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Screening parents of high-risk infants for emotional distress: rationale and recommendations

Journal of Perinatology volume 33, pages 748–753 (2013)Cite this article

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Abstract

Having a baby hospitalized in a neonatal intensive care unit (NICU) is a potentially traumatic event for parents. This article summarizes research documenting heightened symptoms of depression and post-traumatic stress in these parents and reviews studies of the relationship of parental distress with impaired infant and child development. We describe an array of validated screening devices for depression and post-traumatic stress, along with research on risk factors for elevated scores. In making recommendations for screening both mothers and fathers for emotional distress in the NICU, we (a) present commentary on the pros and cons of screening, (b) propose a timetable for screening and (c) describe both supportive interventions for parents in the NICU and a variety of referral possibilities for parents most at risk.

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Acknowledgements

We appreciate the feedback of Brian Carter, John Hartline and Lauren Leslie. The recommendations in this article do not indicate an exclusive course of action or serve as a standard of care.

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Authors and Affiliations

  1. Department of Psychology, University of Wisconsin-Milwaukee, Milwaukee, WI, USA

    M T Hynan

  2. Wisconsin Association for Perinatal Care/Perinatal Foundation, Madison, WI, USA

    K O Mounts

  3. Division of General Pediatrics, Keck School of Medicine, Children’s Hospital, Los Angeles, Los Angeles, CA, USA

    D L Vanderbilt

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  1. M T Hynan
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  2. K O Mounts
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  3. D L Vanderbilt
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Correspondence to M T Hynan.

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Hynan, M., Mounts, K. & Vanderbilt, D. Screening parents of high-risk infants for emotional distress: rationale and recommendations. J Perinatol 33, 748–753 (2013). https://doi.org/10.1038/jp.2013.72

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