Journal article
Maternal Psychological Stress after Prenatal Diagnosis of Congenital Heart Disease
The Journal of pediatrics, v 162(2), pp 302-307
01 Feb 2013
PMID: 22974576
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective To determine whether prenatal diagnosis of congenital heart disease (CHD) increases maternal stress.
Study design Self-report instruments were administered to mothers carrying a fetus with CHD. Domains included: (1) traumatic stress (Impact of Events Scale-Revised); (2) depression (Beck Depression Index II); and (3) anxiety (State-Trait Anxiety Index). Modifiers included: (1) coping skills (COPE Inventory); (2) partner satisfaction (Dyadic Adjustment Scale); and (3) demographics. Multivariate linear regression models were used to assess relationships between stress measures and modifiers.
Results Fifty-nine mothers (gestational age 27 +/- 3 weeks) completed all measures. Clinically important traumatic distress was seen in 39%, depression in 22%, and state anxiety in 31%. Lower partner satisfaction was associated with higher depression (P < .01) and higher anxiety (P < .01). After controlling for partner satisfaction and income, " denial" was most associated with increased traumatic stress, anxiety, and depression (P < .01).
Conclusions Posttraumatic stress, depression, and anxiety are common after prenatal diagnosis of CHD. Healthy partner relationships and positive coping mechanisms can act as buffers. (J Pediatr 2013;162:302-7).
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Details
- Title
- Maternal Psychological Stress after Prenatal Diagnosis of Congenital Heart Disease
- Creators
- Jack Rychik - University of PennsylvaniaDenise D. Donaghue - Children's Hospital of PhiladelphiaSuzanne Levy - Children's Hospital of PhiladelphiaClara Fajardo - Children's Hospital of PhiladelphiaJill Combs - Children's Hospital of PhiladelphiaXuemei Zhang - Data ManagementAnita Szwast - University of PennsylvaniaGuy S. Diamond - Children's Hospital of Philadelphia
- Publication Details
- The Journal of pediatrics, v 162(2), pp 302-307
- Publisher
- Elsevier
- Number of pages
- 7
- Grant note
- Robert and Dolores Harrington Endowment at the Children's Hospital of Philadelphia Robert and Dolores Harrington Endowed Chair in Pediatric Cardiology
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Center for Family Intervention Science
- Web of Science ID
- WOS:000313579900019
- Scopus ID
- 2-s2.0-84872327990
- Other Identifier
- 991019292236704721
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- Web of Science research areas
- Pediatrics