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Progress of PTSD symptoms following birth: a prospective study in mothers of high-risk infants

Authors
 W J Kim  ;  E Lee  ;  K R Kim  ;  K Namkoong  ;  E S Park  ;  Dw Rha 
Citation
 Journal of Perinatology, Vol.35(8) : 575-579, 2015 
Journal Title
 Journal of Perinatology 
ISSN
 0743-8346 
Issue Date
2015
MeSH
Adult ; Anxiety/diagnosis* ; Case-Control Studies ; Depression, Postpartum/diagnosis* ; Female ; Humans ; Infant ; Infant, Newborn ; Intensive Care, Neonatal ; Logistic Models ; Male ; Mother-Child Relations ; Mothers/psychology* ; Prognosis ; Prospective Studies ; Psychiatric Status Rating Scales ; Self Report ; Stress Disorders, Post-Traumatic/diagnosis*
Abstract
OBJECTIVE: To understand how postpartum posttraumatic stress disorder (PTSD) symptoms in mothers of high-risk infants progress and identify what factors predict postpartum PTSD. STUDY DESIGN: We prospectively obtained self-reported psychological data from neonatal intensive care unit discharged infants' mothers (NICU mothers) at the infants' corrected ages of 1 (T0), 3 (T1) and 12 months (T2) and mothers of healthy infants (controls). Maternal sociodemographic and infant-related factors were also investigated. RESULT: PTSD was present in 25 and 9% of NICU mothers and controls, respectively. We identified four PTSD patterns: none, persistent, delayed and recovered. The postpartum PTSD course was associated with trait anxiety. Whether the infant was the first child who predicted PTSD at year 1 (adjusted odds ratio=7.62, 95% confidence interval=1.07 to 54.52). CONCLUSION: Mothers of high-risk infants can develop early or late PTSD, and its course can be influenced by factors besides medical status. We therefore recommend regular screenings of postpartum PTSD.
Full Text
http://www.nature.com/jp/journal/v35/n8/full/jp20159a.html
DOI
10.1038/jp.2015.9
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Ran(김경란) ORCID logo https://orcid.org/0000-0001-8375-1851
Kim, Woo Jung(김우정)
Rha, Dong Wook(나동욱) ORCID logo https://orcid.org/0000-0002-7153-4937
Namkoong, Kee(남궁기) ORCID logo https://orcid.org/0000-0003-1400-8057
Park, Eun Sook(박은숙) ORCID logo https://orcid.org/0000-0002-9144-3063
Lee, Eun(이은) ORCID logo https://orcid.org/0000-0002-7462-0144
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141137
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