The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
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 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
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Cella, D., Riley, W., Stone, A., Rothrock, N., Reeve, B., Yount, S., Amtmann, D., Bode, R., Buysse, D., Choi, S., et al. (2010) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2010.04.011 · Cited by 5,128
Pilkonis, P. A., Choi, S. W., Reise, S. P., Stover, A. M., Riley, W. T., Cella, D., & PROMIS Cooperative Group (2011) · Assessment · doi:10.1177/1073191111411667 · Cited by 2,132
Postpartum depression effects on early interactions, parenting, and safety practices: a review
Field, T. (2010) · Infant Behavior and Development · doi:10.1016/j.infbeh.2009.10.005 · Cited by 1,493
Dunkel Schetter, C., & Tanner, L. (2012) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3283503680 · Cited by 1,268
Buysse, D. J., Yu, L., Moul, D. E., Germain, A., Stover, A., Dodds, N. E., Johnston, K. L., Shablesky-Cade, M. A., & Pilkonis, P. A. (2010) · Sleep · doi:10.1093/sleep/33.6.781 · Cited by 850
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Parental Stressor Scale: Neonatal Intensive Care Unit
MILES, M. S., FUNK, S. G., & CARLSON, J. (1993) · Nursing Research · doi:10.1097/00006199-199305000-00005 · Cited by 561
Lefkowitz, D. S., Baxt, C., & Evans, J. R. (2010) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-010-9202-7 · Cited by 468
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Guidelines for Family-Centered Care in the Neonatal, Pediatric, and Adult ICU
Davidson, J. E., Aslakson, R. A., Long, A. C., Puntillo, K. A., Kross, E. K., Hart, J., Cox, C. E., Wunsch, H., Wickline, M. A., Nunnally, M. E., et al. (2017) · Critical Care Medicine · doi:10.1097/ccm.0000000000002169 · Cited by 1,540
Epidemiologic Trends in Neonatal Intensive Care, 2007-2012
Harrison, W. N., & Goodman, D. C. (2015) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/jamapediatrics.2015.1305 · Cited by 377
Mothers and Fathers in NICU: The Impact of Preterm Birth on Parental Distress
Ionio, C., Colombo, C., Brazzoduro, V., Mascheroni, E., Confalonieri, E., Castoldi, F., & Lista, G. (2016) · Europe’s Journal of Psychology · doi:10.5964/ejop.v12i4.1093 · Cited by 347
Scoping Review of the Mental Health of Parents of Infants in the NICU
Roque, A. T. F., Lasiuk, G. C., Radünz, V., & Hegadoren, K. (2017) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1016/j.jogn.2017.02.005 · Cited by 344
Al Maghaireh, D. F., Abdullah, K. L., Chan, C. M., Piaw, C. Y., & Al Kawafha, M. M. (2016) · Journal of Clinical Nursing · doi:10.1111/jocn.13259 · Cited by 328
Metadata
- 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 › 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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