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    Depression, posttraumatic stress and relationship distress in parents of very preterm infants

    Access Status
    Fulltext not available
    Authors
    Winter, L.
    Colditz, P.
    Sanders, M.
    Boyd, Roslyn
    Pritchard, M.
    Gray, P.
    Whittingham, K.
    Forrest, K.
    Leeks, R.
    Webb, L.
    Marquart, L.
    Taylor, K.
    Macey, J.
    Date
    2018
    Type
    Journal Article
    
    Metadata
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    Citation
    Winter, L. and Colditz, P. and Sanders, M. and Boyd, R. and Pritchard, M. and Gray, P. and Whittingham, K. et al. 2018. Depression, posttraumatic stress and relationship distress in parents of very preterm infants. Archives of Women's Mental Health. 21 (4): pp. 445–451.
    Source Title
    Archives of Women's Mental Health
    DOI
    10.1007/s00737-018-0821-6
    ISSN
    1434-1816
    School
    School of Occ Therapy, Social Work and Speech Path
    URI
    http://hdl.handle.net/20.500.11937/66869
    Collection
    • Curtin Research Publications
    Abstract

    To determine the prevalence, associated factors, and relationships between symptoms of depression, symptoms of posttraumatic stress (PTS), and relationship distress in mothers and fathers of very preterm (VPT) infants ( < 32 weeks). Mothers (n = 323) and fathers (n = 237) completed self-report measures on demographic and outcome variables at 38 days (SD = 23.1, range 9–116) postpartum while their infants were still hospitalised. Of mothers, 46.7% had a moderate to high likelihood of depression, 38.1% had moderate to severe symptoms of PTS, and 25.1% were in higher than average relationship distress. The corresponding percentages in fathers were 16.9, 23.7, and 27%. Depression was positively associated with having previous children (p = 0.01), speaking little or no English at home (p = 0.01), financial stress (p = 0.03), and recently accessing mental health services (p = 0.003) for mothers, and financial stress (p = 0.005) and not being the primary income earner (p = 0.04) for fathers. Similar associations were found for symptoms of PTS and relationship distress. Being in higher relationship distress increased the risk of depression in both mothers (p < .001) and fathers (p = 0.03), and PTS symptoms in mothers (p = 0.001). For both mothers and fathers, depression was associated with more severe PTS symptoms (p < .001). Fathers of VPT infants should be screened for mental health problems alongside mothers, and postpartum parent support programs for VPT infants should include strategies to improve the couple relationship.

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