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Cited by 155Infant Development and Preterm CareInfant Health and DevelopmentMaternal Mental Health During Pregnancy and Postpartum

NICU Hospitalization: Long-Term Implications on Parenting and Child Behaviors

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Lean, Rachel E., Rogers, Cynthia E., Paul, Rachel A., Gerstein, Emily D.·2018·Current Treatment Options in Pediatrics
DOI 10.1007/s40746-018-0112-5PMC PMC5986282
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Abstract

Purpose of review Parents of infants admitted to the Neonatal Intensive Care Unit (NICU) experience psychological distress, loss of the parenting role, and disruptions to parent-infant bonding. The inclusion of evidence-based practices to address these challenges in the NICU has largely been based upon short-term improvements in parent and infant functioning. However, less is known regarding the extent to which family-based interventions may also be associated with longer-term parenting behaviors and children's neurobehavioral outcomes. Recent findings Comprehensive family-based NICU interventions demonstrate consistent links with later parental mental wellbeing, sensitive parenting behaviors, and children's cognitive and socioemotional development. Dyadic co-regulation activities implemented inconsistently and/or in isolation to other components of NICU interventions show mixed associations with outcomes, highlighting the need for multifaceted wrap-around care. Further research is needed to delineate associations between NICU interventions and children's neurological and language development, with follow-up beyond very early childhood in larger samples. Summary Long-term associations may reflect the stability of early parental responses to NICU interventions and the extent to which parents continue to implement mental health and sensitive parenting techniques in the home. However, the transition of parental psychiatric care from hospital to community-based services upon NICU discharge remains a pertinent need for high-risk families. Remaining issues also concern the extent to which NICU interventions incorporate sociodemographic differences across families, and whether interventions are generalizable or feasible across hospitals. Despite variation across interventions and NICUs; supporting, educating, and partnering with parents is crucial to strengthen longer-term family functioning and alter the developmental trajectories of high-risk infants.

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Cited by

Sorted by citations

Authors
Lean, R. E., Rogers, C. E., Paul, R. A., & Gerstein, E. D.
Affiliations
  • Washington University in St. Louis (US)
  • University of Missouri–St. Louis (US)
Corresponding author
Lean, Rachel E.
ORCID
Venue
Current Treatment Options in Pediatrics
Publisher
Springer Science and Business Media LLC
Published
2018-01-24
Volume
4
Issue
1
Pages
49-69
ISSN
2198-6088 (ISSN-L)
DOI
10.1007/s40746-018-0112-5
PMC
PMC5986282
OpenAlex
W2793159824
Cited by
155
References
9
Citations by year
2026: 30 · 2025: 30 · 2024: 24 · 2023: 17 · 2022: 19 · 2021: 15 · 2020: 10 · 2019: 5 · 2018: 2 · 2017: 1
FWCI
8.83
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Current Treatment Options in Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (KL2TR000450, UL1TR002345, KL2TR002346)
  • National Institute of Mental Health (K23MH105179)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Health Professions › Pharmacy › Infant Health and Development
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords
neonatal intensive care unit, family intervention, parental mental health, parental sensitivity, parent-infant bonding, child cognitive development, child socioemotional development, high-risk infants, long-term outcomes

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