Objectives <p>Despite the stress of having a baby in a Neonatal Intensive Care Unit (NICU), factors that promote adjustment remain unclear. We examined which resiliency factors were associated with family adjustment across the NICU journey.</p> Study design <p>Parents with a baby in the NICU (≤2 weeks) completed surveys at three timepoints (during admission (<i>N</i> = 165); 1 month later (<i>N</i> = 85); 3 months later (<i>N</i> = 55)). Surveys included sociodemographics and validated measures of emotional distress, relational outcomes, and resiliency.</p> Results <p>Mixed models revealed that lower parental distress was associated with: (1) higher mindfulness; (2) more adaptive coping; (3) greater parental self-efficacy (only anxiety); and (4) increased parental time for themselves (only posttraumatic stress). Higher couple satisfaction was associated with more dyadic coping and social support. Stronger parent-child bonding was associated with greater parental self-efficacy.</p> Conclusion <p>Mindfulness and coping are important for parental distress. Building parental efficacy, encouraging self-care, and promoting shared coping and social support is important.</p>

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Resiliency factors relevant to NICU parents’ emotional and relational health

  • Victoria A. Grunberg,
  • Giselle G. Vitcov,
  • Elise Belkin,
  • Julia O. Davis,
  • Eric Van,
  • Paul H. Lerou,
  • Ana-Maria Vranceanu

摘要

Objectives

Despite the stress of having a baby in a Neonatal Intensive Care Unit (NICU), factors that promote adjustment remain unclear. We examined which resiliency factors were associated with family adjustment across the NICU journey.

Study design

Parents with a baby in the NICU (≤2 weeks) completed surveys at three timepoints (during admission (N = 165); 1 month later (N = 85); 3 months later (N = 55)). Surveys included sociodemographics and validated measures of emotional distress, relational outcomes, and resiliency.

Results

Mixed models revealed that lower parental distress was associated with: (1) higher mindfulness; (2) more adaptive coping; (3) greater parental self-efficacy (only anxiety); and (4) increased parental time for themselves (only posttraumatic stress). Higher couple satisfaction was associated with more dyadic coping and social support. Stronger parent-child bonding was associated with greater parental self-efficacy.

Conclusion

Mindfulness and coping are important for parental distress. Building parental efficacy, encouraging self-care, and promoting shared coping and social support is important.