Skin-to-skin contact at birth for very preterm infants and symptoms of depression and anxiety in parents during the first year – A secondary outcome of a randomized clinical trial

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2025-04-29 DOI:10.1016/j.jad.2025.04.160

Siri Lilliesköld , Karoline Lode-Kolz , Björn Westrup , Nils Bergman , Kimmo Sorjonen , Ulrika Ådén , Evalotte Mörelius , Siren Rettedal , Wibke Jonas

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引用次数: 0

Abstract

Background

Mental health issues are common in parents to preterm infants. In the neonatal intensive care unit (NICU), skin-to-skin contact (SSC) as an avenue for parent-infant closeness may improve parental mental health. Few studies exist regarding its benefits when initiated immediately postbirth. The aim was to determine the effect of SSC for very preterm infants at birth on parents' mental health, by assessing symptoms of depression and anxiety within the first year.

Methods

The Immediate Parent-Infant Skin-to-Skin Study was a randomized clinical trial conducted 2018–2021 at three NICUs in Sweden and Norway. Very preterm infants (28–33 weeks of gestation) were allocated to standard incubator care or SSC with either parent, initiated at birth and continued throughout the first 6 h. Symptoms of depression and anxiety in parents were assessed with the Edinburgh Postnatal Depression Scale and Spielberger State-Trait Anxiety Inventory.

Results

The study included 91 infants (36 twins [40 %]) and 73 mothers and 73 fathers. Infants had a mean gestational age of 31 + 1 weeks and birthweight of 1534 g. Immediate SSC was found to significantly reduce depression symptoms in mothers and anxiety symptoms in fathers at one week after birth and depression and anxiety symptoms in fathers at term-equivalent age of infant.

Limitations

Limitations include a small sample size and limited background data on prenatal depression and anxiety.

Conclusions

Immediate parent-infant SSC following a very preterm birth may provide a protective effect on parents' mental health and should be supported in the clinical setting, alongside necessary nursing, and medical care.

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极早产儿出生时皮肤接触和第一年父母抑郁和焦虑症状——一项随机临床试验的次要结果

心理健康问题在早产儿父母中很常见。在新生儿重症监护病房（NICU），皮肤接触（SSC）作为亲子亲密的途径可能改善父母的心理健康。很少有研究表明，在出生后立即开始服用它的好处。目的是通过评估第一年的抑郁和焦虑症状，确定SSC对出生时非常早产的婴儿对父母心理健康的影响。方法即时亲子皮肤对皮肤研究是一项随机临床试验，于2018-2021年在瑞典和挪威的三家新生儿重症监护病房进行。极早产儿（妊娠28-33周）被分配到标准保温箱护理或由父母中的任何一方进行SSC，从出生开始并持续整个前6小时。父母的抑郁和焦虑症状用爱丁堡产后抑郁量表和Spielberger状态-特质焦虑量表进行评估。结果本研究包括91名婴儿（36对双胞胎，占40%）和73名母亲和73名父亲。婴儿平均胎龄为31 + 1周，出生体重为1534 g。研究发现，即刻SSC显著减少了母亲的抑郁症状和父亲在出生后一周的焦虑症状，以及婴儿足月等龄父亲的抑郁和焦虑症状。局限性局限性包括样本量小，产前抑郁和焦虑的背景数据有限。结论极早产后立即进行亲子SSC可能对父母的心理健康有保护作用，应在临床环境中予以支持，并辅以必要的护理和医疗护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.