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Am J Perinatol 2019; 36(14): 1514-1520
DOI: 10.1055/s-0039-1678557
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Mindfulness Training among Parents with Preterm Neonates in the Neonatal Intensive Care Unit: A Pilot Study

Alyssa Marshall
1   Division of Neonatology, Christiana Care Health System, Newark, Delaware
,
Úrsula Guillén
1   Division of Neonatology, Christiana Care Health System, Newark, Delaware
,
Amy Mackley
1   Division of Neonatology, Christiana Care Health System, Newark, Delaware
,
Wendy Sturtz
1   Division of Neonatology, Christiana Care Health System, Newark, Delaware
› Author Affiliations Funding None.
Further Information

Publication History

09 August 2018

20 December 2018

Publication Date:
31 January 2019 (online)

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Abstract

Objective To evaluate the feasibility of a mindfulness-based training session (MBTS) for parents of neonates born at ≤32 weeks' gestation in a level 3 neonatal intensive care unit (NICU).

Study Design Within 14 days of admission, parents completed the Parental Stressor Scale: Neonatal Intensive Care Unit Questionnaire (PSS:NICU), Cognitive and Affective Mindfulness Scale (CAMS-R), and a survey on stress management techniques. Parents then participated in a MBTS with instruction in mindfulness-based practices and were asked to practice the techniques during the NICU stay. At discharge, parents repeated the surveys to evaluate their mindfulness-based practice experience.

Results Of the 98 parents approached, 51 consented to participate (52%). Of these, 28 completed MBTS, initial, and discharge surveys. One parent had previously practiced mindfulness. The majority of parents (79%) reported that mindfulness practice was helpful, and 71% stated that they would continue their practice after NICU discharge. There was no difference in PSS:NICU or CAMS-R at discharge.

Conclusion An MBTS was feasible to provide to parents in our NICU. Parents practiced the mindfulness-based techniques and reported benefit from their mindfulness-based practice. Future studies are needed to evaluate if an MBTS is a valuable resource for NICU parents' coping.

