2.50
Hdl Handle:
http://hdl.handle.net/10755/163678
Category:
Abstract
Type:
Presentation
Title:
NICU correlates of later depression in mothers of premature infants
Author(s):
Melnyk, Bernadette; Feinstein, Nancy Fischbeck
Author Details:
Bernadette Melnyk, Professor, University of Rochester, School of Nursing, Rochester, New York, USA, email: Bernadette_Melnyk@urmc.rochester.edu; Nancy Fischbeck Feinstein
Abstract:
Purpose/Specific Aim: Major post-partum depression affects 13% of women and is under detected in 50% of all cases. Early detection of maternal depression in the neonatal period is critical in improving outcomes for mothers and their children. Meta-analyses indicate that there are adverse outcomes on cognitive and emotional development as well as the behaviors of children whose mothers are depressed. Thus, there is an urgent need to identify specific parenting and clinical variables during the NICU stay that correlate with later maternal depression. The purpose/specific aim of this study was to identify early NICU correlates of later maternal depression, at their infants' 6-month corrected ages. Framework: Stress and coping theory comprised the theoretical framework for this study. Both maternal emotional and functional coping outcomes during the NICU stay were assessed as potential correlates of later maternal depression. Methods: This secondary data analysis was conducted as part of a larger study that demonstrated the positive effects of the COPE (Creating Opportunities for Parent Empowerment) program on 42 premature infants and their mothers. Valid and reliable measures of maternal state anxiety, total negative mood state, including depression, parenting stress, and parental beliefs were administered at selected times during hospitalization. Demographic and clinical variables also were collected. Negative mood state, including depression, was again obtained from the mothers at their infants' 6-month corrected ages. Results and Conclusions: Findings revealed significant correlations between presence of an endotracheal tube in the infant and surgery, recent hospitalization of an immediate family member, early maternal state anxiety and depression, parent stress, and parental beliefs about their infant and their parental role, and later maternal depression. Specifically: (a) mothers with premature infants who had an endotracheal tube or surgery had higher levels of depression; (b) mothers with a recent hospitalization of an immediate family member had higher levels of depression; (c) mothers with higher state anxiety, parent stress and depression during the first week following their infants' births had higher levels of depression; and (d) mothers who had stronger beliefs about what to expect of their premature infants and their ability to parent them had lower levels of depression at their infants' 6-month corrected ages. Implications: Findings support the need for early assessment of these variables as well as for early NICU interventions with parents of premature infants that target these variables in order to prevent later maternal depression and adverse child outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
14th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
University Park, Pennsylvania, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleNICU correlates of later depression in mothers of premature infantsen_GB
dc.contributor.authorMelnyk, Bernadetteen_US
dc.contributor.authorFeinstein, Nancy Fischbecken_US
dc.author.detailsBernadette Melnyk, Professor, University of Rochester, School of Nursing, Rochester, New York, USA, email: Bernadette_Melnyk@urmc.rochester.edu; Nancy Fischbeck Feinsteinen_US
dc.identifier.urihttp://hdl.handle.net/10755/163678-
dc.description.abstractPurpose/Specific Aim: Major post-partum depression affects 13% of women and is under detected in 50% of all cases. Early detection of maternal depression in the neonatal period is critical in improving outcomes for mothers and their children. Meta-analyses indicate that there are adverse outcomes on cognitive and emotional development as well as the behaviors of children whose mothers are depressed. Thus, there is an urgent need to identify specific parenting and clinical variables during the NICU stay that correlate with later maternal depression. The purpose/specific aim of this study was to identify early NICU correlates of later maternal depression, at their infants' 6-month corrected ages. Framework: Stress and coping theory comprised the theoretical framework for this study. Both maternal emotional and functional coping outcomes during the NICU stay were assessed as potential correlates of later maternal depression. Methods: This secondary data analysis was conducted as part of a larger study that demonstrated the positive effects of the COPE (Creating Opportunities for Parent Empowerment) program on 42 premature infants and their mothers. Valid and reliable measures of maternal state anxiety, total negative mood state, including depression, parenting stress, and parental beliefs were administered at selected times during hospitalization. Demographic and clinical variables also were collected. Negative mood state, including depression, was again obtained from the mothers at their infants' 6-month corrected ages. Results and Conclusions: Findings revealed significant correlations between presence of an endotracheal tube in the infant and surgery, recent hospitalization of an immediate family member, early maternal state anxiety and depression, parent stress, and parental beliefs about their infant and their parental role, and later maternal depression. Specifically: (a) mothers with premature infants who had an endotracheal tube or surgery had higher levels of depression; (b) mothers with a recent hospitalization of an immediate family member had higher levels of depression; (c) mothers with higher state anxiety, parent stress and depression during the first week following their infants' births had higher levels of depression; and (d) mothers who had stronger beliefs about what to expect of their premature infants and their ability to parent them had lower levels of depression at their infants' 6-month corrected ages. Implications: Findings support the need for early assessment of these variables as well as for early NICU interventions with parents of premature infants that target these variables in order to prevent later maternal depression and adverse child outcomes.en_GB
dc.date.available2011-10-27T11:11:52Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:11:52Z-
dc.conference.date2002en_US
dc.conference.name14th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationUniversity Park, Pennsylvania, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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