Peritraumatic distress in mothers of severely ill children: a cross-sectional study.

INTRODUCTION: Peritraumatic distress is a syndrome that involves negative emotions, such as anxiety, helplessness and horror, experienced during and shortly after a traumatic event. The intensity of peritraumatic distress is significantly linked to the intensity of post-traumatic stress syndrome (PTSD) symptoms. The aim of the study was to study the intensity of peritraumatic distress symptoms in the mothers of severely ill children and the relationship between peritraumatic distress and psychological, socio-demographic and medical coefficients in the mothers. MATERIAL AND METHODS: An anonymous survey was performed in a group of 135 mothers of children with a perinatal medical history and mothers of children hospitalized in an intensive care unit and an oncology unit. The demographic questionnaire was compiled by the authors along with several standardized research tools. RESULTS: Intensity of peritraumatic distress correlates strongly positively with anxiety, ρ = 0.50; P < 0.001, and moderately positively with intrusion ρ = 0.39; P < 0.00, arousal, ρ = 0.38; P < 0.001, PTSD intensification, ρ = 0.40; P < 0.001, depression, ρ = 0.49; P < 0.001. Significant predictors of peritraumatic distress include the use of such coping strategies as acceptance, ß = -0.44; P = 0.001, denial, ß = 0.20; P = 0.019, planning, ß = -0.26; P = 0.012 and humour, ß = -0.29; P = 0.048, as well as the possibility to obtain self-worth support, ß = -0.07; P = 0.029 (R2 corrected = 0,32; F(5.33) = 9.43; P < 0.001). CONCLUSIONS: Coping strategies are a potentially modifiable factor, thus, implementing prevention programmes concerning the strategies should be considered.

Is post-traumatic growth possible in the parents of former patients of neonatal intensive care units?

INTRODUCTION: The birth of a sick child, as well as the infant's subsequent hospitalization in an neonatal intensive care unit (NICU), is undoubtedly stressful for the parents of the infant. Most studies conducted in groups of parents of such children focus on the assessment of the negative changes in their functioning due to such stress. The authors were interested in positive changes in the psychological functioning of parents that may occur after traumatic experiences. These changes are referred to as post-traumatic growth (PTG). OBJECTIVE: The aim of this study was to examine whether parents experience post-traumatic growth and to determine the predictors of PTG in fathers and mothers, depending on the coping strategy adopted. MATERIAL AND METHODS: The study involved 82 parents, whose children were previously hospitalized in neonatal intensive care unit. The methods used included the following standardized psychological tests: the Post-traumatic Growth Inventory, the Impact of Event Scale-Revised, and the COPE Inventory. Socio-demographic and medical data were also collected. RESULTS: Analysis of the data proved that the illness and hospitalization of a child are significantly associated with the occurrence of post-traumatic growth in parents. PTG in mothers is higher than in fathers. Predictors of PTG in fathers include the use of strategies aimed at seeking emotional support and positive reinterpretation and growth, while in the group of mothers, seeking emotional support, religious coping and planning were the coping strategies used. CONCLUSIONS: Research on post-traumatic growth should be expanded. Knowledge of the predictors of positive growth in a difficult situation can contribute to the widespread implementation of primary and secondary prevention of post-traumatic stress symptoms as well as increase positive changes in individuals who have experienced traumatic events.

Severity of post-traumatic stress symptoms, level of experienced stress and coping strategies in mothers of children previously treated in the neonatal intensive care unit. / Nasilenie objawów stresu pourazowego i poziom odczuwanego stresu a strategie radzenia sobie ze stresem u matek dzieci w przeszlosci leczonych na oddziale intensywnej terapii noworodka.