Keywords

mindfulness - neonate - premature - stress
 

  • References

  • 1 Dudek-Shriber L. Parent stress in the neonatal intensive care unit and the influence of parent and infant characteristics. Am J Occup Ther 2004; 58 (05) 509-520
    CrossrefPubMedGoogle Scholar
  • 2 Miles MS, Funk SG, Carlson J. Parental Stressor Scale: neonatal intensive care unit. Nurs Res 1993; 42 (03) 148-152
    PubMedGoogle Scholar
  • 3 Miles MS, Funk SG, Kasper MA. The neonatal intensive care unit environment: sources of stress for parents. AACN Clin Issues Crit Care Nurs 1991; 2 (02) 346-354
    PubMedGoogle Scholar
  • 4 Wereszczak J, Miles MS, Holditch-Davis D. Maternal recall of the neonatal intensive care unit. Neonatal Netw 1997; 16 (04) 33-40
    PubMedGoogle Scholar
  • 5 Holditch-Davis D, Bartlett TR, Blickman AL, Miles MS. Posttraumatic stress symptoms in mothers of premature infants. J Obstet Gynecol Neonatal Nurs 2003; 32 (02) 161-171
    CrossrefPubMedGoogle Scholar
  • 6 Shaw RJ, Deblois T, Ikuta L, Ginzburg K, Fleisher B, Koopman C. Acute stress disorder among parents of infants in the neonatal intensive care nursery. Psychosomatics 2006; 47 (03) 206-212
    CrossrefPubMedGoogle Scholar
  • 7 Shaw RJ, Bernard RS, Deblois T, Ikuta LM, Ginzburg K, Koopman C. The relationship between acute stress disorder and posttraumatic stress disorder in the neonatal intensive care unit. Psychosomatics 2009; 50 (02) 131-137
    CrossrefPubMedGoogle Scholar
  • 8 Lefkowitz DS, Baxt C, Evans JR. Prevalence and correlates of posttraumatic stress and postpartum depression in parents of infants in the Neonatal Intensive Care Unit (NICU). J Clin Psychol Med Settings 2010; 17 (03) 230-237
    CrossrefPubMedGoogle Scholar
  • 9 Kersting A, Dorsch M, Wesselmann U. , et al. Maternal posttraumatic stress response after the birth of a very low-birth-weight infant. J Psychosom Res 2004; 57 (05) 473-476
    CrossrefPubMedGoogle Scholar
  • 10 Aftyka A, Rybojad B, Rozalska-Walaszek I, Rzoñca P, Humeniuk E. Post-traumatic stress disorder in parents of children hospitalized in the neonatal intensive care unit (NICU): medical and demographic risk factors. Psychiatr Danub 2014; 26 (04) 347-352
    Google Scholar
  • 11 Pierrehumbert B, Nicole A, Muller-Nix C, Forcada-Guex M, Ansermet F. Parental post-traumatic reactions after premature birth: implications for sleeping and eating problems in the infant. Arch Dis Child Fetal Neonatal Ed 2003; 88 (05) F400-F404
    CrossrefPubMedGoogle Scholar
  • 12 Shaw RJ, St John N, Lilo EA. , et al. Prevention of traumatic stress in mothers with preterm infants: a randomized controlled trial. Pediatrics 2013; 132 (04) e886-e894
    CrossrefPubMedGoogle Scholar
  • 13 Cano Giménez E, Sánchez-Luna M. Providing parents with individualised support in a neonatal intensive care unit reduced stress, anxiety and depression. Acta Paediatr 2015; 104 (11) e476
    CrossrefPubMedGoogle Scholar
  • 14 Matricardi S, Agostino R, Fedeli C, Montirosso R. Mothers are not fathers: differences between parents in the reduction of stress levels after a parental intervention in a NICU. Acta Paediatr 2013; 102 (01) 8-14
    CrossrefPubMedGoogle Scholar
  • 15 Cobiella CW, Mabe PA, Forehand RL. A comparison of two stress-reduction treatments for mothers of neonates hospitalized in a neonatal intensive care unit. Child Health Care 1990; 19 (02) 93-100
    CrossrefPubMedGoogle Scholar
  • 16 Rossman B, Greene MM, Meier PP. The role of peer support in the development of maternal identity for “NICU Moms.”. J Obstet Gynecol Neonatal Nurs 2015; 44 (01) 3-16
    CrossrefPubMedGoogle Scholar
  • 17 Segre LS, Chuffo-Siewert R, Brock RL, O'Hara MW. Emotional distress in mothers of preterm hospitalized infants: a feasibility trial of nurse-delivered treatment. J Perinatol 2013; 33 (12) 924-928
    CrossrefPubMedGoogle Scholar
  • 18 Feeley N, Genest C, Niela-Vilén H, Charbonneau L, Axelin A. Parents and nurses balancing parent-infant closeness and separation: a qualitative study of NICU nurses' perceptions. BMC Pediatr 2016; 16: 134
    CrossrefPubMedGoogle Scholar
  • 19 Kabat-Zinn J, Massion AO, Kristeller J. , et al. Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. Am J Psychiatry 1992; 149 (07) 936-943
    CrossrefPubMedGoogle Scholar
  • 20 Miller JJ, Fletcher K, Kabat-Zinn J. Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders. Gen Hosp Psychiatry 1995; 17 (03) 192-200
    CrossrefPubMedGoogle Scholar
  • 21 Kabat-Zinn J. Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. New York, NY: Bantam Books; 2013
    Google Scholar
  • 22 Bailie C, Kuyken W, Sonnenberg S. The experiences of parents in mindfulness-based cognitive therapy. Clin Child Psychol Psychiatry 2012; 17 (01) 103-119
    CrossrefPubMedGoogle Scholar
  • 23 Perez-Blasco J, Viguer P, Rodrigo MF. Effects of a mindfulness-based intervention on psychological distress, well-being, and maternal self-efficacy in breast-feeding mothers: results of a pilot study. Arch Women Ment Health 2013; 16 (03) 227-236
    CrossrefPubMedGoogle Scholar
  • 24 Benn R, Akiva T, Arel S, Roeser RW. Mindfulness training effects for parents and educators of children with special needs. Dev Psychol 2012; 48 (05) 1476-1487
    CrossrefPubMedGoogle Scholar
  • 25 Spielberger CD, Gorsuch RL, Lushene PR, Vagg PR, Jacobs AG. Manual for the State-Trait Anxiety Inventory (Form Y). Palo Alto, CA: Consulting Psychologists Press, Inc.; 1983
    Google Scholar
  • 26 Feldman G, Hayes A, Kumar S, Greeson J, Laurenceau JP. mindfulness and emotion regulation: the development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). J Psychopathol Behav Assess 2007; 29 (03) 177-190
    CrossrefPubMedGoogle Scholar
  • 27 Holditch-Davis D, Santos H, Levy J. , et al. Patterns of psychological distress in mothers of preterm infants. Infant Behav Dev 2015; 41: 154-163
    CrossrefPubMedGoogle Scholar
  • 28 Jotzo M, Poets CF. Helping parents cope with the trauma of premature birth: an evaluation of a trauma-preventive psychological intervention. Pediatrics 2005; 115 (04) 915-919
    CrossrefPubMedGoogle Scholar
  • 29 Brett J, Staniszewska S, Newburn M, Jones N, Taylor L. A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants. BMJ Open 2011; 1 (01) e000023
    PubMedGoogle Scholar
  • 30 Petteys AR, Adoumie D. Mindfulness-based neurodevelopmental care: impact on NICU parent stress and infant length of stay; a randomized controlled pilot study. Adv Neonatal Care 2018; 18 (02) E12-E22
    PubMedGoogle Scholar