Document Detail

Infant temperament and parental stress in 3-month-old infants after surgery for complex congenital heart disease.
MedLine Citation:
PMID:  20375737     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This study aimed to identify and compare differences in temperament and maternal stress between infants with complex congenital heart disease and healthy controls at 3 months of age.
METHODS: Study sample was drawn from an existing longitudinal study examining growth in infants with congenital heart disease when compared with healthy controls. Infant temperament and parental stress were measured in 129 mother-infant dyads. Inclusion criteria for infants with congenital heart disease were > or = 36-week postmenstrual age, > or = 2500 g at birth, surgery in first 6 weeks of life, and no major congenital anomalies or genetic syndromes. The Early Infancy Temperament Questionnaire and Parent Stress Index were the assessment tools used.
RESULTS: Infants with single ventricular (SV) physiology were more negative in mood (F = 7.14, p < .001) and less distractible (F = 5.00, p < .008) than the biventricular physiology or Control (C) infant groups. The demands of care for infants with congenital heart disease were a source of stress when compared with Control infants (p < .05). Five of 6 subscales of the Child Domain were significant sources of stress in the SV group compared with biventricle and Control groups. Negative mood and difficulty to soothe were predictors for Child Domain and Total Life Stress in SV infants.
CONCLUSION: The demands of parenting an irritable infant with SV physiology put these mothers at risk for high levels of stress. Results suggest the need for predischarge anticipatory guidance for parents to better understand and respond to the behavioral style of their infants, in particular, infants with SV physiology.
Deborah Torowicz; Sharon Y Irving; Alexandra L Hanlon; Danica F Sumpter; Barbara Medoff-Cooper
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of developmental and behavioral pediatrics : JDBP     Volume:  31     ISSN:  1536-7312     ISO Abbreviation:  J Dev Behav Pediatr     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-23     Completed Date:  2010-08-10     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8006933     Medline TA:  J Dev Behav Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  202-8     Citation Subset:  IM    
The Children's Hospital of Philadelphia; daggerUniversity of Pennsylvania School of Nursing, Philadelphia, PA 19104, USA.
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MeSH Terms
Heart Diseases / pathology,  psychology*,  surgery*
Linear Models
Longitudinal Studies
Parents / psychology*
Severity of Illness Index
Stress, Psychological*
Time Factors
Grant Support
MO1-FF00240//PHS HHS; R01 NR002093/NR/NINR NIH HHS; R01 NR002093-13/NR/NINR NIH HHS

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