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The relationship between acute stress disorder and posttraumatic stress disorder in the neonatal intensive care unit.

机译:新生儿重症监护病房的急性应激障碍和创伤后应激障碍之间的关系。

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BACKGROUND: Having an infant hospitalized in the neonatal intensive care unit (NICU) is a highly stressful event for parents. Researchers have proposed posttraumatic stress disorder (PTSD) as a model to explain the psychological reaction of parents to their NICU experience. OBJECTIVE: The authors sought to examine the prevalence of PTSD in parents 4 months after the birth of their premature or sick infants and the relationship of PTSD and symptoms of acute stress disorder (ASD) immediately after their infant's birth. METHOD: Eighteen parents completed a self-report measure of ASD at baseline in addition to self-report measures of PTSD and depression at a 4-month follow-up assessment. RESULTS: In the sample, 33% of fathers and 9% of mothers met criteria for PTSD. ASD symptoms were significantly correlated with both PTSD and depression. Fathers showed a more delayed onset in their PTSD symptoms, but, by 4 months, were at even greater risk than mothers. DISCUSSION: The relatively high levels of psychological distress experienced by parents coupled with the potential negative outcomes on the parent and infant suggest that it is important to try to prepare parents for the expected psychological reactions that may occur in the event of a NICU hospitalization and also to support parents during the transition to home care.
机译:背景:新生儿重症监护病房(NICU)住院的婴儿对父母来说是一个压力很大的事件。研究人员提出创伤后应激障碍(PTSD)作为解释父母对其重症监护病房经历的心理反应的模型。目的:作者试图检查早产或患病婴儿出生后四个月父母中PTSD的患病率,以及婴儿出生后即刻PTSD与急性应激障碍(ASD)症状之间的关系。方法:18名父母在4个月的随访评估中,除了完成PTSD和抑郁的自我报告测量外,还完成了基线时ASD的自我报告测量。结果:在样本中,有33%的父亲和9%的母亲符合PTSD标准。 ASD症状与PTSD和抑郁症均显着相关。父亲表现出更严重的PTSD症状发作,但是到4个月时,其患母亲的风险甚至更大。讨论:父母经历的心理困扰相对较高,再加上对父母和婴儿的潜在消极后果,因此,重要的是要为父母做好应对NICU住院和可能发生的预期心理反应的准备。在过渡到家庭护理期间为父母提供支持。

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