ArticleBMJ paediatrics open2024
Parental stress, depression, anxiety and participation to care in neonatal intensive care units: results of a prospective study in Italy, Brazil and Tanzania.
Article in BMJ paediatrics open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Perceived Parental Stress in Open Bay Versus Single-Family Rooms in a Neonatal Intensive Care Unit.Acta paediatrica (Oslo, Norway : 1992) · 2026Observational
- Social determinants of health screening and interventions in neonatal care pathways (NICU to follow-up): a scoping review.European journal of pediatrics · 2026Article
- Maternal Stress, Depression, Anxiety, and Participation in Care in Neonatal Semi-Intensive and Intensive Care Units: Results of a Cross-Sectional Study in Two Sri Lankan Hospitals.Children (Basel, Switzerland) · 2026Article
- Development and psychometric validation of the NICU parental agency scale: a multicenter cross-sectional study.Frontiers in pediatrics · 2026Article
- Person- and family-centred care in neonatology: a scoping review to identify existing definitions, models of care, and related categories of interventions.Journal of global health · 2025Article
- Parental Stress, Depression, Anxiety, and Participation in Neonatal Care in a Referral Brazilian NICU over Different Phases of the COVID-19 Pandemic.Children (Basel, Switzerland) · 2025Article
- What Influences Maternal Stress in The NICU Among Mothers of Preterm Infants?Journal of multidisciplinary healthcare · 2025Article
- Risk factors for mental disorders in pregnant women in two cities from São Paulo, Brazil: A cohort study.PloS one · 2025Article
- Evaluating stress and it associated factors in mothers of preterm infants in NICU: a cross-sectional study.Frontiers in global women's health · 2025Article
- Characteristics of intervention studies on family-centred care in neonatal intensive care units: a scoping review of randomised controlled trials.BMJ paediatrics open · 2024Article
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Authors and funding
17 authors.
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Abstract
backgroundStudies comparing the frequency of different mental health conditions across different settings and evaluating their association with parental participation in newborn care are lacking. We aimed at evaluating the frequency of parental stress, anxiety and depression, along with the level of participation in newborn care, among parents of newborns in Italy, Brazil and Tanzania.
methodsParental stress, anxiety, depression and participation in care were assessed prospectively in parents of newborns in eight neonatal intensive care units (NICUs) utilising: the Parental Stressor Scale in NICU (PSS:NICU); the Edinburgh Postnatal Depression Scale (EPDS) and EPDS-Anxiety subscale (EPDS-A); the Index of Parental Participation in NICU (IPP-NICU). Univariate and multivariate analyses were conducted.
resultsStudy outcomes were assessed on 742 parents (Brazil=327, Italy=191, Tanzania=224). Observed scores suggested a very high frequency of stress, anxiety and depression, with an overall estimated frequency of any of the mental health condition of 65.1%, 52.9% and 58.0% in Brazil, Italy, Tanzania, respectively (p<0.001). EPDS scores indicating depression (cut-off: ≥13 for Brazil and Tanzania, ≥12 for Italy) were significantly more frequent in Tanzania (52.3%) when compared with either Brazil (35.8%) and Italy (33.3%) (p<0.001). Parental participation in care was also significantly higher in Tanzania (median IPP-NICU=24) than in the other two countries (median=21 for Brazil, 18 for Italy, p<0.001). Severe stress (PSS:NICU ≥4) was significantly more frequently reported in Brazil (22.6%), compared with Italy (4.7%) and Tanzania (0%, p<0.001). Factors independently associated with either parental stress, anxiety or depression varied by country, and a significant association with parental participation in care was lacking.
conclusionsStudy findings suggest that parental stress, anxiety and depression are extremely frequent in NICUs in all countries despite diversity in the setting, and requiring immediate action. Further studies should explore the appropriate level of parental participation in care in different settings.
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