Risk factors for the development of post-traumatic stress disorder and coping strategies in mothers and fathers following infant hospitalisation in the neonatal intensive care unit
Artykuł w czasopiśmie
MNiSW
40
Lista A
| Status: | |
| Autorzy: | Aftyka Anna, Rybojad Beata, Rosa Wojciech, Wróbel Aleksandra, Karakuła-Juchnowicz Hanna |
| Dyscypliny: | |
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| Rok wydania: | 2017 |
| Wersja dokumentu: | Drukowana | Elektroniczna |
| Język: | angielski |
| Numer czasopisma: | 23-24 |
| Wolumen/Tom: | 26 |
| Strony: | 4436 - 4445 |
| Impact Factor: | 1,635 |
| Web of Science® Times Cited: | 53 |
| Scopus® Cytowania: | 66 |
| Bazy: | Web of Science | Scopus |
| Efekt badań statutowych | NIE |
| Materiał konferencyjny: | NIE |
| Publikacja OA: | NIE |
| Abstrakty: | angielski |
| Aims and objectives: The aim of this study was to identify the potential risk factors for the development of post-traumatic stress disorder in mothers and fathers following infant hospitalisation in the neonatal intensive care unit. Background: The development of neonatal intensive care units has increased the survival rate of infants. However, one of the major parental problems is post-traumatic stress disorder. Design: An observational study covered 125 parents (72 mothers and 53 fathers) of infants aged 3–12 months who were hospitalised in the neonatal intensive care unit during the neona- tal period. Setting: Third-referral neonatal intensive care unit. Several standardised and self-reported research tools were used to estimate the level of post-traumatic stress symptoms (Impact Event Scale—Revised), perceived stress (Perceived Stress Scale) and coping strategies (COPE Inventory). The respondents also completed a Parent and Infant Characteristic Questionnaire. Results: The mothers and fathers did not differ in their parental and infant characteristics. Post-traumatic stress disorder was present in 60% of the mothers and 47% of the fathers. Compared to the fathers, the mothers felt greater stress (p=.020) and presented a higher severity of post-traumatic stress disorder (p<.001). Previous miscarriages (p=.023) and the presence of chronic diseases (p=.032) were risk factors for post-traumatic stress disorder in the moth-ers. In the fathers, an Apgar test at 1 min after birth (p=.030) and a partner's post-traumaticstress disorder (p=.038) were related to post-traumatic stress disorder. The mothers compared to the fathers were more likely to use strategies such as: positive reinterpretation and growth, focusing on and venting of emotions, instrumental social support, religious coping and acceptance. In the fathers, the predictors included an Apgar score at 1 min after birth, a lack of congenital anomalies in the child and mental disengagement. Conclusion: Risk factors for post-traumatic stress disorder, as well as coping strategies, differ in women compare to men. Relevance to clinical practice: Knowledge of risk factors for post-traumatic stress disorder, specific to men and women, may help identify the parents in whom probability of the occur- rence of this disorder is increased. |
