Parental role alteration strongly influences depressive symptoms in mothers of preoperative infants with congenital heart disease

Heart Lung. 2021 Mar-Apr;50(2):235-241. doi: 10.1016/j.hrtlng.2020.12.003. Epub 2020 Dec 17.

Abstract

Background: Mothers of infants with congenital heart disease are at risk for depression.

Objectives: This study explored the influence on maternal depressive symptoms of several known factors for mothers in the pediatric cardiac intensive care unit, including perceived stressors, attachment, and anxiety.

Methods: This study was a secondary analysis of 30 mothers of infants awaiting cardiac surgery. Linear regressions were calculated to determine the relationships between perceived stressors, maternal attachment, anxiety, and maternal depressive symptoms.

Results: Nearly half of mothers reported depressive symptoms above the measure cut-off score, indicating they were at risk for likely clinical depression. Subscales of perceived stress explained 61.7% of the variance in depressive symptoms (F = 11.815, p<0.0001) with parental role alteration subscale as the strongest predictor (standardized beta=0.694, p = 0.03).

Conclusions: Findings underscore the importance of mental health screening and instituting nursing practices to enhance parental role for mothers of infants awaiting cardiac surgery.

Keywords: Congenital heart defects, depression, cardiac surgery, preoperative period; Intensive care unit, pediatric; Mother; Parent stress.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anxiety / epidemiology
  • Anxiety / etiology
  • Child
  • Depression* / epidemiology
  • Depression* / etiology
  • Female
  • Heart Defects, Congenital* / surgery
  • Humans
  • Infant
  • Mother-Child Relations
  • Mothers
  • Parents