Evidence map›Paper›PMID 41024251›Full record

ArticleItalian journal of pediatrics2025

The relationship among NICU stressors and irritable bowel syndrome in parents during their infant stay: the mediating role of anxiety.

Carmine Vincenzo Lambiase, Michela Guiso, Marcella Pesce, Maria Vendemmia, Letizia Capasso, Giovanni Sarnelli, Francesco Raimondi

Abstract read
In one paragraph

Article in Italian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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

  1. 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

7 authors.

Carmine Vincenzo LambiaseDepartment of Humanities, University of Naples Federico II, Via Porta di Massa 1, Naples, 80133, Italy. carminevincenzo.lambiase@unina.it.ORCID http://orcid.org/0000-0002-0398-1751
Michela GuisoDivision of Neonatology, Department of Translational Medical Sciences, University of Naples Federico II, Via Sergio Pansini 5, Naples, 80131, Italy.
Marcella PesceUnit of Digestive and Nutritional Pathophysiology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, Naples, 80131, Italy.
Maria VendemmiaDivision of Neonatology, Department of Translational Medical Sciences, University of Naples Federico II, Via Sergio Pansini 5, Naples, 80131, Italy.
Letizia CapassoDivision of Neonatology, Department of Translational Medical Sciences, University of Naples Federico II, Via Sergio Pansini 5, Naples, 80131, Italy.
Giovanni SarnelliUnit of Digestive and Nutritional Pathophysiology, Department of Clinical Medicine and Surgery, University of Naples Federico II, Via Sergio Pansini 5, Naples, 80131, Italy.
Francesco RaimondiDivision of Neonatology, Department of Translational Medical Sciences, University of Naples Federico II, Via Sergio Pansini 5, Naples, 80131, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn infant requiring admission to the Neonatal Intensive Care Unit (NICU) is frequently associated with parental stress and anxiety. Irritable bowel syndrome (IBS) represents one of the most common disorders of gut-brain interaction in adult population. The primary objective of this study was to evaluate IBS symptoms in mothers and fathers of NICU infants during hospitalization. Secondary objective was to explore the relationship among NICU stressors, anxiety and IBS symptoms.

methodsCross-sectional study. Eighty parents (mothers = 44, fathers = 36) of NICU hospitalized infants filled out validated questionnaires on IBS symptoms, anxiety and NICU stressors (i.e., Sights and Sounds, Infant's Look and Behaviour, Parental Role Alterations). Student's t test and Chi-square test were used to compare maternal and paternal IBS symptoms, prevalence and severity. The mediating effect of anxiety among NICU stressors and IBS was tested using mediation analysis.

resultsMothers scored above the clinical cut-off for IBS more frequently than fathers (59.1% vs. 44.6%). Symptoms were significantly higher in mothers as compared to fathers (p = .021). Anxiety fully mediated the effect of Sights and Sounds (β = 0.147, SE = 0.058, 95% CI: [ 0.046, 0.277]), Infant Look and Behaviour (β = 0.117, SE = 0.049, 95% CI: [0.024, 0.215]) and Parental Role Alterations (β = 0.132, SE = 0.050, 95% CI: [0.044, 0.241]) on IBS symptoms.

conclusionsOur study demonstrated for the first time that parents of NICU infants experience IBS symptoms during hospitalization and distinguished the somatic experience among mothers and fathers during their infant NICU stay. Parental experience of NICU hospitalization deserve to be studied as a potential stressful life event implying both psychological and somatic distress. Integrating tailored stress-reduction interventions sensitive to gender differences into Family Centered-Care practices is essential to reduce parental distress and support parental involvement during NICU hospitalization.

Indexed as

AnxietyIntensive Care Units, NeonatalIrritable Bowel SyndromeParentsStress, PsychologicalAdultCross-Sectional StudiesFemaleHumansInfant, NewbornMaleSurveys and QuestionnairesAnxietyFathersGut-brain interactionInfantsIrritable bowel syndromeMothersNICUParentsPsychosomatic distressStress

Identifiers

PMID41024251
PMCPMC12482057

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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.