Using the EPDS to Identify Anxiety in Mothers of Infants on the Neonatal Intensive Care Unit

2017 ◽  
Vol 28 (4) ◽  
pp. 473-487 ◽  
Author(s):  
Sara M. Stasik-O’Brien ◽  
Jennifer E. McCabe-Beane ◽  
Lisa S. Segre
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Depression Scale ◽  
Depression Symptoms ◽  
Cutoff Score ◽  
Depression And Anxiety ◽  
First Time ◽  
Anxiety Subscale

Despite the prevalence of postpartum depression and anxiety, current screening recommendations are limited to depression symptoms. Screening using the Edinburgh Postnatal Depression Scale–Anxiety subscale (EPDS-A) may enhance ability to detect distress in postpartum women. We aimed to replicate the EPDS-A in 200 mothers with infants hospitalized in the neonatal intensive care unit (NICU) and examine its incremental utility in identifying emotional distress. Presence of the EPDS-A was identified using exploratory factor analysis. Women experiencing elevated anxiety were identified using a previously established cutoff score. Results replicated the EPDS-A for the first time in mothers with infants hospitalized in the NICU. In all, 21.9% of these women had elevated anxiety symptoms and nearly one quarter of them would have been missed in routine depression screening. Use of the EPDS-A, in addition to the total EPDS score, is a promising approach to identifying anxious women in need of further evaluation, treatment, or support.

scholarly journals Maternal Stress, Depression, and Attachment in the Neonatal Intensive Care Unit Before and During the COVID Pandemic: An Exploratory Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Filippa Manuela ◽  
Francisca Barcos-Munoz ◽  
Maria Grazia Monaci ◽  
Lara Lordier ◽  
Maricé Pereira Camejo ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Postnatal Depression ◽  
Neonatal Intensive Care ◽  
Depression Scale ◽  
University Hospital ◽  
Depression Symptoms ◽  
Health Crisis ◽  
Family Based

The main aim of the present study was to investigate the effects of the COVID-19 pandemic on the mothers’ postnatal depression, stress, and attachment during their stay in the Neonatal Intensive Care Unit (NICU). Twenty mothers of very premature infants born before 32weeks of gestational age were recruited at the Geneva University Hospital between January 2018 and February 2020 before the COVID-19 pandemic started. Mothers were screened for postnatal depression after their preterm infant’s birth (Edinburgh Postnatal Depression Scale, EPDS), then for stress (Parental Stressor Scale: Neonatal Intensive Care Unit, PSS:NICU), and attachment (Maternal Postnatal Attachment Scale, MPAS) at infant’s term-equivalent age. Data were compared with 14 mothers recruited between November 2020 and June 2021 during the COVID-19 pandemic. No significant differences were found in the scores for depression, stress, and attachment between the two groups. However, a non-statistically significant trend showed a general increase of depression symptoms in mothers during the COVID-19 pandemic, which significantly correlated to the attachment and stress scores. Moreover, the PSS:NICU Sights and Sounds score was significantly positively correlated with EPDS scores and negatively with the MPAS score only in the During-COVID group. To conclude, we discussed a possible dampened effect of the several protective family-based actions that have been adopted in the Geneva University Hospital during the health crisis, and we discussed the most appropriate interventions to support parents in this traumatic period during the COVID-19 pandemic.

scholarly journals Depression and Anxiety Symptoms in Mothers of Newborns Hospitalized on the Neonatal Intensive Care Unit

2014 ◽  
Vol 63 (5) ◽  
pp. 320-332 ◽  
Author(s):  
Lisa S. Segre ◽  
Jennifer E. McCabe ◽  
Rebecca Chuffo-Siewert ◽  
Michael W. O’Hara
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Anxiety Symptoms ◽  
Depression And Anxiety

scholarly journals Psychological Wellbeing of Parents with Infants Admitted to the Neonatal Intensive Care Unit during SARS-CoV-2 Pandemic

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 755
Author(s):  
Laura Polloni ◽  
Francesco Cavallin ◽  
Elisabetta Lolli ◽  
Rossana Schiavo ◽  
Martina Bua ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Parental Stress ◽  
Neonatal Intensive Care ◽  
Physical Contact ◽  
Psychological Wellbeing ◽  
Depression Symptoms ◽  
Parental Role ◽  
The Impact

The current SARS-CoV-2 disease (COVID-19) pandemic is a sudden major stressor superimposed on pre-existing high distress in parents of infants admitted to the neonatal intensive care unit (NICU). This study aimed to investigate the psychological wellbeing of NICU parents during the COVID-19 pandemic. Forty-four parents of 25 inpatients of the Padua University Hospital NICU were included from June 2020 to February 2021. At 7–14 days postpartum parents completed the Edinburgh Postnatal Depression Scale (EPDS), State-Trait Anxiety Inventory (STAI), Parental Stressor Scale: NICU (PSS:NICU) and an ad-hoc questionnaire measuring parental COVID-19 related stress. About one third of parents reported extreme/high stress and a relevant negative impact on parenthood experience. Less time (82%) and less physical contact (73%) with infants due to COVID-19 preventive measures were the most frequent negative factors. Higher COVID-19 related parental stress was positively associated with anxiety, depression, NICU parental stress, stress related to NICU environment, and parental role alterations. Depression symptoms, stress related to infant condition and parental role alterations were higher in mothers. The pandemic affected parental emotional and relational wellbeing directly through additional stress due to COVID-19 concerns and indirectly through the impact of restrictions on the experience of becoming parents.

