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A biopsychosocial model of NICU family adjustment and child development
Journal article   Open access   Peer reviewed

A biopsychosocial model of NICU family adjustment and child development

Victoria A. A. Grunberg, Pamela A. A. Geller, Casey Hoffman and Chavis A. A. Patterson
Journal of perinatology, v 43(4), pp 510-517
01 Apr 2023
PMID: 36550281
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10148647View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Life Sciences & Biomedicine Obstetrics & Gynecology Pediatrics Science & Technology
BACKGROUND: Although infants in Neonatal Intensive Care Units (NICU) are at risk for developmental impairments and parents are at risk for emotional distress, factors that explain outcomes remain unknown. Here, we developed the first biopsychosocial model to explain family adjustment after NICU discharge. METHODS: Participants included 101 families at The Children's Hospital of Philadelphia Neonatal Follow-Up Program who had been discharged 1.5-2.5 years prior. We gathered data using validated assessments, standardized assessments, and electronic medical records.RESULTS: Our structural equation model, informed by the Double ABC-X Model, captured the dynamic relationships among infant, parent, couple, and family factors. Infant medical severity, posttraumatic stress, couple functioning, and family resources (e.g., time, money) were key for family adjustment and child development.CONCLUSIONS: Interventions that target parental posttraumatic stress, couple dynamics, parental perception of time for themselves, and access to financial support could be key for improving NICU family outcomes.

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8 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Obstetrics & Gynecology
Pediatrics
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