Document Detail


Delivering perinatal psychiatric services in the neonatal intensive care unit.
MedLine Citation:
PMID:  23772977     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To describe characteristics of mothers who would likely benefit from on-site short-term psychiatric services while their infant is in the neonatal intensive care unit (NICU).
METHODS: For 150 consecutive mothers who were referred for psychiatric evaluation and psychotherapeutic intervention in an innovative NICU mental health programme, baseline information was collected. Data regarding their referrals, diagnosis, treatments and infants were analysed.
RESULTS: Most mothers were referred because of depression (43%), anxiety (44%) and/or difficulty coping with their infant's medical problems and hospitalization (60%). Mothers of VLBW infants were disproportionately more likely to be referred. A majority of mothers accepted the referral and were treated; most only required short-term psychotherapy. A minority resisted or refused psychiatric assessment; a quarter of these had more difficult interactions with staff or inappropriate behaviours. In these cases, the role of the psychiatrist was to work with staff to promote healthy interactions and to foster maternal-infant bonding.
CONCLUSION: Overall, on-site psychiatric services have been accepted by a majority of referred NICU mothers, and most did not require long-term treatment. A considerable need exists for psychiatric services in the NICU to promote optimal parenting and interactions.
Authors:
Susan Hatters Friedman; Ann Kessler; Sarah Nagle Yang; Sarah Parsons; Harriet Friedman; Richard J Martin
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2013-07-10
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  102     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-08-05     Completed Date:  2013-10-31     Revised Date:  2014-06-06    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  e392-7     Citation Subset:  IM    
Copyright Information:
©2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adult
Anxiety / diagnosis,  therapy
Cohort Studies
Counseling / methods
Depression / diagnosis,  therapy
Female
Follow-Up Studies
Humans
Infant Mortality
Infant, Newborn
Infant, Newborn, Diseases / diagnosis,  mortality,  therapy
Infant, Very Low Birth Weight
Intensive Care Units, Neonatal*
Male
Mother-Child Relations
Mothers / psychology*
Postnatal Care / methods,  psychology
Pregnancy
Psychotherapy, Brief / methods*
Referral and Consultation / statistics & numerical data*
Stress Disorders, Post-Traumatic / diagnosis,  therapy
Treatment Outcome
Grant Support
ID/Acronym/Agency:
KL2 TR000440/TR/NCATS NIH HHS; UL1 RR024989/RR/NCRR NIH HHS; UL1 TR000439/TR/NCATS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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