Evidence map›Paper›PMID 36059097›Full record

ArticleResearch in nursing & health2022

Uncertainty and perinatal post-traumatic stress disorder in the neonatal intensive care unit.

Kathryn J Malin, Teresa S Johnson, Roger L Brown, Jonathan Leuthner, Margaret Malnory, Rosemary White-Traut, Erin Rholl, Joanne Lagatta

Open access · greenAbstract read
In one paragraph

Article in Research in nursing & health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
11.4field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  4. Parents' perspectives on the use of statistics to convey uncertainty in the NICU: a qualitative analysis.Journal of perinatology : official journal of the California Perinatal Association · 2026
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  9. Uncertainties in the NICU: a scoping review to inform a tailored taxonomy.Journal of perinatology : official journal of the California Perinatal Association · 2025
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  11. Impact of systematic screening for social determinants of health in a level IV neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2025
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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

8 authors at 5 institutions in 1 country.

Kathryn J MalinCollege of Nursing, Marquette University, Milwaukee, Wisconsin, USA.ORCID 0000-0002-0772-9430
Teresa S JohnsonCollege of Nursing, The University of Wisconsin Milwaukee, Milwaukee, Wisconsin, USA.
Roger L BrownSchool of Nursing, Medicine, and Public Health, The University of Wisconsin Madison, Madison, Wisconsin, USA.
Jonathan LeuthnerThe Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Margaret MalnoryThe Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Rosemary White-TrautChildren's Wisconsin, Milwaukee, Wisconsin, USA.
Erin RhollThe Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Joanne LagattaThe Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Medical College of Wisconsin · USChildren's Hospital of Wisconsin · USMarquette University · USUniversity of Wisconsin–Madison · USUniversity of Wisconsin–Milwaukee · US

Funding

Clinical and Translational Science AwardUL1TR001436 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI FREED, JULIE K · 2015 to 2025
$47.5M
Home Oxygen Use for Infants with Bronchopulmonary Dysplasia: Balancing Infant, Family, and Health System OutcomesK23HL136525 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI LAGATTA, JOANNE M · 2018 to 2022
$809k
NCATS NIH HHS UL1 TR001436NHLBI NIH HHS K23 HL136525
6 · The paper itself

Abstract

Parents of infants in the neonatal intensive care unit (NICU) are at increased risk of developing perinatal post-traumatic stress disorder (PPTSD), a mental health condition known to interfere with healthy parental and infant attachment. Feelings of uncertainty about illness have been theorized as an antecedent to post-traumatic stress, however the relationship has not been explored in parents of infants requiring care in the NICU. The purpose of this prospective study was to explore parental uncertainty during and after NICU discharge and the relationship between uncertainty and PPTSD. The sample consisted of 319 parents during NICU hospitalization and 245 parents at 3 months postdischarge. Parents who screened positive for PPTSD 3 months after hospital discharge reported more uncertainty both while in the NICU and 3 months after hospital discharge (p < 0.001). In parents with a personal or family history of mental illness, the moderated/mediating structural probit analysis showed no direct or indirect effect of uncertainty during hospitalization or at 3 months after hospital discharge on screening positive for PPTSD. In parents who did not report personal or family history of mental illness, uncertainty at 3 months after hospital discharge had a direct effect (b = 0.678, p < 0.001) and indirect mediating effect (b = 0.276, p < 0.001) on screening positive for PPTSD. The results provide actionable implications for mental health and NICU providers: (1) routine screening for uncertainty and risk factors including previous personal and family history of mental illness, and (2) the development of NICU follow-up support services to mitigate risk for PPTSD.

Indexed as

Intensive Care Units, NeonatalStress Disorders, Post-TraumaticAftercareHumansInfantInfant, NewbornParentsPatient DischargeProspective StudiesUncertaintyNICUparent uncertaintyperinatal post-traumatic stress disorderPTSD

Identifiers

PMID36059097
PMCPMC9832992
OpenAlexW4294627650

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.