Purpose: To identify predictors of post-traumatic stress symptomology among parents of infants with complex congenital heart defects at hospital discharge and after 4 months. Design & methods: A secondary analysis utilizing data from a larger RCT performed in three pediatric cardiac centers in North America. Analysis included 158 parent-infant dyads. Generalized Linear Modeling was used to identify predictors of parental post-traumatic symptomology at hospital discharge, and after 4 months. Considered predictors included demographics/SES, illness, and psychosocial parameters. Results: At discharge, parenting stress, education, and infant's medication number were linked to post-traumatic stress symptomology severity; Parenting stress, education, insurance type, and medications number predicted number of symptoms; Tube-assisted feeding predicted PTSD. At 4 months, parenting stress, ethnicity, and number of ED visits predicted PTSS severity; Parenting stress, ethnicity, and cardiologist visits predicted number of symptoms; Parenting stress, single ventricle physiology, and number of children predicted PTSD. Conclusions & practical implications: Parental psychosocial factors, additionally to illness and sociodemographic indicators, can potentially risk parents to experience PTSS/PTSD. Nursing and other healthcare professionals can participate in early screening of such factors to determine familial risk. Trial Registration: NCT01941667.
|Number of pages||6|
|Journal||Journal of Pediatric Nursing|
|State||Published - 1 Jan 2022|
Bibliographical noteFunding Information:
This work was supported by the National Institutes of Health R01 NR002093
© 2021 Elsevier Inc.
- Congenital heart defects
- Post-traumatic stress
- Heart Defects, Congenital/diagnosis
- Stress Disorders, Post-Traumatic/diagnosis
ASJC Scopus subject areas