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.
A biopsychosocial model of NICU family adjustment and child development
Creators
Victoria A. A. Grunberg - Drexel University
Pamela A. A. Geller - Drexel University
Casey Hoffman - Childrens Hosp Philadelphia, Div Neonatol, Philadelphia, PA USA
Chavis A. A. Patterson - Childrens Hosp Philadelphia, Div Neonatol, Philadelphia, PA USA
Publication Details
Journal of perinatology, v 43(4), pp 510-517
Publisher
Springer Nature
Number of pages
8
Grant note
Emily Reid O'Connor Endowed Fellowship at Drexel University
NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
Resource Type
Journal article
Language
English
Academic Unit
Psychological and Brain Sciences (Psychology)
Web of Science ID
WOS:000903154700001
Scopus ID
2-s2.0-85144482690
Other Identifier
991020542442404721
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