Parental mental health screening in the NICU: a psychosocial team initiative

J Perinatol. 2022 Mar;42(3):401-409. doi: 10.1038/s41372-021-01217-0. Epub 2021 Sep 27.

Abstract

Objective: About 40-50% of parents with children admitted to Neonatal Intensive Care Units (NICU) experience clinically significant levels of depression, anxiety, and trauma. Poor parental mental health can negatively influence parent-child interactions and child development. Therefore, early identification of parents at-risk for clinical distress is of paramount importance.

Methods: To address this need, the psychosocial team, including psychology and psychiatry, at a large, level 4 Neonatal Intensive Care Unit (NICU) developed a quality-improvement initiative to assess the feasibility of screening parents and to determine rates of depression and trauma in the unit.

Results: About 40% of mothers and 20% of fathers were screened between 2 weeks of their child's hospitalization. About 40-45% of those parents endorsed clinically significant levels of depression and anxiety symptoms.

Conclusions: Recommendations for enhancing the feasibility and effectiveness of this process are discussed and considerations for future clinical and research endeavors are introduced.

MeSH terms

  • Anxiety / diagnosis
  • Female
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal*
  • Mental Health*
  • Mothers / psychology
  • Parents / psychology
  • Stress, Psychological