Stress Coping Strategies in Parents of Newborns and Infants with Congenital Cyanotic Heart Disease with Regard to Stress Levels and Negative Emotions

Background: Parents of children suffering from congenital heart disease experience high levels of stress and negative emotions. Therefore, recognition of parents’ emotional states and their ways of coping with it is becoming more and more important. Methods: The study group consisted of 154 parents of newborns and infants with cyanotic congenital heart disease, before and after cardiac surgery (partial or full). To assess parental negative emotions, the level of stress, and strategies of coping with it, standardized questionnaires, such as HADS-M, PSS-10, and COPE, were used. Results: Stress levels in parents were high and associated with negative emotions (anxiety, depression, irritability), as well as the choice of non-constructive coping strategies, which was observed especially in younger parents. Conclusions: Assessing parents’ stress levels and ways of coping with stress can improve family functioning and provide better development conditions for the child.

[1]  A. Micek,et al.  Toxic Stress as a Potential Factor Inducing Negative Emotions in Parents of Newborns and Infants with Cyanotic Congenital Heart Disease , 2023, Children.

[2]  A. McKechnie,et al.  Nurse-guided Mobile Health Care Program to Reduce Emotional Distress Experienced by Parents of Infants Prenatally Diagnosed with Critical Congenital Heart Disease: A Pilot Study. , 2023, Progress in pediatric cardiology.

[3]  N. Kasparian,et al.  Systematic Review of Instruments Assessing Psychosocial Adaptation and Outcomes Among Families of Children With Congenital Heart Disease , 2023, Journal of pediatric psychology.

[4]  Carlos Daniel Varela-Chinchilla,et al.  Congenital Heart Disease: The State-of-the-Art on Its Pharmacological Therapeutics , 2022, Journal of cardiovascular development and disease.

[5]  A. Kovacs,et al.  Quality of life and other patient-reported outcomes across the lifespan among people with Fontan palliation. , 2022, The Canadian journal of cardiology.

[6]  H. Brophy-Herb,et al.  Maternal History of Adverse Experiences and Posttraumatic Stress Disorder Symptoms Impact Toddlers’ Early Socioemotional Wellbeing: The Benefits of Infant Mental Health-Home Visiting , 2022, Frontiers in Psychology.

[7]  L. Mayes,et al.  Maternal Experiences of Racial Discrimination, Child Indicators of Toxic Stress, and the Minding the Baby Early Home Visiting Intervention , 2021, Nursing research.

[8]  E. Medina,et al.  The Healing Hearts at Home© Mobile Application Usability and Influence on Parental Perceived Stress: A Pilot Study , 2021, Int. J. E Health Medical Commun..

[9]  Linh G. Ly,et al.  The association between parent stress, coping and mental health, and neurodevelopmental outcomes of infants with congenital heart disease , 2021, The Clinical neuropsychologist.

[10]  N. Nayeri,et al.  Being parent of a child with congenital heart disease, what does it mean? A qualitative research , 2021, BMC psychology.

[11]  F. Trachtenberg,et al.  Family Function, Quality of Life, and Well-Being in Parents of Infants With Hypoplastic Left Heart Syndrome , 2021, Journal of family nursing.

[12]  Sunhee Lee,et al.  Coping self-efficacy and parenting stress in mothers of children with congenital heart disease. , 2021, Heart & lung : the journal of critical care.

[13]  J. Axelrod,et al.  The Mitigating Toxic Stress study design: approaches to developmental evaluation of pediatric health care innovations addressing social determinants of health and toxic stress , 2020, BMC Health Services Research.

[14]  L. Cohen,et al.  Illness-Related Parenting Stress and Maladjustment in Congenital Heart Disease: Mindfulness as a Moderator. , 2020, Journal of pediatric psychology.

[15]  Sunhee Lee,et al.  Experiences of Mothers Facing the Prognosis of Their Children with Complex Congenital Heart Disease , 2020, International journal of environmental research and public health.

[16]  A. Rosengren,et al.  Survival in Children With Congenital Heart Disease: Have We Reached a Peak at 97%? , 2020, Journal of the American Heart Association.

[17]  Weiliang Wu,et al.  Incidence and mortality trend of congenital heart disease at the global, regional, and national level, 1990–2017 , 2020, Medicine.

[18]  A. Heydari,et al.  Coping with Caregiving Stress in Families of Children with Congenital Heart Disease: A Qualitative Study , 2020, International journal of community based nursing and midwifery.

[19]  P. Poh,et al.  Readiness for Hospital Discharge, Stress, and Coping in Mothers of Children Undergoing Cardiac Surgeries: A Single-Center Prospective Study , 2020, Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

[20]  M. Donofrio,et al.  Association of Maternal Psychological Distress With In Utero Brain Development in Fetuses With Congenital Heart Disease. , 2020, JAMA pediatrics.

