Psychological stress in mothers of neonates admitted to an intensive care unit
Abstract Introduction The admission of the newborn to a neonatal intensive care unit (NICU) leads to maternal stress. This stress has deleterious consequences on the mother and the appropriate attachment with her child. Objective To assess the relationship of mothers’ sociodemographic, clinical, psychological, and psychiatric factors, as well as neonates’ clinical aspects with the level of psychological stress perceived by mothers of neonates admitted to the NICU. Method Cross-sectional study with 47 women over the age of 18, whose infants had been admitted to a NICU during the last 72 hours. Bivariate correlations and a multivariate linear model with the significant variables in the bivariate analyses where performed. Results According to the multivariate model, the perception of loneliness and the presence of at least one psychiatric diagnosis (depressive episode, dysthymia, generalized anxiety disorder, adjustment disorder, acute stress disorder, or substance use disorder) were associated with maternal stress. Problem-focused coping strategies were relevant within the model and could have protective value against stress. The model explained 73.5% of the stress severity variance (F 38.848; p < .001). Discussion and conclusion Stress in mothers of newborns admitted to a NICU is related to their feeling of loneliness and mental health. The mothers’ need for support and psychopathology are aspects to be considered when providing care to the newborns and their families. Training in coping strategies focused on specific situations could contribute to the reduction of mothers’ stress.
| Main Authors: | , , , , , , , , , |
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| Format: | Digital revista |
| Language: | English |
| Published: |
Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
2021
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| Online Access: | http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0185-33252021000500241 |
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| Summary: | Abstract Introduction The admission of the newborn to a neonatal intensive care unit (NICU) leads to maternal stress. This stress has deleterious consequences on the mother and the appropriate attachment with her child. Objective To assess the relationship of mothers’ sociodemographic, clinical, psychological, and psychiatric factors, as well as neonates’ clinical aspects with the level of psychological stress perceived by mothers of neonates admitted to the NICU. Method Cross-sectional study with 47 women over the age of 18, whose infants had been admitted to a NICU during the last 72 hours. Bivariate correlations and a multivariate linear model with the significant variables in the bivariate analyses where performed. Results According to the multivariate model, the perception of loneliness and the presence of at least one psychiatric diagnosis (depressive episode, dysthymia, generalized anxiety disorder, adjustment disorder, acute stress disorder, or substance use disorder) were associated with maternal stress. Problem-focused coping strategies were relevant within the model and could have protective value against stress. The model explained 73.5% of the stress severity variance (F 38.848; p < .001). Discussion and conclusion Stress in mothers of newborns admitted to a NICU is related to their feeling of loneliness and mental health. The mothers’ need for support and psychopathology are aspects to be considered when providing care to the newborns and their families. Training in coping strategies focused on specific situations could contribute to the reduction of mothers’ stress. |
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