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J Pediatr. 2013 Feb;162(2):302-7.e1. doi: 10.1016/j.jpeds.2012.07.023. Epub 2012 Sep 10.

Maternal psychological stress after prenatal diagnosis of congenital heart disease.

Author information

1
Fetal Heart Program at the Cardiac Center at the Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. Rychik@email.chop.edu

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.

PMID:
22974576
DOI:
10.1016/j.jpeds.2012.07.023
[Indexed for MEDLINE]
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