Cited by 23Maternal Mental Health During Pregnancy and PostpartumInfant Development and Preterm CareFamily and Disability Support Research

Psychological distress and resilience of mothers and fathers with respect to the neurobehavioral performance of small-for-gestational-age newborns

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Bellido-González, Mercedes, Robles-Ortega, Humbelina, Castelar-Ríos, María José, Díaz-López, Miguel Ángel, Gallo-Vallejo, José Luís, Moreno-Galdó, María Fernanda, de los Santos-Roig, Macarena·2019·Health and Quality of Life Outcomes

Abstract

BACKGROUND: The existence of psychological distress (PD) during pregnancy is well established. Nevertheless, few studies have analyzed the PD and resilience of mothers and fathers during high-risk pregnancy. This study analyzes the differences between parents' PD and resilience and the relation between them and the neurobehavioral performance of their SGA newborns. METHODS: This prospective study compares two groups of parents and newborns: case group (52 parents and 26 SGA fetuses) and comparison group (68 parents and 34 appropriate-for-gestational-age, AGA, fetuses). In each group, the parents were evaluated during the last trimester of pregnancy, to obtain standardized measures of depression, stress, anxiety, and resilience. At 40 ± 1 weeks corrected gestational age, psychologists evaluated the state of neonatal neuromaturity achieved. RESULTS: Multivariate analysis of variance showed, in gender comparisons, that mothers obtained higher scores than fathers for psychological distress but lower ones for resilience. Similar differences were obtained in the comparison of parents' distress to intrauterine growth by SGA vs. AGA newborns. Mothers of SGA newborns were more distressed than the other groups. However, there were no differences between the fathers of SGA vs. AGA newborns. Regarding neurobehavioral performance, the profiles of SGA newborns reflected a lower degree of maturity than those of AGA newborns. Hierarchical regression analyses showed that high stress and low resilience among mothers partially predict low neurobehavioral performance in SGA newborns. CONCLUSIONS: These findings indicate that mothers of SGA newborns may need psychological support to relieve stress and improve their resilience. Furthermore, attention should be paid to the neurobehavioral performance of their babies in case early attention is needed.

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  1. [38]Brazelton TB Nugent JK Neonatal behavioral assessment scale (4th edition) 2011 London Mac Keith Press
  2. [39]Costas C Fornieles A Botet F Boatella E De Cáceres ML Evaluación psicométrica de la Escala de Brazelton en una muestra de recién nacidos españoles Psicothema 2007 1 140 149 17295996
  3. [61]Cohen J. (1988) Statistical power analysis for the behavioral sciences (2nd edition). New York: Academic Press; 1988.

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Authors
Bellido-González, M., Robles-Ortega, H., Castelar-Ríos, M. J., Díaz-López, M. Á., Gallo-Vallejo, J. L., Moreno-Galdó, M. F., & de los Santos-Roig, M.
Affiliations
  • Universidad de Granada (ES)
  • Hospital Universitario Virgen de las Nieves (ES)
Venue
Health and Quality of Life Outcomes
Published
2019-03-28
Volume
17
Issue
1
Pages
54-54
ISSN
1477-7525 (ISSN-L)
OpenAlex
W2930905337
Cited by
23
References
64
Citations by year
2024: 2 · 2023: 5 · 2022: 10 · 2021: 4 · 2020: 2
FWCI
3.68
Type
journal article
Language
en
Open access
Locations
  • Health and Quality of Life Outcomes (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RISalud Institutional Health Repository of Andalucía (submittedVersion, cc-by)
  • LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
  • Institutional Repository of the University of Granada (University of Granada) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Consejería de Salud, Junta de Andalucía (PC-0526-2016-0526)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
Keywords
small-for-gestational-age newborns, psychological distress, resilience, maternal stress, paternal stress, maternal depression, anxiety, neurobehavioral performance, fetal growth restriction, high-risk pregnancy
MeSH terms
Analysis of Variance, Child Development, Fathers, Female, Gestational Age, Humans, Infant, Newborn, Infant, Small for Gestational Age, Male, Mothers, Pregnancy, Prospective Studies, Quality of Life, Regression Analysis, Stress, Psychological, Case-Control Studies, Resilience, Psychological

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