph.2008.151589 pubmed: 19696383 pmcid: 2741514
Love C, David RJ, Rankin KM, Collins JW. Exploring weathering: effects of lifelong economic environment and maternal age on low birth weight, small for gestational age, and preterm birth in African-American and White Women. Am J Epidemiol. 2010;172:127–34. https://doi.org/10.1093/aje/kwq109 .
doi: 10.1093/aje/kwq109 pubmed: 20576757
Roque ATF, Lasiuk GC, Radünz V, Hegadoren K. Scoping review of the mental health of parents of infants in the NICU. J Obstet, Gynecol Neonatal Nurs. 2017;46:576–87. https://doi.org/10.1016/j.jogn.2017.02.005 .
doi: 10.1016/j.jogn.2017.02.005
Hynan MT, Mounts KO, Vanderbilt DL. Screening parents of high-risk infants for emotional distress: rationale and recommendations. J Perinatol. 2013;33:748–53. https://doi.org/10.1038/jp.2013.72 .
doi: 10.1038/jp.2013.72 pubmed: 23807720
Sanders MR, Hall SL. Trauma-informed care in the newborn intensive care unit: promoting safety, security and connectedness. J Perinatol. 2017;38:3–10. https://doi.org/10.1038/jp.2017.124 .
doi: 10.1038/jp.2017.124 pubmed: 28817114 pmcid: 5776216
National Perinatal Association. Psychologists in the NICU. http://www.nationalperinatal.org/psychologists .
Kazak AE, Kassam-Adams N, Schneider S, Zelikovsky N, Alderfer MA, Rourke M. An integrative model of pediatric medical traumatic stress. J Pediatr Psychol 2005;31:343–55. https://doi.org/10.1093/jpepsy/jsj054 .
doi: 10.1093/jpepsy/jsj054 pubmed: 16093522
Schetter CD. Psychological science on pregnancy: stress processes, biopsychosocial models, and emerging research issues. Annu Rev Psychol. 2011;62:531–58. https://doi.org/10.1146/annurev.psych.031809.130727 .
doi: 10.1146/annurev.psych.031809.130727
Feeley N, Zelkowitz P, Cormier C, Charbonneau L, Lacroix A, Papageorgiou A. Posttraumatic stress among mothers of very low birthweight infants at 6 months after discharge from the neonatal intensive care unit. Appl Nurs Res. 2011;24:114–7. https://doi.org/10.1016/j.apnr.2009.04.004 .
doi: 10.1016/j.apnr.2009.04.004 pubmed: 20974070
Felitti VJ, Anda RF The relationship of adverse childhood experiences to adult medical disease, psychiatric disorders and sexual behavior: implications for healthcare. The Impact of Early Life Trauma on Health and Disease. 2010:77–87. https://doi.org/10.1017/cbo9780511777042.010 .
Smith MV, Gotman N, Yonkers KA. Early childhood adversity and pregnancy outcomes. Matern Child Health J. 2016;20:790–8. https://doi.org/10.1007/s10995-015-1909-5 .
doi: 10.1007/s10995-015-1909-5 pubmed: 26762511 pmcid: 4849279
Witt WP, Cheng ER, Wisk LE, et al. Preterm birth in the United States: the impact of stressful life events prior to conception and maternal age. Am J Public Health. 2014;104:S73–S80. https://doi.org/10.2105/ajph.2013.301688 .
doi: 10.2105/ajph.2013.301688 pubmed: 24354830 pmcid: 3975455
Choi KW, Sikkema KJ. Childhood maltreatment and perinatal mood and anxiety disorders: A systematic review. Trauma Violence Abus. 2016;17:427–53. https://doi.org/10.1177/1524838015584369 .
doi: 10.1177/1524838015584369
Hughes K, Bellis MA, Hardcastle KA, et al. The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. Lancet Public Health. 2017;2:e356–e366. https://doi.org/10.1016/S2468-2667(17)30118-4 .
doi: 10.1016/S2468-2667(17)30118-4
Barr P. Acute traumatic stress in neonatal intensive care unit parents: relation to existential emotion-based personality predispositions. J Loss Trauma. 2010;15:106–22. https://doi.org/10.1080/15325020903373128 .
doi: 10.1080/15325020903373128
Greene MM, Rossman B, Patra K, Kratovil AL, Janes JE, Meier PP. Depression, anxiety, and perinatal-specific posttraumatic distress in mothers of very low birth weight infants in the neonatal intensive care unit. J Dev Behav Pediatrics. 2015;36:362–70. https://doi.org/10.1097/dbp.0000000000000174 .
doi: 10.1097/dbp.0000000000000174
Aftyka A, Rybojad B, Rozalska-Walaszek I, Rzoñca P, Humeniuk E. Post-traumatic stress disorder in parents of children hospitalized in the neonatal intensive care unit (NICU): Medical and demographic risk factors. Psychiatr Danubina. 2014;26:347–52.
Vanderbilt D, Bushley T, Young R, Frank DA. Acute posttraumatic stress symptoms among urban mothers with newborns in the neonatal intensive care unit: a preliminary study. J Dev BehavPediatrics. 2009;30:50–5. https://doi.org/10.1097/dbp.0b013e318196b0de .
