新生儿重症监护病房（NICU）中的父母心理健康筛查：一个心理社会团队的倡议。
Parental mental health screening in the NICU: a psychosocial team initiative.
机构信息
Department of Psychology, Drexel University, Philadelphia, PA, USA.
Integrated Brain Health Clinical and Research Program, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
出版信息
J Perinatol. 2022 Mar;42(3):401-409. doi: 10.1038/s41372-021-01217-0. Epub 2021 Sep 27.
OBJECTIVE
About 40-50% of parents with children admitted to Neonatal Intensive Care Units (NICU) experience clinically significant levels of depression, anxiety, and trauma. Poor parental mental health can negatively influence parent-child interactions and child development. Therefore, early identification of parents at-risk for clinical distress is of paramount importance.
METHODS
To address this need, the psychosocial team, including psychology and psychiatry, at a large, level 4 Neonatal Intensive Care Unit (NICU) developed a quality-improvement initiative to assess the feasibility of screening parents and to determine rates of depression and trauma in the unit.
RESULTS
About 40% of mothers and 20% of fathers were screened between 2 weeks of their child's hospitalization. About 40-45% of those parents endorsed clinically significant levels of depression and anxiety symptoms.
CONCLUSIONS
Recommendations for enhancing the feasibility and effectiveness of this process are discussed and considerations for future clinical and research endeavors are introduced.
目的
大约 40-50%的儿童被收入新生儿重症监护病房（NICU）的父母经历了临床显著水平的抑郁、焦虑和创伤。父母心理健康状况不佳会对亲子互动和儿童发育产生负面影响。因此，早期识别有临床困扰风险的父母至关重要。
方法
为满足这一需求，一家大型 4 级新生儿重症监护病房（NICU）的心理社会团队（包括心理学和精神病学）制定了一项质量改进计划，以评估对父母进行筛查的可行性，并确定该病房的抑郁和创伤发生率。
结果
约有 40%的母亲和 20%的父亲在孩子住院后 2 周内接受了筛查。约有 40-45%的父母表现出临床显著水平的抑郁和焦虑症状。
结论
讨论了增强这一过程的可行性和有效性的建议，并介绍了未来临床和研究工作的考虑因素。
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