Patterns of psychological distress in mothers of preterm infants.
Patterns of psychological distress in mothers of preterm infants.
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DOI：
10.1016/j.infbeh.2015.10.004
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发表时间：
2015-11
影响因子：
2.1
通讯作者：
David R
中科院分区：
文献类型：
--
作者：
Holditch-Davis D;Santos H;Levy J;White-Traut R;O'Shea TM;Geraldo V;David R
早产儿的母亲经历了严重的心理困扰，与抑郁症状，压力，焦虑和创伤后应激症状相关的水平升高。在一个样本的种族和民族不同的早产儿的母亲，我们确定了不同的模式，在婴儿住院期间的心理困扰，并检查这些心理困扰模式的纵向轨迹上的每一个心理困扰措施和母亲的看法的儿童在第一年的婴儿的生活。早产儿的母亲（N = 232）完成了五份问卷调查，评估抑郁症状，焦虑，创伤后应激症状，压力，由于婴儿的外观，并在新生儿住院，出院，并在2，6和12个月的年龄调整为早产儿的父母角色的改变，由于压力。潜在的类分析入学的心理困扰变量，使我们能够确定五个小组的母亲表现出类似的模式的心理困扰，不同的主要是在程度和类型：低困扰，中度困扰，高NICU相关的困扰，高抑郁和焦虑症状，和极端的困扰。这些类继续显示不同的纵向轨迹的心理困扰措施，通过12个月的校正年龄。母亲在极度痛苦类，并在较小程度上，母亲在高抑郁和焦虑症状类仍然存在显着的心理困扰出院后一年的风险，并有较少的积极看法，他们的孩子（更大的担心和更高的看法儿童的脆弱性）。总之，住院期间的母亲不同的亚组在整个12个月期间有不同的心理困扰模式，可能需要在新生儿重症监护室不同的干预措施。
Mothers of preterm infants experience significant psychological distress, with elevated levels of inter-correlated depressive symptoms, stress, anxiety and post-traumatic stress symptoms. In a sample of racially and ethnically diverse mothers of preterm infants, we identified differing patterns of psychological distress during infant hospitalization and examined the effect of these psychological distress patterns on longitudinal trajectories of each psychological distress measure and on maternal perceptions of the child over the first year of the infant’s life. Mothers of preterm infants (N = 232) completed five questionnaires assessing depressive symptoms, anxiety, post-traumatic stress symptoms, stress due to infant appearance, and stress due to parental role alteration during enrollment in the neonatal hospitalization, discharge, and at 2, 6, and 12 months of age adjusted for prematurity. Latent class analysis on the enrollment psychological distress variables allowed us to identify five sub-groups of mothers exhibiting similar patterns of psychological distress, differing primarily in degree and type: low distress, moderate distress, high NICU-related distress, high depressive and anxiety symptoms, and extreme distress. These classes continued to show different longitudinal trajectories for the psychological distress measures through 12 months corrected age. Mothers in the extreme distress class and, to a lesser degree, mothers in the high depressive and anxiety symptom class remained at risk of significant psychological distress one year after discharge and had less positive perceptions of their child (greater worry and higher perceptions of child vulnerability). In conclusion, distinctive subgroups of mothers during hospitalization had different patterns of psychological distress throughout the 12-month period and may require different interventions in the NICU.