OBJECTIVES: The aim of the study was to develop a model of the relationship between the severity of post-traumatic stress symptoms, levels of experienced stress and coping strategies in mothers of children previously treated in neonatal intensive care units. METHODS: Anonymous questionnaire survey covered 62 mothers of infants aged from three to 12 months who had previously been hospitalized in neonatal intensive care units. Respondents completed a questionnaire comprising standardized tools such as the Impact Event Scale - Revised (IES-R), COPE Inventory and Perceived Stress Scale (PSS-10). RESULTS: The severity of PTSD symptoms is explained by the model comprising four variables: three stress coping strategies (focus on and venting of emotions, denial and mental disengagement) and perceived stress. The model explains nearly 40% of post-traumatic stress symptoms. Perceived stress partly affects PTSD through one stress coping strategy - denial, which also has the effect on post-traumatic stress symptoms severity regardless of perceived stress. CONCLUSIONS: Focus on and venting of emotions, denial, mental disengagement, and the level of perceived stress are potentially modifiable factors that are strongly associated with PTSD. Planning, realization and assessment of interventions aimed at reduction of maladaptive coping strategies and perceived stress are recommended for mothers of infants requiring treatment in neonatal intensive care units. In order to minimize distress and improve coping with the treatment of the child, it is necessary to evaluate the effects of various methods of supporting parents.

Polish version of the Parental Stressor Scale: Neonatal Intensive Care Unit.

INTRODUCTION: Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) by M. Miles et al. has been developed in order to assess the stress experienced by parents of infants being treated in Intensive Care Units. The measurement of parental stress enables the evaluation of nursing care effectiveness, as well as facilitating the determination of the level of progress made by parents in coping with the difficult situation they face. OBJECTIVES: The aims of the research include: (1) validation of the Parental Stressor Scale: Neonatal Intensive Care Unit into Polish and (2) initial assessment of perceptions of parental stress in a group of 151 parents of infants treated in four NICUs in Poland. MATERIAL AND METHODS: This quantitative cross-sectional study was performed among 151 parents (129 mothers and 22 fathers) of infants treated in four NICUs in central and eastern Poland. The respondents were asked to complete forms following the Parental Stressor Scale: Neonatal Intensive Care Unit, the Impact Event Scale - Revised (IES-R),and their demographics, which combined basic medical data along with socio-emographic data of both parents and children. RESULTS: The three sub-scales distinguished on the basis of the factor analysis (Infant Appearance, Parental Role Alteration, Sights and Sounds) can explain in total 54.89% of variances. Cronbach's alpha for the entire scale equals 0.92, while as follows for the particular sub-scales: Infant Appearance -.92; Parental Role Alteration -.86, and Sights and Sounds - 0.78. CONCLUSIONS: The Polish version of PSS:NICU is an accurate and reliable tool for the assessment of stress experienced by parents whose infants require treatment in NICUs.

Internal consistency and accuracy of Interpersonal Support Evaluation List (ISEL-40) in mothers of healthy children and those with a medical history.

INTRODUCTION AND OBJECTIVE: The aim of the study was assessment of the internal consistency and accuracy of the Interpersonal Support Evaluation List - 40 v. GP (ISEL-40 v. GP) in a group of mothers of healthy children and in a group of mothers of children with a medical history, and presentation of the initial research results. MATERIAL AND METHODS: A group of 230 mothers were involved in the research: 57 mothers of healthy children, 26 mothers of infants with a perinatal medical history, as well as 147 mothers of hospitalized children. The method of a diagnostic survey with standardized tools, such as the Interpersonal Support Evaluation List (ISEL-40 v. GP), Hospital and Anxiety Depression Scale (HADS) and the authors' own questionnaire was utilized. RESULTS: Analysis of the research results suggests satisfactory internal consistency of the ISEL-40 v. GP in the researched group (α=0.86). It was also noticed that internal consistency of the subscales varied. The subscales of tangible support (α=0.79) and belonging support (α=0.73) obtained acceptable values. Internal consistency of self-esteem support (α=0.51) and appraisal support (α=0.62) was too low to be recommended for individual and scientific use. An attempt to modify the number of items did not come up to expectations in terms of the subscales internal consistency. Social support in mothers of healthy and ill children was moderate (29.92 - 33.45 points) and no statistically significant differences in their perception of the support were observed. CONCLUSIONS: In the research on a group of mothers of healthy and ill children it is recommended to use only a social support indicator based on the general result of the ISEL-40 v. GP. Further research aimed at verification of the theoretical structure of the Polish version of the ISEL-40 v. GP is advised.