Postpartum posttraumatic and acute stress in mothers and fathers of infants with very low birth weight: Cross-sectional results from a controlled multicenter cohort study
•Posttraumatic stress and disorders in parents after preterm and birth at term were examined.•Postpartum posttraumatic stress (PTSS) was higher in parents of preterm infants.•This risk for acute stress disorders was increased in mothers with preterm infants.•The risk for postpartum stress disorders...
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| Veröffentlicht in: | Journal of affective disorders 2018-08, Vol.235, p.467-473 |
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| creator | Helle, Nadine Barkmann, Claus Ehrhardt, Stephan Bindt, Carola |
| description | •Posttraumatic stress and disorders in parents after preterm and birth at term were examined.•Postpartum posttraumatic stress (PTSS) was higher in parents of preterm infants.•This risk for acute stress disorders was increased in mothers with preterm infants.•The risk for postpartum stress disorders was not elevated in parents with preterm infants.•Important risk factors for PTSS were stress during birth, social support and preterm birth.
The birth of a preterm infant can be stressful and traumatic for parents and may cause posttraumatic stress symptoms and disorders. There is a dearth of data from controlled studies regarding level, prevalence, risk, and predictors of these symptoms in parents after preterm birth.
As part of the longitudinal HaFEn-study, data from parents of infants with very low birth weight (VLBW), and term infants were cross-sectionally analyzed. We recruited parents at the three largest perinatal care centers in Hamburg, Germany. Posttraumatic stress symptoms were assessed with a standardized questionnaire, and acute and posttraumatic stress disorders with a clinical interview one month postpartum. Stress during birth, lifetime psychiatric diagnoses, social support, pregnancy risks, and mode of delivery were also evaluated. To examine predictors of posttraumatic stress symptoms in both parents simultaneously, we constructed multiple random coefficient models.
230 mothers and 173 fathers were included. The risk for acute stress disorder was increased in mothers with VLBW infants but not in fathers. While the risk for posttraumatic stress disorder was not elevated, the level of posttraumatic stress symptoms was higher in both parents with VLBW infants. Predictors for posttraumatic stress symptoms were stress during birth, low social support, psychiatric lifetime diagnoses, the birth of a VLBW infant, and female parent sex.
Results reported here are cross-sectional. Thus, no temporal relationships can be established.
Although posttraumatic stress disorders were rare, our results suggest that posttraumatic stress symptoms and acute stress disorders are common in parents of VLBW infants. |
| doi_str_mv | 10.1016/j.jad.2018.04.013 |
| format | Article |
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The birth of a preterm infant can be stressful and traumatic for parents and may cause posttraumatic stress symptoms and disorders. There is a dearth of data from controlled studies regarding level, prevalence, risk, and predictors of these symptoms in parents after preterm birth.
As part of the longitudinal HaFEn-study, data from parents of infants with very low birth weight (VLBW), and term infants were cross-sectionally analyzed. We recruited parents at the three largest perinatal care centers in Hamburg, Germany. Posttraumatic stress symptoms were assessed with a standardized questionnaire, and acute and posttraumatic stress disorders with a clinical interview one month postpartum. Stress during birth, lifetime psychiatric diagnoses, social support, pregnancy risks, and mode of delivery were also evaluated. To examine predictors of posttraumatic stress symptoms in both parents simultaneously, we constructed multiple random coefficient models.
230 mothers and 173 fathers were included. The risk for acute stress disorder was increased in mothers with VLBW infants but not in fathers. While the risk for posttraumatic stress disorder was not elevated, the level of posttraumatic stress symptoms was higher in both parents with VLBW infants. Predictors for posttraumatic stress symptoms were stress during birth, low social support, psychiatric lifetime diagnoses, the birth of a VLBW infant, and female parent sex.
Results reported here are cross-sectional. Thus, no temporal relationships can be established.