[21]  Yan-Shing Chang,et al.  From surviving to thriving - parental experiences of hospitalised infants with congenital heart disease undergoing cardiac surgery: A qualitative synthesis. , 2019, Journal of pediatric nursing.

[22]  A. Hanlon,et al.  Parenting stress trajectories during infancy in infants with congenital heart disease: Comparison of single-ventricle and biventricular heart physiology. , 2019, Congenital heart disease.

[23]  A. Jackson,et al.  Enhancing Parental Coping with a Child’s Heart Condition: A Co-production Pilot Study , 2019, Comprehensive child and adolescent nursing.

[24]  S. Järvholm,et al.  Parental reactions, distress, and sense of coherence after prenatal versus postnatal diagnosis of complex congenital heart disease , 2019, Cardiology in the Young.

[25]  M. Wadsworth,et al.  Extending the toxic stress model into adolescence: Profiles of cortisol reactivity , 2019, Psychoneuroendocrinology.

[26]  P. Chakraborty,et al.  A systematic review of the association between coping strategies and quality of life among caregivers of children with chronic illness and/or disability , 2019, BMC Pediatrics.

[27]  J. Beckmann,et al.  Current research status on the psychological situation of parents of children with congenital heart disease. , 2019, Cardiovascular diagnosis and therapy.

[28]  A. Wittkowski,et al.  Children with single ventricle congenital heart defects: considering the parent experience , 2019 .

[29]  F. Bloomfield,et al.  Antenatal Detection of Treatable Critical Congenital Heart Disease Is Associated with Lower Morbidity and Mortality , 2019, The Journal of pediatrics.

[30]  S. Skalski Choroba jako źródło stresu. Wybrane koncepcje stresu psychologicznego i radzenia sobie ze stresem , 2018 .

[31]  L. Sadler,et al.  Toxic Stress and Vulnerable Mothers: A Multilevel Framework of Stressors and Strengths , 2018, Western journal of nursing research.

[32]  Erica Sood,et al.  Mothers and Fathers Experience Stress of Congenital Heart Disease Differently: Recommendations for Pediatric Critical Care* , 2018, Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

[33]  G. Kolaitis,et al.  Mental Health Problems in Parents of Children with Congenital Heart Disease , 2017, Front. Pediatr..

[34]  B. Medoff‐Cooper,et al.  Maternal Stress and Anxiety in the Pediatric Cardiac Intensive Care Unit , 2017, American journal of critical care : an official publication, American Association of Critical-Care Nurses.

[35]  S. Weiss,et al.  Mental Health Among Parents of Children With Critical Congenital Heart Defects: A Systematic Review , 2017, Journal of the American Heart Association.

[36]  D. Winlaw,et al.  “Congenital heart health”: how psychological care can make a difference , 2016, The Medical journal of Australia.

[37]  K. Swanson,et al.  Families of children with congenital heart disease: A literature review. , 2015, Heart & lung : the journal of critical care.

[38]  Muayyad M. Ahmad,et al.  Coping strategies as mediators and moderators between stress and quality of life among parents of children with autistic disorder. , 2015, Stress and health : journal of the International Society for the Investigation of Stress.

[39]  J. Tibballs,et al.  Psychosocial responses of parents to their infant’s diagnosis of hypoplastic left heart syndrome , 2014, Cardiology in the Young.

[40]  Priti P. Desai,et al.  Psychological Distress Experienced by Parents of Young Children With Congenital Heart Defects: A Comprehensive Review of Literature , 2012 .

[41]  J. Cruz,et al.  The relationship between multidimensional competitive anxiety, cognitive threat appraisal, and coping strategies: A multi-sport study , 2012 .

[42]  S. Pocock,et al.  The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. , 2007, Bulletin of the World Health Organization.

[43]  Erik von Elm,et al.  The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. , 2008, Journal of clinical epidemiology.

[44]  C. Brosig,et al.  Psychological distress in parents of children with severe congenital heart disease: the impact of prenatal versus postnatal diagnosis , 2007, Journal of Perinatology.

[45]  Norman S. Endler,et al.  Assessment of multidimensional coping: task, emotion, and avoidance strategies , 1994 .

[46]  C. Carver,et al.  Assessing coping strategies: a theoretically based approach. , 1989, Journal of personality and social psychology.

[47]  T. Kamarck,et al.  A global measure of perceived stress. , 1983, Journal of health and social behavior.

[48]  A. Zigmond,et al.  The Hospital Anxiety and Depression Scale , 1983, Acta psychiatrica Scandinavica.

[49]  A. Pietrzyk,et al.  Resilience and coping with stress and marital relationships of the parentsof children with leukaemia , 2019 .

[50]  Rudolf H. Moos,et al.  The context for posttraumatic growth: Life crises, individual and social resources, and coping. , 1998 .

[51]  N. Endler,et al.  Multidimensional assessment of coping: a critical evaluation. , 1990, Journal of personality and social psychology.