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
Dados Bibliográficos
| ID | 15718498 |
|---|---|
| Autores | Nimesha Chamidani Gamhewage (0000-0001-5129-4158, University of Sri Jayewardenepura, autor correspondente), Mohamed Rishard (0000-0002-0739-5661, Sobhraj Maternity Hospital), Nalin Gamaathige (0000-0002-5147-1895, Sobhraj Maternity Hospital), Loshika Janet (0009-0005-9299-8983, University of Colombo), Ilaria Mariani (0000-0001-8260-4788, IRCCS Materno Infantile Burlo Garofolo), Hemantha Senanayake (0000-0003-3722-5898, University of Colombo), Marzia Lazzerini (0000-0001-8608-2198, IRCCS Materno Infantile Burlo Garofolo) |
| Ano | 2026 |
| Volume | 13 |
| Fascículo | 2 |
| Páginas | 247-247 |
| Data de publicação | 2026-02-10 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Children (JOURNAL) |
| Identificadores do periódico | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Editora | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children13020247 |
| PMID | 41749603 |
| OpenAlex | W7128511842 |
| Idioma | EN |
| Referências citadas | 28 |
Background/Objectives : Admission of a newborn to a neonatal intensive care unit (NICU) places mothers under considerable psychological strain, yet there is limited research from resource-limited settings regarding this aspect. This study represents the Sri Lankan arm of the multicentre study titled "Empowering Parents in the NICU". It aimed to determine the prevalence and associated factors of stress, depression, and anxiety among mothers of neonates admitted to neonatal units and to assess mothers' participation in neonatal care. Methods : A cross-sectional study was conducted in two tertiary neonatal units in Sri Lanka. Maternal stress, depression, and anxiety were measured using the Parental Stressor Scale: NICU, Edinburgh Postnatal Depression Scale, and State-Trait Anxiety Inventory. Maternal involvement in care was assessed using the Index of Parental Participation (IPP-NICU). Univariate and multivariate logistic regression analyses were performed. Results : A total of 300 mothers were enrolled. The prevalence of stress, depression, and state anxiety was 73%, 87%, and 77.7%, respectively. Overall, 94.3% experienced at least one psychological condition, while 59% experienced all three. Only 13% achieved an IPP-NICU score ≥ 20 (maximum: 30). Mothers of infants admitted to NICUs, compared with those in semi-intensive care, showed significantly higher rates of depression. Tamil and Muslim mothers demonstrated lower rates of state anxiety compared to Sinhalese mothers. An IPP-NICU score ≥ 20 was associated with reduced stress and anxiety. Conclusions : High psychological morbidity is observed among mothers of neonates managed in neonatal units, emphasising the need for routine maternal mental health screening and promoting maternal participation in neonatal care
Anxiety · Depression (economics · Intensive care · Logistic regression · Neonatal intensive care unit · Stressor · Univariate analysis · Family and Patient Care in Intensive Care Units · Infant Development and Preterm Care · Neonatal Respiratory Health Research
| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |