Depression, posttraumatic stress and relationship distress in parents of very preterm infants

Journal article


Winter, Leanne, Colditz, Paul B., Sanders, Matthew R., Boyd, Roslyn N., Pritchard, Margo, Gray, Peter H., Whittingham, Koa, Forrest, Kylee, Leeks, Rebecca, Webb, Lachlan, Marquart, Louise, Taylor, Karen and Macey, Judith. (2018) Depression, posttraumatic stress and relationship distress in parents of very preterm infants. Archives of Women's Mental Health. 21, pp. 445 - 451. https://doi.org/10.1007/s00737-018-0821-6
AuthorsWinter, Leanne, Colditz, Paul B., Sanders, Matthew R., Boyd, Roslyn N., Pritchard, Margo, Gray, Peter H., Whittingham, Koa, Forrest, Kylee, Leeks, Rebecca, Webb, Lachlan, Marquart, Louise, Taylor, Karen and Macey, Judith
Abstract

To determine the prevalence, associated factors, and relationships between symptoms of depression, symptoms of posttraumatic stress (PTS), and relationship distress in mothers and fathers of very preterm (VPT) infants (< 32 weeks). Mothers (n = 323) and fathers (n = 237) completed self-report measures on demographic and outcome variables at 38 days (SD = 23.1, range 9–116) postpartum while their infants were still hospitalised. Of mothers, 46.7% had a moderate to high likelihood of depression, 38.1% had moderate to severe symptoms of PTS, and 25.1% were in higher than average relationship distress. The corresponding percentages in fathers were 16.9, 23.7, and 27%. Depression was positively associated with having previous children (p = 0.01), speaking little or no English at home (p = 0.01), financial stress (p = 0.03), and recently accessing mental health services (p = 0.003) for mothers, and financial stress (p = 0.005) and not being the primary income earner (p = 0.04) for fathers. Similar associations were found for symptoms of PTS and relationship distress. Being in higher relationship distress increased the risk of depression in both mothers (p < .001) and fathers (p = 0.03), and PTS symptoms in mothers (p = 0.001). For both mothers and fathers, depression was associated with more severe PTS symptoms (p < .001). Fathers of VPT infants should be screened for mental health problems alongside mothers, and postpartum parent support programs for VPT infants should include strategies to improve the couple relationship.

KeywordsVery preterm infants; Parent mental health; Couple relationship; Depression; Posttraumatic stress
Year2018
JournalArchives of Women's Mental Health
Journal citation21, pp. 445 - 451
PublisherSpringer-Verlag Wien
ISSN1434-1816
Digital Object Identifier (DOI)https://doi.org/10.1007/s00737-018-0821-6
Scopus EID2-s2.0-85045059646
Page range445 - 451
Research GroupSchool of Nursing, Midwifery and Paramedicine
Publisher's version
File Access Level
Controlled
Place of publicationAustria
Permalink -

https://acuresearchbank.acu.edu.au/item/88497/depression-posttraumatic-stress-and-relationship-distress-in-parents-of-very-preterm-infants

