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Parent–infant closeness after preterm birth and depressive symptoms: A longitudinal study

BACKGROUND: Preterm birth increases the risk for postpartum depression in both mothers and fathers, calling for strategies to alleviate and prevent depressive symptoms in parents of preterm infants. The aim of this study was to assess the association between early parent-infant closeness and later d...

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Autores principales: Lehtonen, Liisa, Lilliesköld, Siri, De Coen, Kris, Toome, Liis, Gimeno, Ana, Caballero, Sylvia, Tameliene, Rasa, Laroche, Sabine, Retpap, Jana, Grundt, Hege, Van Hoestenberghe, Marie-Rose, Skene, Caryl, Pape, Bernd, Axelin, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9551610/
https://www.ncbi.nlm.nih.gov/pubmed/36237668
http://dx.doi.org/10.3389/fpsyg.2022.906531
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author Lehtonen, Liisa
Lilliesköld, Siri
De Coen, Kris
Toome, Liis
Gimeno, Ana
Caballero, Sylvia
Tameliene, Rasa
Laroche, Sabine
Retpap, Jana
Grundt, Hege
Van Hoestenberghe, Marie-Rose
Skene, Caryl
Pape, Bernd
Axelin, Anna
author_facet Lehtonen, Liisa
Lilliesköld, Siri
De Coen, Kris
Toome, Liis
Gimeno, Ana
Caballero, Sylvia
Tameliene, Rasa
Laroche, Sabine
Retpap, Jana
Grundt, Hege
Van Hoestenberghe, Marie-Rose
Skene, Caryl
Pape, Bernd
Axelin, Anna
author_sort Lehtonen, Liisa
collection PubMed
description BACKGROUND: Preterm birth increases the risk for postpartum depression in both mothers and fathers, calling for strategies to alleviate and prevent depressive symptoms in parents of preterm infants. The aim of this study was to assess the association between early parent-infant closeness and later depressive symptoms among parents of preterm infants. We hypothesized that longer duration of closeness associate with fewer depressive symptoms in both parents. METHODS: This prospective cohort study included 23 neonatal intensive care units (NICUs) from 15 countries in 2018 to 2020. Each unit recruited families with preterm infants aiming to 30 families. The total duration of parents’ presence in the NICU, and separately parent-infant skin-to-skin contact and holding, were measured using a Closeness Diary up to 14  days. The Edinburgh Postnatal Depression Scale (EPDS) was used at discharge and at 4  months corrected age of the infant. RESULTS: The study included 684 mothers and 574 fathers. The median presence was 469   min (Q1 258 and Q3 1,087) per 24   h for the mothers and 259   min (Q1 100 and Q3 540) for the fathers; mean EPDS scores were 9.2 (SD 5.0) and 6.3 (SD 4.4) at discharge and 6.6 (4.7) and 4.3 (4.2) at 4  months, respectively. Parents’ presence and depressive symptoms varied greatly between the units. Parents’ presence as the total measure, or skin-to-skin contact and holding separately, did not associate with depressive symptoms in either mothers or fathers at either time point (adjusted). CONCLUSION: No association was found between the duration of parent-infant closeness in the neonatal unit and parents’ depressive symptoms. The beneficial effects of family-centered care on parents’ depression seem to be mediated by other elements than parent-infant physical closeness. More research is needed to identify the critical elements which are needed to alleviate parents’ depression after NICU stay.
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spelling pubmed-95516102022-10-12 Parent–infant closeness after preterm birth and depressive symptoms: A longitudinal study Lehtonen, Liisa Lilliesköld, Siri De Coen, Kris Toome, Liis Gimeno, Ana Caballero, Sylvia Tameliene, Rasa Laroche, Sabine Retpap, Jana Grundt, Hege Van Hoestenberghe, Marie-Rose Skene, Caryl Pape, Bernd Axelin, Anna Front Psychol Psychology BACKGROUND: Preterm birth increases the risk for postpartum depression in both mothers and fathers, calling for strategies to alleviate and prevent depressive symptoms in parents of preterm infants. The aim of this study was to assess the association between early parent-infant closeness and later depressive symptoms among parents of preterm infants. We hypothesized that longer duration of closeness associate with fewer depressive symptoms in both parents. METHODS: This prospective cohort study included 23 neonatal intensive care units (NICUs) from 15 countries in 2018 to 2020. Each unit recruited families with preterm infants aiming to 30 families. The total duration of parents’ presence in the NICU, and separately parent-infant skin-to-skin contact and holding, were measured using a Closeness Diary up to 14  days. The Edinburgh Postnatal Depression Scale (EPDS) was used at discharge and at 4  months corrected age of the infant. RESULTS: The study included 684 mothers and 574 fathers. The median presence was 469   min (Q1 258 and Q3 1,087) per 24   h for the mothers and 259   min (Q1 100 and Q3 540) for the fathers; mean EPDS scores were 9.2 (SD 5.0) and 6.3 (SD 4.4) at discharge and 6.6 (4.7) and 4.3 (4.2) at 4  months, respectively. Parents’ presence and depressive symptoms varied greatly between the units. Parents’ presence as the total measure, or skin-to-skin contact and holding separately, did not associate with depressive symptoms in either mothers or fathers at either time point (adjusted). CONCLUSION: No association was found between the duration of parent-infant closeness in the neonatal unit and parents’ depressive symptoms. The beneficial effects of family-centered care on parents’ depression seem to be mediated by other elements than parent-infant physical closeness. More research is needed to identify the critical elements which are needed to alleviate parents’ depression after NICU stay. Frontiers Media S.A. 2022-07-22 /pmc/articles/PMC9551610/ /pubmed/36237668 http://dx.doi.org/10.3389/fpsyg.2022.906531 Text en Copyright © 2022 Lehtonen, Lilliesköld, De Coen, Toome, Gimeno, Caballero, Tameliene, Laroche, Retpap, Grundt, Van Hoestenberghe, Skene, Pape and Axelin. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Lehtonen, Liisa
Lilliesköld, Siri
De Coen, Kris
Toome, Liis
Gimeno, Ana
Caballero, Sylvia
Tameliene, Rasa
Laroche, Sabine
Retpap, Jana
Grundt, Hege
Van Hoestenberghe, Marie-Rose
Skene, Caryl
Pape, Bernd
Axelin, Anna
Parent–infant closeness after preterm birth and depressive symptoms: A longitudinal study
title Parent–infant closeness after preterm birth and depressive symptoms: A longitudinal study
title_full Parent–infant closeness after preterm birth and depressive symptoms: A longitudinal study
title_fullStr Parent–infant closeness after preterm birth and depressive symptoms: A longitudinal study
title_full_unstemmed Parent–infant closeness after preterm birth and depressive symptoms: A longitudinal study
title_short Parent–infant closeness after preterm birth and depressive symptoms: A longitudinal study
title_sort parent–infant closeness after preterm birth and depressive symptoms: a longitudinal study
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9551610/
https://www.ncbi.nlm.nih.gov/pubmed/36237668
http://dx.doi.org/10.3389/fpsyg.2022.906531
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