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Cited by 27Infant Development and Preterm CareMaternal Mental Health During Pregnancy and PostpartumFamily and Disability Support Research

Vulnerable child syndrome in the neonatal intensive care unit: a review and a new preventative intervention with feasibility and parental satisfaction data

Hoge, Margaret K., Heyne, Elizabeth, Nicholson, Theresa De Freitas, Acosta, Dailyn, Mir, Imran, Brown, L. Steven, Shaw, Richard J., Chalak, Lina +1 more·2021·Early Human Development
DOI 10.1016/j.earlhumdev.2020.105283
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Abstract

Vulnerable Child Syndrome (VCS) occurs in the setting in which a child recovers from a life-threatening illness, as result of which the parent develops heightened parental perceptions of child vulnerability (PPCV). This leads to a pattern of overprotective parenting which may result in adverse neurodevelopmental and behavioral outcomes in the child over time. Parents of premature infants have been shown to be at increased risk of developing raised PPCV while their infants may develop symptoms of VCS. The PreVNT trial is a randomized controlled trial designed to test the efficacy of a 5-session manualized Cognitive Behavioral Therapy (CBT) intervention to reduce PPCV. Results of a pilot study of parents of premature infants (n = 41) demonstrate that the intervention can be delivered with high ratings of treatment fidelity and with a completion rate of 100% during the NICU admission, and 78% at 6 months post term. Ratings of parental satisfaction ranged between 4.9 and 5 out of 5 demonstrating high satisfaction with the intervention. Pilot feasibility and maternal satisfaction data are presented for a group of 22 intervention families, which suggest a CBT model for understanding VCS is feasible and deemed helpful by parents. This review is gauged to summarize risk of VCS development, diagnosis of VCS, and effective treatments for VCS through Cognitive Behavioral Therapy. We also present a paradigm shift in a therapeutic approach by introducing the PreVNT Trial. Given that VCS can interfere with the long-term outcomes of both infant and family, it is important to understand VCS and address its involvement in NICU and post NICU discharge care. Further research is needed in this area.

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Authors
Hoge, M. K., Heyne, E., Nicholson, T. D. F., Acosta, D., Mir, I., Brown, L. S., Shaw, R. J., Chalak, L., & Heyne, R.
Affiliations
  • The University of Texas Southwestern Medical Center (US)
  • Children's Medical Center (US)
  • Stanford Medicine (US)
Corresponding author
Hoge, Margaret K.
ORCID
Venue
Early Human Development
Publisher
Elsevier BV
Published
2021-03
Volume
154
Pages
105283
ISSN
0378-3782 (ISSN-L)
DOI
10.1016/j.earlhumdev.2020.105283
OpenAlex
W3107811537
Cited by
27
References
17
Citations by year
2026: 6 · 2025: 7 · 2024: 5 · 2023: 5 · 2022: 4
FWCI
2.15
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Early Human Development (publishedVersion)
  • PubMed (publishedVersion)
Funders
Jerry M. Lewis, M.D. Mental Health Research Foundation
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
Keywords
parental overprotection, cognitive behavioral therapy, preterm infants, neonatal intensive care unit, parental intervention, treatment feasibility, parental satisfaction, neurodevelopmental outcomes
MeSH terms
Abnormalities, Multiple, Child, Feasibility Studies, Humans, Infant, Infant, Newborn, Intensive Care Units, Neonatal, Parents, Personal Satisfaction, Pilot Projects, Randomized Controlled Trials as Topic, Ichthyosiform Erythroderma, Congenital, Limb Deformities, Congenital, Genetic Diseases, X-Linked

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