Department of Child and Adolescent Psychiatry, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Martinistr. 52, W29, Hamburg 20246, Germany.
Department of Child and Adolescent Psychiatry, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Martinistr. 52, W29, Hamburg 20246, Germany.
J Affect Disord. 2018 Aug 1;235:467-473. doi: 10.1016/j.jad.2018.04.013. Epub 2018 Apr 3.
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.
早产儿的出生对父母来说可能是压力和创伤性的，可能导致创伤后应激症状和障碍。关于早产儿父母这些症状的水平、患病率、风险和预测因素，缺乏来自对照研究的数据。
作为 HaFEn 纵向研究的一部分，对极低出生体重（VLBW）婴儿和足月婴儿的父母进行了横断面数据分析。我们在德国汉堡的三家最大的围产期护理中心招募了父母。使用标准化问卷评估创伤后应激症状，使用临床访谈评估急性和创伤后应激障碍一个月后。还评估了分娩期间的压力、终生精神科诊断、社会支持、妊娠风险和分娩方式。为了同时检查父母双方创伤后应激症状的预测因素，我们构建了多个随机系数模型。
共纳入 230 名母亲和 173 名父亲。VLBW 婴儿的母亲发生急性应激障碍的风险增加，但父亲没有。虽然创伤后应激障碍的风险没有增加，但 VLBW 婴儿的父母双方的创伤后应激症状水平更高。创伤后应激症状的预测因素包括分娩时的压力、社会支持低、终生精神科诊断、VLBW 婴儿的出生和母亲的性别。
这里报告的结果是横断面的。因此，无法建立时间关系。
尽管创伤后应激障碍很少见，但我们的结果表明，创伤后应激症状和急性应激障碍在 VLBW 婴儿的父母中很常见。
