Prenatal diagnosis of congenital malformations and parental psychological distress--a prospective longitudinal cohort study.
Prenat Diagn
; 26(11): 1001-9, 2006 Nov.
Article
em En
| MEDLINE
| ID: mdl-16958144
ABSTRACT
OBJECTIVE:
To test whether postnatal psychological distress in parents of babies with congenital malformations is reduced by prenatal diagnosis.METHODS:
A prospective observational longitudinal cohort study was conducted at two Norwegian hospitals. We included 293 parents of babies with congenital malformations (prenatal detection rate 36.5%) referred for neonatal surgery and 249 parents of healthy babies (comparison group). Parental psychological responses were assessed on three postnatal occasions by psychometric instruments (GHQ-28, STAI-X1, and IES).RESULTS:
Significantly increased psychological distress (GHQ-28) was reported by parents who received prenatal diagnosis as compared to postnatal diagnosis; acutely 28.9 versus 24.4, P = 0.006 (comparison group 19.6); at 6 weeks 26.8 versus 21.5, P < 0.001 (comparison group 17.7); and at 6 months 22.6 versus 18.7, P = 0.015 (comparison group 16.6). Mothers consistently reported higher levels of distress than fathers. Multiple linear regression analysis showed that prenatal diagnosis and being a mother significantly predicted severity of acute psychological distress. At 6 weeks and 6 months, mortality and associated anomalies were significant independent predictors of psychological distress.CONCLUSION:
Controlling for other covariates, we found that prenatal diagnosis of congenital malformations was a significant independent predictor of acute parental psychological distress after birth.
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Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
/
6_ODS3_enfermedades_notrasmisibles
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7_ODS3_muertes_prevenibles_nacidos_ninos
Base de dados:
MEDLINE
Assunto principal:
Pais
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Diagnóstico Pré-Natal
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Estresse Psicológico
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Anormalidades Congênitas
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
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Pregnancy
Idioma:
En
Revista:
Prenat Diagn
Ano de publicação:
2006
Tipo de documento:
Article