McCabe-Beane Jennifer E, Stasik-O'Brien Sara M, Segre Lisa S
J Obstet Gynecol Neonatal Nurs. 2018 Jan;47(1):105-113. doi: 10.1016/j.jogn.2017.01.013. Epub 2017 May 18.
To examine the incremental identification of emotional distress in mothers of hospitalized newborns by screening for anxiety in addition to depression and to provide practical information about anxiety screening scales to facilitate instrument selection and screening implementation by nurses in the NICU.
In this secondary data analysis, screening data from the recruitment phase of a feasibility trial to evaluate a nurse-delivered counseling intervention for emotionally distressed mothers of newborns in the NICU were used to examine the effect of anxiety screening.
A Level IV NICU at a large academic medical center in the Midwestern United States.
Women 18 years of age and older (N = 190) with newborns in the NICU.
Participants completed multiple measures of depression and anxiety symptoms.
Of participants who had negative screening results on a depression-only screening instrument, 4.7% to 14.7% endorsed clinically significant anxiety symptoms depending on the screening instrument used.
Screening for anxiety in mothers of newborns in the NICU resulted in identification of distressed mothers who would otherwise have been missed during routine depression-only screening. Multiple options for anxiety screening exist that add incremental information to depression-only screening and require little additional burden on providers and mothers of newborns in the NICU.
通过除筛查抑郁外还筛查焦虑，来检验对住院新生儿母亲情绪困扰的增量识别情况，并提供有关焦虑筛查量表的实用信息，以方便新生儿重症监护病房（NICU）的护士选择工具并实施筛查。
在这项二次数据分析中，来自一项可行性试验招募阶段的筛查数据被用于检验焦虑筛查的效果，该可行性试验旨在评估一项由护士提供的针对NICU中情绪困扰新生儿母亲的咨询干预措施。
美国中西部一家大型学术医疗中心的四级NICU。
NICU中有新生儿的18岁及以上女性（N = 190）。
参与者完成了多项抑郁和焦虑症状测量。
在仅使用抑郁筛查工具筛查结果为阴性的参与者中，根据所使用的筛查工具，有4.7%至14.7%的人认可存在具有临床意义的焦虑症状。
对NICU中新生儿母亲进行焦虑筛查，能够识别出那些在仅进行常规抑郁筛查时会被遗漏的情绪困扰母亲。存在多种焦虑筛查选项，它们能为仅进行抑郁筛查增加增量信息，并且给NICU的医护人员和新生儿母亲带来的额外负担很小。
