Parents’ responses to stress in the neonatal intensive care unit
Open accessAbstract
Background: Parents’ stress resulting from hospitalization of their infant in the neonatal intensive care unit (NICU) produces emotional and behavioral responses. The National Institutes of Health–sponsored Patient Reported Outcomes Measurement Information System (PROMIS) offers a valid and efficient means of assessing parents’ responses. Objective: To examine the relationship of stress to anxiety, depression, fatigue, and sleep disruption among parents of infants hospitalized in the NICU. Methods: Thirty parents completed the Parental Stressor Scale (PSS:NICU) containing subscales for NICU Sights and Sounds, Infant Behavior and Appearance, and Parental Role Alteration, and the PROMIS anxiety, depression, fatigue, and sleep disturbance short-form instruments. Results: PSS total score was significantly correlated with anxiety (r = 0.61), depression (r = 0.36), and sleep disturbance (r = 0.60). Scores for NICU Sights and Sounds were not significantly correlated with parents’ outcomes; however, scores for Alteration in Parenting Role were correlated with all 4 outcomes, and scores for Infant Appearance were correlated with all except fatigue. Conclusion: Stress experienced by parents of NICU infants is associated with a concerning constellation of physical and emotional outcomes comprising anxiety, depression, fatigue, and sleep disruption.
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Parents of infants in the NICU commonly report anxiety, poor sleep, fatigue, depression, and helplessness.
“parents consistently report experiencing anxiety, sleep deprivation, fatigue, depression, and helplessness (Busse et al., 2013, Mackley et al., 2010).”
From Transition from hospital to home: Parents’ perception of their preparation and readiness for discharge with their preterm infant (2018) · cites this paper as Busse et al., 2013
The Results and Discussion report that NICU parents experienced anxiety, depression, fatigue, and sleep disturbance; the Introduction also describes short sleep duration among NICU mothers. The paper does not report helplessness as a parental response, so that part of the attributed claim is unsupported. (LLM, conf=0.88)
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- Authors
- Busse, M., Stromgren, K., Thorngate, L., & Thomas, K. A.
- Affiliations
- Group Health Cooperative (US)
- University of Washington Medical Center (US)
- University of Washington (US)
- ORCID
- Thorngate, Lauren
- Venue
- Critical Care Nurse
- Publisher
- AACN Publishing
- Published
- 2013-08-01
- Volume
- 33
- Issue
- 4
- Pages
- 52-59
- ISSN
- 0279-5442 (ISSN-L)
- 1940-8250
- PMC
- PMC4394856
- OpenAlex
- W2139894590
- Cited by
- 254
- References
- 32
- Citations by year
- 2026: 13 · 2025: 17 · 2024: 21 · 2023: 13 · 2022: 22 · 2021: 27 · 2020: 17 · 2019: 37 · 2018: 23 · 2017: 23 · 2016: 24 · 2015: 10 · 2014: 6
- FWCI
- 12.41
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Critical Care Nurse (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Centre National d’Etudes Spatiales
- National Institutes of Health (5f31nr011365-02)
- National Institute of Nursing Research (F31-NR011365, P30NR011400)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Family and Patient Care in Intensive Care Units
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- parental stress, neonatal intensive care unit, parents of hospitalized infants, anxiety, depression, fatigue, sleep disruption, PROMIS
- MeSH terms
- Adult, Anxiety, Emotions, Female, Humans, Infant, Newborn, Intensive Care Units, Neonatal, Male, Parents, Stress, Psychological
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