Newborn in Neonatal Intensive Care Unit: Parental Concerns

2020 ◽  
Vol 34 (4) ◽  
pp. 196-198
Author(s):  
Pardeep Dhingra
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Health Care Providers ◽  
Neonatal Intensive Care ◽  
Depression Scale ◽  
Parental Satisfaction ◽  
Anxiety And Depression ◽  
Care Providers

Background: Having a newborn baby admitted in the neonatal intensive care unit (NICU) can be a stressful experience for the parents. Objectives: This study was planned to know the following: 1. The concerns of parents whose babies were admitted in NICU 2. Parental satisfaction level about the services provided 3. Assessment of parents for their understanding and knowledge at discharge Study Design: Semiqualitative interview. Participants: Parents of 100 (56 M, 44 F) neonates. Intervention: We subjected them to a semiqualitative interview on the day of discharge of their newborn infant. Questionnaire consisted of parent’s understanding regarding NICU and health care providers, their perspective about the possible cause of illness in their baby along with competence and communication skills of health care providers. Parental satisfaction about the services was assessed by the short assessment of patient satisfaction (SAPS). They were assessed for their anxiety and depression levels by hospital anxiety and depression scale (HADS). They were assessed for their knowledge about care of baby at home after discharge by patient knowledge questionnaire (PKQ). Results: Parents of 44% babies had no prior idea about NICU and why babies need to be admitted. In total, 48% mothers and 36% fathers had clinically significant anxiety levels as assessed by HADS. Many parents complained about lack of communication about their babies illness, its cause, duration of treatment, and prognosis. Both parents scored the caregivers on borderline scores on the SAPS. At discharge only 13% knew the correct dose and duration of medicines prescribed. PKQ scores varied from 5 to 20. Almost all parents emphasized the need for more space, resting place for mothers, and better communication by doctors. Conclusions: This study reveals a significant communication gap between health care providers and parents. Concerns of parents have to be addressed to have their full participation in newborn care.

scholarly journals Parents’ Perceived Mental Distress When Their Infant is Admitted to a Neonatal Intensive Care Unit (NICU) a Quantitative Cross-Sectional Study

2020 ◽  
Author(s):  
Inger Hilde Hagen ◽  
Marit Føllsvik Svindseth ◽  
Frøydis Perny Vasset
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Mental Distress ◽  
Depression Scale ◽  
Education Level ◽  
University Education ◽  
Anxiety And Depression ◽  
Mothers And Fathers

Abstract Background. It is normal for parents to experience a range of emotions and changes in behaviour while their newborn infant is in the NICU. The stress experienced by these parents during their infant’s hospital stay is found to affect the parent-infant relationship and their ability to bond reciprocally. Several studies have pointed out that support from family and friends can be useful for parents’ mental distress in this situation. Some differences are found between mothers’ and fathers’ experiences of the support. The aim of the current study is to examine parents’ perceived mental distress when their infant is admitted to a neonatal intensive care unit (NICU) and factors important for their support. The relationship between parents perceived mental distress and satisfaction with NICU care are spare researched. Methods. A multicentre prospective cohort study. A total of 568 parental participants from six different NICUs geographically spread throughout Norway. Hospital Anxiety and Depression Scale (HADS) and Impact of Events Scale-Revised (IES-6) were used to collect data. All the responses were rated and analysed using parametric analysis methods, descriptive statistics, logistic regression, factor analyses and linear regression analyses.Results. A total of 275 mothers reported receiving support from family and friends compared with 232 fathers. Younger parents had a higher OR of reporting anxiety compared with that of older parents. Parents with a primary or high school education level showed a higher OR of satisfaction than did parents with a college or university education level.Conclusion. There are differences in mothers’ and fathers’ responses to their experiences of various distress symptoms related to their children being in the NICU, as well as their received support from family and friends. There are also outcome differences between the age and education level of the parents and their experience of stress in the NICU. Mothers are more distressed and have more anxiety and depression than do fathers have.Trail registration: This project was first presented to the Regional Committees for Medical and Health Research Ethics which reported that the project was outside its mandate (2015/386). The project is approved from the Norwegian Data Protection Officials.

Prevalence and Associated Factors to Depression and Anxiety in Women with Premature Babies Hospitalized in a Neonatal Intensive-Care Unit in a Mexican Population

2019 ◽  
Vol 45 ◽  
pp. e53-e56 ◽  
Author(s):  
Adrián González-Hernández ◽  
Diana González-Hernandez ◽  
Carlos Mario Fortuny-Falconi ◽  
Carlos Alfonso Tovilla-Zárate ◽  
Ana Fresan ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Associated Factors ◽  
Neonatal Intensive Care ◽  
Mexican Population ◽  
Depression And Anxiety ◽  
Premature Babies

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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