Anxiety Screening During Assessment of Emotional Distress in Mothers of Hospitalized Newborns
Anxiety Screening During Assessment of Emotional Distress in Mothers of Hospitalized Newborns
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DOI：
10.1016/j.jogn.2017.01.013
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发表时间：
2018-01-01
影响因子：
1.8
通讯作者：
Segre, Lisa S.
中科院分区：
文献类型：
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作者：
McCabe-Beane, Jennifer E.;Stasik-O'Brien, Sara M.;Segre, Lisa S.
目的：探讨通过焦虑和抑郁筛查对住院新生儿母亲情绪困扰的增量识别，并提供有关焦虑筛查量表的实用信息，以方便新生儿重症监护室护士选择工具和实施筛查。设计：在本辅助数据分析中，评估NICU新生儿情绪困扰母亲的护士辅导干预的可行性试验招募阶段的筛选数据被用来检验焦虑筛查的效果。环境：美国中西部一家大型学术医疗中心的四级新生儿重症监护病房。参与者：18岁及以上NICU新生儿的女性（N = 190）。方法：参与者完成抑郁和焦虑症状的多项测量。结果：在抑郁筛查结果为阴性的参与者中，根据使用的筛查工具，4.7%至14.7%的参与者认可有临床显著的焦虑症状。结论：在新生儿重症监护室对新生儿母亲进行焦虑筛查，可以识别出在常规抑郁筛查中可能被遗漏的焦虑母亲。焦虑筛查有多种选择，可以增加抑郁症筛查的增量信息，并且对新生儿重症监护室的提供者和新生儿母亲几乎没有额外的负担。
Objectives: To examine the incremental identification of emotional distress in mothers of hospitalized newborns by screening for anxiety in addition to depression and to provide practical information about anxiety screening scales to facilitate instrument selection and screening implementation by nurses in the NICU.Design: In this secondary data analysis, screening data from the recruitment phase of a feasibility trial to evaluate a nurse-delivered counseling intervention for emotionally distressed mothers of newborns in the NICU were used to examine the effect of anxiety screening.Setting: A Level IV NICU at a large academic medical center in the Midwestern United States.Participants: Women 18 years of age and older (N = 190) with newborns in the NICU.Methods: Participants completed multiple measures of depression and anxiety symptoms.Results: Of participants who had negative screening results on a depression-only screening instrument, 4.7% to 14.7% endorsed clinically significant anxiety symptoms depending on the screening instrument used.Conclusion: Screening for anxiety in mothers of newborns in the NICU resulted in identification of distressed mothers who would otherwise have been missed during routine depression-only screening. Multiple options for anxiety screening exist that add incremental information to depression-only screening and require little additional burden on providers and mothers of newborns in the NICU.