Predictors of Post-traumatic stress symptomology in parents of infants with Congenital Heart Disease post-surgery and after four months1

Nadya Golfenshtein, Amy Jo Lisanti, Naixue Cui, Barbara Medoff Cooper

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)17-22
Number of pages6
JournalJournal of Pediatric Nursing
Volume62
DOIs
StatePublished - 1 Jan 2022

Bibliographical note

Funding Information:
This work was supported by the National Institutes of Health R01 NR002093

Publisher Copyright:
© 2021 Elsevier Inc.

Keywords

  • Congenital heart defects
  • Infants
  • Parents
  • Post-traumatic stress

ASJC Scopus subject areas

  • Pediatrics

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