Role alteration predicts anxiety and depressive symptoms in parents of infants with congenital heart disease: a pilot study
| Autor: | Amy Jo Lisanti, Ryan Quinn, Aparna Kumar, Jesse Chittams, Abigail C Demianczyk, Barbara Medoff-Cooper |
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| Rok vydání: | 2021 |
| Předmět: |
Heart Defects
Congenital Male Parents Psychological intervention Mothers Pilot Projects Anxiety 030204 cardiovascular system & hematology Intensive Care Units Pediatric Article Fathers 03 medical and health sciences 0302 clinical medicine Humans Medicine 030212 general & internal medicine Critical congenital heart disease Child Depression (differential diagnoses) Depression business.industry Stressor Infant General Medicine Mental health Pediatrics Perinatology and Child Health Coronary care unit Female medicine.symptom Cardiology and Cardiovascular Medicine business Psychosocial Stress Psychological Clinical psychology |
| Zdroj: | Cardiol Young |
| ISSN: | 1467-1107 1047-9511 |
| Popis: | Background:Parents of infants born with critical congenital heart disease are at risk for adverse mental health symptoms. The purpose of this study was to identify infant-, parent-, and environmental-based stressors for mothers and fathers after their infants’ cardiac surgery, and to explore relationships between stressors and mental health symptoms of anxiety and depression.Methods:This study enrolled 28 biological mother-father dyads from families admitted to the paediatric cardiac intensive care unit for cardiac surgery at one free-standing children’s hospital in the Northeast. Paired t-tests were used to examine group differences between mothers and fathers on perceived stressors and mental health symptoms, while linear mixed effects modelling was used to explore the predictive relationship between perceived stressors, personal factors, and mental health symptoms.Results:Mothers reported higher perceived stressor scores of parental role alteration (t = 4.03, p < 0.01) and infant appearance and behaviour (t = 2.61, p = 0.02), and total perceived stress (t = 2.29 p = 0.03), compared to fathers. Mothers also reported higher anxiety (t = 2.47, p = 0.02) and depressive symptoms (t = 3.25, p < 0.01) than fathers. In multivariable analysis, parental role alteration significantly predicted anxiety (t = 5.20, p < 0.01, d = 0.77) and depressive symptoms (t = 7.09, p < 0.01, d = 1.05) for mothers and fathers. The consensus subscale of the Dyadic Adjustment Scale also significantly predicted depressive symptoms (t = −2.42, p = 0.02, d = 0.04).Conclusion:Parents were distressed during their infant’s admission for surgical repair for critical congenital heart disease. Parental role alteration was significantly associated with parental anxiety and depressive symptoms, while poor relationship quality was associated with depressive symptoms, highlighting areas for potential nursing-led psychosocial led interventions. |
| Databáze: | OpenAIRE |
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