Evidence map›Paper›PMID 26495909›Full record

Trial reportInfant behavior & development2015

Patterns of psychological distress in mothers of preterm infants.

Diane Holditch-Davis, Hudson Santos, Janet Levy, Rosemary White-Traut, T Michael O'Shea, Victoria Geraldo, Richard David

3 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Infant behavior & development, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 77 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 4 pooled it
23.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05453734 nacompletednot on this mapstarted 2018, after this paper: background citation

The Effect of Progressive Muscle Relaxation Exercises on Breastfeeding Self-Efficacy and Depression Level of Mothers With Preterm Infants: A Randomized Controlled Study

TypeinterventionalSponsorIstanbul University - CerrahpasaRan2018 to 2019Enrolled70ConditionsPreterm, MothersArmsProgressive Muscle Relaxation Exercises
NCT06096961 naunknown statusnot on this mapstarted 2023, after this paper: background citation

The Effect Of Baby Smell On The Amount Of Breast Milk, Salivary Cortisol Level And Mother Baby Attachment: A Randomized Controlled Study

TypeinterventionalSponsorEskisehir Osmangazi UniversityRan2023 to 2024Enrolled60ConditionsMother-Infant Interaction, Premature BirthArmsBaby smell
NCT06864455 narecruitingnot on this mapstarted 2024, after this paper: background citation

"Effects of a Relaxation Intervention on Physiological and Psychological Outcomes Among Mothers of Preterm Infants At Hospital Sultan Abdul Aziz Shah : a Within-subject Randomized Trials"

TypeinterventionalSponsorUniversiti Putra MalaysiaRan2024 to 2026Enrolled15ConditionsBehaviour, Psychology, Physiology, TherapyArmsGuided Imagery Meditation, Religious Recitation, Infant Video with Music, Distraction with News and Media, Control
3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 4 syntheses or guidelines pooled it, 183 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Psychological Impacts of Premature Birth on Mothers: A Literature Review.Advances in experimental medicine and biology · 2026
    Review
  10. Review
  11. Parents+: An Early Behavioral Intervention as a Pathway for Parent-Partnered Care.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Article

17 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Diane Holditch-DavisSchool of Nursing, Duke University, Durham, NC 27710, United States. Electronic address: diane.hd@duke.edu.
Hudson SantosSchool of Nursing, Duke University, Durham, NC 27710, United States.
Janet LevySchool of Nursing, Duke University, Durham, NC 27710, United States.
Rosemary White-TrautChildren's Hospital of Wisconsin and the College of Nursing, University of Illinois at Chicago, Chicago, IL 60607, United States.
T Michael O'SheaWake Forest School of Medicine, Winston Salem, NC 27157, United States.
Victoria GeraldoMount Sinai Children's Hospital, Chicago, IL 60608, United States.
Richard DavidCollege of Medicine, University of Illinois at Chicago, Chicago, IL 60607, United States; Stroger Hospital, Chicago, IL 60612, United States.
Duke University · USChildren's Hospital of Wisconsin · USJohn H. Stroger, Jr. Hospital of Cook County · USWake Forest University · US

Funding

Mother-Administered Interventions for VLBW InfantsR01NR009418 · NINR · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI HOLDITCH-DAVIS, DIANE L · 2005 to 2009
$2.9M
NINR NIH HHS R01 NR009418
6 · The paper itself

Abstract

Mothers of preterm infants experience significant psychological distress, with elevated levels of inter-correlated depressive, stress, anxiety and post-traumatic stress symptoms. In a sample of racially and ethnically diverse mothers of preterm infants, we identified differing patterns of psychological distress during infant hospitalization and examined the effect of these psychological distress patterns on longitudinal trajectories of each psychological distress measure and on maternal perceptions of the child over the first year of the infant's life. Mothers of preterm infants (N=232) completed five questionnaires assessing depressive symptoms, anxiety, post-traumatic stress symptoms, stress due to infant appearance, and stress due to parental role alteration during enrollment during the neonatal hospitalization, discharge, and at 2, 6, and 12 months of age adjusted for prematurity. Latent class analysis on the enrollment psychological distress variables allowed us to identify five sub-groups of mothers exhibiting similar patterns of psychological distress, differing primarily in degree and type: low distress, moderate distress, high NICU-related distress, high depressive and anxiety symptoms, and extreme distress. These classes continued to show different longitudinal trajectories for the psychological distress measures through 12 months corrected age. Mothers in the extreme distress class and, to a lesser degree, mothers in the high depressive and anxiety symptom class remained at risk of significant psychological distress one year after discharge and had less positive perceptions of their child (greater worry and higher perceptions of child vulnerability). In conclusion, distinctive sub-groups of mothers during hospitalization had different patterns of psychological distress throughout the 12-month period and may require different interventions in the NICU.

Indexed as

Infant, PrematureAdultAnxietyDepressionFemaleHospitalizationHumansInfant, NewbornLongitudinal StudiesMaleMothersPsychiatric Status Rating ScalesSocioeconomic FactorsStress Disorders, Post-TraumaticStress, PsychologicalSurveys and QuestionnairesAnxietyDepressionMaternal psychological distressPrematurityStress

Identifiers

PMID26495909
PMCPMC4654120
OpenAlexW2119334951

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.