Evidence map›Paper›PMID 39327462›Full record

ReviewPediatric research2024

Psychological distress in the neonatal intensive care unit: a meta-review.

Lizelle van Wyk, Athenkosi P Majiza, Cordelia S E Ely, Lynn T Singer

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Pediatric research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
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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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

4 authors.

Lizelle van Wyk *Department Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa. lizelle@sun.ac.za.ORCID 0000-0001-9245-3282
Athenkosi P MajizaDepartment Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa.
Cordelia S E ElyDepartment Paediatrics and Child Health, Stellenbosch University, Cape Town, South Africa.
Lynn T Singer *Departments of Population and Quantitative Health Sciences, Pediatrics, Psychiatry and Psychological Sciences, Case Western Reserve University School of Medicine, Cleveland, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionParental psychological distress (PD) (anxiety, depression, stress and post-traumatic stress syndrome) can adversely affect parents' own physical and mental health as well as their children's long-term health and development. Numerous studies have addressed PD in mothers of infants admitted to NICU, with interventions proposed, but few have addressed the impact on fathers or other family members. The present review examined systematic reviews that addressed PD in NICU and potential interventions.

methodsA meta-review was performed by searching various databases between 2000 and May 2024.

resultsFifty-four studies were included. The incidence of maternal PD varied depending on the screening tool used (13-93%), as did paternal PD (0.08-46%). The incidence of PD in sexual, racial and gender minorities, siblings, grandparents and those in lower-middle income countries is not known. Numerous screening tools were used with a wide variety of cut-off values. Various intervention programmes were evaluated and showed contradictory evidence regarding their effect on PD. DISCUSSION: Routine screening should be implemented together with a combination of interventional programmes, specifically family-centred interventions. More research is required for PD in siblings, sexual and gender minority parents as well as parents living in low middle income countries. IMPACT STATEMENT: Psychological distress is high in NICU, affecting parents and siblings. Maternal psychological distress may have long lasting effects on infant health and differs from that of fathers, who require as much attention as mothers Little is known about emotional stress in siblings and sex and gender minority group peoples Few interventions showed conclusive effectiveness in reducing psychological distress with combination interventions showing more effectiveness than single interventions.

Indexed as

Intensive Care Units, NeonatalPsychological DistressAnxietyDepressionFathersFemaleHumansInfant, NewbornMaleMothersParentsStress, Psychological

Identifiers

PMID39327462
PMCPMC11624136

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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.