Trauma reactions in mothers and fathers after their infant's cardiac surgery

J Pediatr Psychol. 2013 Jun;38(5):494-505. doi: 10.1093/jpepsy/jst015. Epub 2013 Apr 19.

Abstract

Objective: To investigate the prevalence and nature of trauma symptoms in mothers and fathers of infants who had cardiac surgery.

Method: Parents of infants who underwent cardiac surgery before 3 months of age were recruited at the time of surgery. 77 mothers and 55 fathers completed the Acute Stress Disorder Scale 1 month after their infant was discharged from hospital.

Results: 26 of 77 (33.8%) mothers and 10 of 55 (18.2%) fathers satisfied criteria for acute stress disorder. For all symptom clusters, except dissociation, mothers had significantly higher mean scores (and therefore higher levels of symptoms) than did fathers, ps = .01, -.02. 83 percent of parents endorsed at least 1 trauma symptom and 11.4% endorsed only 1 symptom at a clinical level. Symptoms of dissociation were the most commonly endorsed by both parents, with each symptom in that cluster being endorsed at a clinical level by at least 26% of parents.

Conclusions: Consistent with our hypotheses, approximately one-third of parents overall, as well as one-third of mothers and close to one-fifth of fathers, experienced trauma symptoms consistent with a diagnosis of acute stress disorder. Most parents experienced at least one symptom at a clinical level, with symptoms of dissociation being the most commonly endorsed symptom cluster. These findings highlight the need for clinical supports for parents.

Keywords: adjustment; cardiology; children; parent stress; posttraumatic stress.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Health
  • Australia / epidemiology
  • Cardiac Surgical Procedures / methods
  • Cardiac Surgical Procedures / psychology*
  • Cohort Studies
  • Fathers / psychology*
  • Fathers / statistics & numerical data
  • Female
  • Heart Defects, Congenital / psychology
  • Heart Defects, Congenital / surgery*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Mothers / psychology*
  • Prevalence
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Stress Disorders, Traumatic, Acute / epidemiology*
  • Stress Disorders, Traumatic, Acute / psychology
  • Stress, Psychological / epidemiology*
  • Stress, Psychological / psychology
  • Surveys and Questionnaires
  • Young Adult