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- Title
MENTAL HEALTH SYMPTOMS IN PARENTS OF INFANTS 3 MONTHS AFTER DISCHARGE FOLLOWING NEONATAL CARDIAC SURGERY.
- Authors
Lisanti, Amy J.; Quinn, Ryan; Chittams, Jesse L.; Laubacher, Megan; Medoff-Cooper, Barbara; Demianczyk, Abigail C.
- Abstract
Background Parents of newborns with congenital heart disease (CHD) are at risk for anxiety, depression, and posttraumatic stress. Few studies have examined whether modifiable factors that influence parents' mental health after discharge are present during postoperative care in the pediatric cardiac intensive care unit (PCICU). Objective To describe mental health symptoms of parents of infants with CHD 3 months after PCICU discharge and to determine factors during the PCICU stay that are predictors of such symptoms. Methods A longitudinal cohort pilot study of 56 parents (28 mother-father dyads) of 28 infants with CHD. During the first postoperative week after cardiac surgery, parents completed questionnaires measuring factors potentially influencing mental health. Three months after discharge, 42 parents of 22 infants completed validated measures of anxiety, depression, and posttraumatic stress. Results Three months after discharge, 26% of parents had clinically elevated levels of anxiety symptoms, 21% had clinically significant levels of depressive symptoms, and 19% had posttraumatic stress symptoms. In multivariable analysis, parental role alteration in the PCICU was predictive of anxiety (P = .002), depressive (P = .02), and posttraumatic stress (P = .02) symptoms 3 months after discharge. Higher education level was predictive of anxiety symptoms (P = .009). Postnatal CHD diagnosis was predictive of posttraumatic stress symptoms (P = .04). Conclusions Parental role alteration perceived by parents during the PCICU stay is a modifiable stressor contributing to adverse mental health symptoms 3 months after discharge. Interventions targeting parental role alteration in the PCICU are critically needed.
- Subjects
NEW England; CARDIAC surgery; INTENSIVE care units; STATE-Trait Anxiety Inventory; PSYCHOLOGY of parents; HEALTH facilities; SAMPLE size (Statistics); HUMAN research subjects; CHILDREN'S hospitals; CONGENITAL heart disease; MENTAL health; PEDIATRICS; POST-traumatic stress disorder; INFORMED consent (Medical law); DYADIC Adjustment Scale; PSYCHOLOGICAL tests; T-test (Statistics); MENTAL depression; QUESTIONNAIRES; SCALE analysis (Psychology); FINANCIAL stress; CENTER for Epidemiologic Studies Depression Scale; DESCRIPTIVE statistics; RESEARCH funding; ANXIETY; STATISTICAL sampling; DATA analysis software; DISCHARGE planning; LONGITUDINAL method; EDUCATIONAL attainment; PSYCHOSOCIAL factors
- Publication
American Journal of Critical Care, 2024, Vol 33, Issue 1, p20
- ISSN
1062-3264
- Publication type
Article
- DOI
10.4037/ajcc2024404