Although posttraumatic stress disorders were rare, our results suggest that posttraumatic stress symptoms and acute stress disorders are common in parents of VLBW infants.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2018.04.013</identifier><identifier>PMID: 29679899</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Child ; Child, Preschool ; Cross-Sectional Studies ; Fathers - psychology ; Female ; Germany ; Humans ; Infant ; Infant, Newborn ; Infant, Very Low Birth Weight - psychology ; Longitudinal Studies ; Male ; Maternal/paternal ; Mothers - psychology ; Parturition ; Postpartum Period - psychology ; Posttraumatic stress ; Pregnancy ; Premature Birth ; Preterm birth ; Prevalence ; Prospective Studies ; Risk factors ; Social Support ; Stress Disorders, Post-Traumatic - psychology ; Stress Disorders, Traumatic, Acute - psychology ; Surveys and Questionnaires</subject><ispartof>Journal of affective disorders, 2018-08, Vol.235, p.467-473</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-6ec5512a9ae09e0787b00cbbf8aef46efd9c42013cc72e35aae3ac39c643c913</citedby><cites>FETCH-LOGICAL-c353t-6ec5512a9ae09e0787b00cbbf8aef46efd9c42013cc72e35aae3ac39c643c913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0165032717320128$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29679899$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Helle, Nadine</creatorcontrib><creatorcontrib>Barkmann, Claus</creatorcontrib><creatorcontrib>Ehrhardt, Stephan</creatorcontrib><creatorcontrib>Bindt, Carola</creatorcontrib><title>Postpartum posttraumatic and acute stress in mothers and fathers of infants with very low birth weight: Cross-sectional results from a controlled multicenter cohort study</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>•Posttraumatic stress and disorders in parents after preterm and birth at term were examined.•Postpartum posttraumatic stress (PTSS) was higher in parents of preterm infants.•This risk for acute stress disorders was increased in mothers with preterm infants.•The risk for postpartum stress disorders was not elevated in parents with preterm infants.•Important risk factors for PTSS were stress during birth, social support and preterm birth.
The birth of a preterm infant can be stressful and traumatic for parents and may cause posttraumatic stress symptoms and disorders. There is a dearth of data from controlled studies regarding level, prevalence, risk, and predictors of these symptoms in parents after preterm birth.
As part of the longitudinal HaFEn-study, data from parents of infants with very low birth weight (VLBW), and term infants were cross-sectionally analyzed. We recruited parents at the three largest perinatal care centers in Hamburg, Germany. Posttraumatic stress symptoms were assessed with a standardized questionnaire, and acute and posttraumatic stress disorders with a clinical interview one month postpartum. Stress during birth, lifetime psychiatric diagnoses, social support, pregnancy risks, and mode of delivery were also evaluated. To examine predictors of posttraumatic stress symptoms in both parents simultaneously, we constructed multiple random coefficient models.
230 mothers and 173 fathers were included. The risk for acute stress disorder was increased in mothers with VLBW infants but not in fathers. While the risk for posttraumatic stress disorder was not elevated, the level of posttraumatic stress symptoms was higher in both parents with VLBW infants. Predictors for posttraumatic stress symptoms were stress during birth, low social support, psychiatric lifetime diagnoses, the birth of a VLBW infant, and female parent sex.
Results reported here are cross-sectional. Thus, no temporal relationships can be established.
Although posttraumatic stress disorders were rare, our results suggest that posttraumatic stress symptoms and acute stress disorders are common in parents of VLBW infants.</description><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cross-Sectional Studies</subject><subject>Fathers - psychology</subject><subject>Female</subject><subject>Germany</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Very Low Birth Weight - psychology</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Maternal/paternal</subject><subject>Mothers - psychology</subject><subject>Parturition</subject><subject>Postpartum Period - psychology</subject><subject>Posttraumatic stress</subject><subject>Pregnancy</subject><subject>Premature Birth</subject><subject>Preterm birth</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Risk factors</subject><subject>Social Support</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Stress Disorders, Traumatic, Acute - psychology</subject><subject>Surveys and Questionnaires</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU2P0zAQtRCI7S78AC7IRy4JdpzEMZxQBSzSSnDYuzWZTKirJC62s1X_Er9yXbpw5DRf7z175jH2RopSCtm-35d7GMpKyK4UdSmkesY2stGqqBqpn7NNxjSFUJW-Ytcx7oUQrdHiJbuqTKtNZ8yG_f7hYzpASOvMDzlNAdYZkkMOy8AB10Q8pkAxcrfw2acdhfhnNsIl92OejLCkyI8u7fgDhROf_JH3LuTySO7nLn3g2-BjLCJhcn6BiWfJdcqcMfiZA0e_pOCniQY-575DWhKF3N75kPIP1uH0ir0YYYr0-inesPsvn--3t8Xd96_ftp_uClSNSkVL2DSyAgMkDAnd6V4I7PuxAxrrlsbBYJ1vphB1RaoBIAWoDLa1QiPVDXt3kT0E_2ulmOzsItI0wUJ-jbYSVWdq3XRdhsoLFM_LBRrtIbgZwslKYc8O2b3NDtmzQ1bUNj-aOW-f5Nd-puEf468lGfDxAqC844OjYCM6WpAGF_L17ODdf-QfAVo0px8</recordid><startdate>20180801</startdate><enddate>20180801</enddate><creator>Helle, Nadine</creator><creator>Barkmann, Claus</creator><creator>Ehrhardt, Stephan</creator><creator>Bindt, Carola</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20180801</creationdate><title>Postpartum