doi: 10.1097/dbp.0b013e318196b0de
Aftyka A, Rybojad B, Rosa W, Wróbel A, Karakuła-Juchnowicz H. Risk factors for the development of post-traumatic stress disorder and coping strategies in mothers and fathers following infant hospitalisation in the neonatal intensive care unit. J Clin Nurs. 2017;26:4436–45. https://doi.org/10.1111/jocn.13773 .
doi: 10.1111/jocn.13773 pubmed: 28231614
Chang H-P, Chen J-Y, Huang Y-H, et al. Factors associated with post-traumatic symptoms in mothers of preterm infants. Arch Psychiatr Nurs. 2016;30:96–101. https://doi.org/10.1016/j.apnu.2015.08.019 .
doi: 10.1016/j.apnu.2015.08.019 pubmed: 26804509
Kim WJ, Lee E, Kim KR, Namkoong K, Park ES, Rha D-W. Progress of PTSD symptoms following birth: A prospective study in mothers of high-risk infants. J Perinatol. 2015;35:575–9. https://doi.org/10.1038/jp.2015.9 .
doi: 10.1038/jp.2015.9 pubmed: 25856762
Patel RM, Rysavy MA. Global variation in neonatal intensive care: does it matter? J Pediatrics 2016;177:6–7. https://doi.org/10.1016/j.jpeds.2016.06.019 .
doi: 10.1016/j.jpeds.2016.06.019
Bruce MA. Systematic and conceptual review of posttraumatic stress in childhood cancer survivors and their parents. Clin Psychol Rev. 2006;26:233–56. https://doi.org/10.1016/j.cpr.2005.10.002 .
doi: 10.1016/j.cpr.2005.10.002 pubmed: 16412542
Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults. Am J Prev Med 1998;14:245–58. https://doi.org/10.1016/s0749-3797(98)00017-8 .
doi: 10.1016/s0749-3797(98)00017-8
Byrne BM Structural Equation Modeling with EQS and EQS/Windows. Thousand Oaks, CA: Sage; 1994.
Weiss DS, Marmar CR. The impact of event scale-revised. In: Wilson JP, Keane TM, eds. Assessing psychological trauma and PTSD. New York, NY: The Guilford Press; 2006. p. 399–411.
Weiss DS The impact of event scale: Revised. In: Wilson JP, Tang CS-kum, eds. Cross-Cultural Assessment of Psychological Trauma and PTSD. Boston, MA: Springer; 2007:219–38.
Medicaid. Retrieved from: https://www.benefits.gov/benefit/1643 .
Harsha SS SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal Extension-II) in Predicting Mortality and Morbidity in NICU. Journal Of Clinical And Diagnostic Research. 2015. https://doi.org/10.7860/jcdr/2015/14848.6677 .
Pai ALH, Patiño-Fernández AM, Mcsherry M, et al. The psychosocial assessment tool: psychometric properties of a screener for psychosocial distress in families of children newly diagnosed with cancer. J Pediatr Psychol. 2007;33:50–62.
doi: 10.1093/jpepsy/jsm053
Tabachnick BG, Fidell LS Using Multivariate Statistics, 5th Ed. Boston, MA: Pearson Education; 2007.
IBM Corp. IBM SPSS Statistics for Windows, Version 24.0. Armonk, NY: IBM Corp; 2016.
Hu LT, Bentler PM Evaluating model fit. In: Hoyle RH, ed. Structural equation modeling: concepts, issues, and applications. Thousand Oaks, CA: Sage; 2000:76–99.
Kline RB Principles and practice of structural equation modeling. New York, NY: The Guilford Press; 2016.
Callahan JL, Borja SE, Hynan MT. Modification of the perinatal PTSD questionnaire to enhance clinical utility. J Perinatol. 2006;26:533–9. https://doi.org/10.1038/sj.jp.7211562.
doi: 10.1038/sj.jp.7211562. pubmed: 16826190

Auteurs

Allison Baylor Williams (AB)

Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA. abaylor@vcu.edu.
Department of Psychology, Hunter Holmes McGuire VA Medical Center, Richmond, VA, USA. abaylor@vcu.edu.

Karen D Hendricks-Muñoz (KD)

Department of Pediatrics, Division of Neonatal Medicine, Virginia Commonwealth University School of Medicine and Children's Hospital of Richmond, Richmond, USA.
Virginia Commonwealth Center on Health Disparities, Richmond, VA, USA.

Anna Beth Parlier-Ahmad (AB)

Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.

Sarah Griffin (S)

MIRECC Research Fellowship, Durham Veteran Affairs Medical Center, Durham, NC, USA.

Rachel Wallace (R)

Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.

Paul B Perrin (PB)

Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.

Bruce Rybarczyk (B)

Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.

Alyssa Ward (A)

Department of Pediatrics, Division of Neonatal Medicine, Virginia Commonwealth University School of Medicine and Children's Hospital of Richmond, Richmond, USA.
Behavioral Health Division, Department of Medical Assistance Services, Richmond, VA, USA.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH