Cited by 257Infant Development and Preterm CareFamily and Patient Care in Intensive Care UnitsMaternal Mental Health During Pregnancy and Postpartum

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Parents’ Responses to Stress in the Neonatal Intensive Care Unit

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Busse, Morgan, Stromgren, Kayleigh, Thorngate, Lauren, Thomas, Karen A.·2013·Critical Care Nurse

DOI 10.4037/ccn2013715PMC PMC4394856

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Abstract

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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The Patient-Reported Outcomes Measurement Information System (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005–2008
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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
DOI: 10.4037/ccn2013715
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 › Medicine › Critical Care and Intensive Care Medicine › 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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Parents’ Responses to Stress in the Neonatal Intensive Care Unit

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