posttraumatic and acute stress in mothers and fathers of infants with very low birth weight: Cross-sectional results from a controlled multicenter cohort study</title><author>Helle, Nadine ; Barkmann, Claus ; Ehrhardt, Stephan ; Bindt, Carola</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-6ec5512a9ae09e0787b00cbbf8aef46efd9c42013cc72e35aae3ac39c643c913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cross-Sectional Studies</topic><topic>Fathers - psychology</topic><topic>Female</topic><topic>Germany</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Very Low Birth Weight - psychology</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Maternal/paternal</topic><topic>Mothers - psychology</topic><topic>Parturition</topic><topic>Postpartum Period - psychology</topic><topic>Posttraumatic stress</topic><topic>Pregnancy</topic><topic>Premature Birth</topic><topic>Preterm birth</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Risk factors</topic><topic>Social Support</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Stress Disorders, Traumatic, Acute - psychology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Helle, Nadine</creatorcontrib><creatorcontrib>Barkmann, Claus</creatorcontrib><creatorcontrib>Ehrhardt, Stephan</creatorcontrib><creatorcontrib>Bindt, Carola</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Helle, Nadine</au><au>Barkmann, Claus</au><au>Ehrhardt, Stephan</au><au>Bindt, Carola</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postpartum posttraumatic and acute stress in mothers and fathers of infants with very low birth weight: Cross-sectional results from a controlled multicenter cohort study</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2018-08-01</date><risdate>2018</risdate><volume>235</volume><spage>467</spage><epage>473</epage><pages>467-473</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><abstract>•Posttraumatic stress and disorders in parents after preterm and birth at term were examined.•Postpartum posttraumatic stress (PTSS) was higher in parents of preterm infants.•This risk for acute stress disorders was increased in mothers with preterm infants.•The risk for postpartum stress disorders was not elevated in parents with preterm infants.•Important risk factors for PTSS were stress during birth, social support and preterm birth.
The birth of a preterm infant can be stressful and traumatic for parents and may cause posttraumatic stress symptoms and disorders. There is a dearth of data from controlled studies regarding level, prevalence, risk, and predictors of these symptoms in parents after preterm birth.
As part of the longitudinal HaFEn-study, data from parents of infants with very low birth weight (VLBW), and term infants were cross-sectionally analyzed. We recruited parents at the three largest perinatal care centers in Hamburg, Germany. Posttraumatic stress symptoms were assessed with a standardized questionnaire, and acute and posttraumatic stress disorders with a clinical interview one month postpartum. Stress during birth, lifetime psychiatric diagnoses, social support, pregnancy risks, and mode of delivery were also evaluated. To examine predictors of posttraumatic stress symptoms in both parents simultaneously, we constructed multiple random coefficient models.
230 mothers and 173 fathers were included. The risk for acute stress disorder was increased in mothers with VLBW infants but not in fathers. While the risk for posttraumatic stress disorder was not elevated, the level of posttraumatic stress symptoms was higher in both parents with VLBW infants. Predictors for posttraumatic stress symptoms were stress during birth, low social support, psychiatric lifetime diagnoses, the birth of a VLBW infant, and female parent sex.
Results reported here are cross-sectional. Thus, no temporal relationships can be established.
Although posttraumatic stress disorders were rare, our results suggest that posttraumatic stress symptoms and acute stress disorders are common in parents of VLBW infants.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>29679899</pmid><doi>10.1016/j.jad.2018.04.013</doi><tpages>7</tpages></addata></record> |
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| subjects | Adult Child Child, Preschool Cross-Sectional Studies Fathers - psychology Female Germany Humans Infant Infant, Newborn Infant, Very Low Birth Weight - psychology Longitudinal Studies Male Maternal/paternal Mothers - psychology Parturition Postpartum Period - psychology Posttraumatic stress Pregnancy Premature Birth Preterm birth Prevalence Prospective Studies Risk factors Social Support Stress Disorders, Post-Traumatic - psychology Stress Disorders, Traumatic, Acute - psychology Surveys and Questionnaires |
| title | Postpartum posttraumatic and acute stress in mothers and fathers of infants with very low birth weight: Cross-sectional results from a controlled multicenter cohort study |
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