Restricted files

Publisher's version

  • 3
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

A randomized trial of baby triple p for preterm infants: Child outcomes at 2 years of corrected age
Colditz, Paul B., Boyd, Roslyn N., Winter, Leanne, Pritchard, Margo, Gray, Peter H., Whittingham, Koa, O'Callaghan, Michael, Jardine, Luke, O'Rourke, Peter, Marquart, Louise, Forrest, Kylee, Spry, Carmen and Sanders, Matthew R.. (2019) A randomized trial of baby triple p for preterm infants: Child outcomes at 2 years of corrected age. Journal of Pediatrics. 210, pp. 48 - 54. https://doi.org/10.1016/j.jpeds.2019.01.024
Social-emotional development in very preterm infants during early infancy
Gray, Peter H., Edwards, Dawn M., Hughes, Ian P. and Pritchard, Margo. (2018) Social-emotional development in very preterm infants during early infancy. Early Human Development. 121, pp. 44 - 48. https://doi.org/10.1016/j.earlhumdev.2018.05.002
Predicting attendance of a preventive parenting intervention for very preterm infants
Winter, Leanne, Sanders, Matthew R., Boyd, Roslyn N., Pritchard, Margo, Gray, Peter H., Whittingham, Koa, Forrest, Kylee, Webb, Lachlan, Marquart, Louise and Colditz, Paul B.. (2018) Predicting attendance of a preventive parenting intervention for very preterm infants. Infant Mental Health Journal. 39(6), pp. 699 - 706. https://doi.org/10.1002/imhj.21749
Delayed versus immediate cord clamping in preterm infants
Tarnow-Mordi, W., Morris, J., Kirby, Adrienne, Robledo, Kristy, Askie, Lisa, Brown, Rebecca, Evans, Nicholas, Finlayson, Sarah, Fogarty, Michael, Gebski, Val, Ghadge, Alpana, Hague, Wendy, Isaacs, David, Jeffery, Michele, Keech, Anthony C., Kluckow, Martin, Popat, Himanshu P., Sebastian, Lucille, Aagaard, Kjersti M., ... Simes, John. (2017) Delayed versus immediate cord clamping in preterm infants. New England Journal of Medicine. 377(5), pp. 2445 - 2455. https://doi.org/10.1056/NEJMoa1711281
Early maternal reflective functioning and infant emotional regulation in a preterm infant sample at 6 months corrected age
Heron-Delaney, Michelle, Kenardy, Justin, Brown, Erin, Jardin, Chloe, Bogossian, Fiona Elizabeth, Neuman, Louise, de Dassel, Therese and Pritchard, Margo. (2016) Early maternal reflective functioning and infant emotional regulation in a preterm infant sample at 6 months corrected age. Journal of Pediatric Psychology. 41(8), pp. 906 - 914. https://doi.org/10.1093/jpepsy/jsv169
Nasal high-flow therapy for primary respiratory support in preterm infants
Roberts, Calum T., Owen, Louise S., Manley, Brett J., Frøisland, Dag H., Donath, Susan M., Dalziel, Kim M., Pritchard, Margo, Cartwright, David W., Collins, Clare L., Malhotra, Atul and Davis, Peter G.. (2016) Nasal high-flow therapy for primary respiratory support in preterm infants. New England Journal of Medicine. 375(12), pp. 1142 - 1151. https://doi.org/10.1056/NEJMoa1603694
Autism in toddlers born very preterm
Pritchard, Margo, De Dassel, Therese, Beller, Elaine Mary, Bogossian, Fiona Elizabeth, Johnston, Linda, Paynter, Jessica, Russo, Santo and Scott, James Paul. (2016) Autism in toddlers born very preterm. Pediatrics. 137(2), pp. 1 - 10. https://doi.org/10.1542/peds.2015-1949
Prem Baby Triple P: a randomised controlled trial of enhanced parenting capacity to improve developmental outcomes in preterm infants
Colditz, Paul, Sanders, Matthew R., Boyd, Roslyn, Pritchard, Margo, Grey, Peter, O'Callaghan, Michael J., Slaughter, Virginia, Whittingham, Koa, O'Rourke, Peter, Winter, Leanne, Evans, Tracey, Herd, Michael, Ahern, Jessica and Jardine, Luke. (2015) Prem Baby Triple P: a randomised controlled trial of enhanced parenting capacity to improve developmental outcomes in preterm infants. BMC Pediatrics. 15(15), pp. 1 - 13. https://doi.org/10.1186/s12887-015-0331-x
The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: A systematic review
Staneva, Aleksandra, Bogossian, Fiona, Pritchard, Margo, Wittkowski, Anja and Anja, . (2015) The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: A systematic review. Women and Birth. 28(3), pp. 179 - 193. https://doi.org/10.1016/j.wombi.2015.02.003
High-flow nasal cannulae in very preterm infants after extubation
Manley, Brett J., Owen, Louise S., Doyle, Lex, Anderson, Chad, Cartwright, David, Pritchard, Margo, Donath, Susan and Davis, Peter. (2013) High-flow nasal cannulae in very preterm infants after extubation. New England Journal of Medicine. 369(15), pp. 1425 - 1433. https://doi.org/10.1056/NEJMoa1300071