Link: http://www.ncbi.nlm.nih.gov/pubmed/26589187

AbstractSend to:
J Pediatr Surg. 2015 Oct 9. pii: S0022-3468(15)00600-4. doi: 10.1016/j.jpedsurg.2015.09.017. [Epub ahead of print]
Major neonatal surgery: psychosocial consequence of the patient and mothers.
Kubota A1, Yamakawa S2, Yamamoto E2, Kosugi M2, Hirano S2, Shiraishi J3, Kitajima H3, Yoneda A4, Taduke Y4, Mitani Y5, Watanabe T5, Takifuji K5, Yamaue H5.
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Abstract
PURPOSE:
Our previous studies of long-term QOL after major neonatal surgery revealed an unexpectedly high incidence of mental retardation as well as emotional and psychosocial problems, and the patients' QOL correlated with maternal QOL and post-traumatic stress disorder (PTSD). The main purpose of this study was to clarify the risk factors affecting long-standing maternal PTSD.

MATERIALS AND METHODS:
Sixty-eight patients, aged between 6 and 17years, and their mothers were enrolled in this study. The underlying diseases included congenital diaphragmatic hernia in 21, anorectal anomalies in 25 and esophageal atresia in 22. Psychoanalysts carried out intelligence tests, the Child Behavior Checklist and QOL evaluation in the patients. QOL was evaluated with WHOQOL26 and PTSD with IES-R questionnaires in their mothers. The mothers were divided into two groups; low- and high-risk groups according to PTSD score.

RESULTS:
Patient QOL scores correlated positively with maternal QOL (p<0.05) and negatively with maternal PTSD scores (p<0.05). There were significant differences in total number of hospital admissions (p<0.05), feeling of economic burden (p<0.05), and satisfaction with husband's help (p<0.01) between the two groups.

CONCLUSION:
Risk factors for maternal PTSD include repeated hospitalization, a feeling of economic burden, and lack of satisfaction with husband's help.

Copyright ? 2015 Elsevier Inc. All rights reserved.

KEYWORDS:
Long term follow-up; Neonatal surgery; Post-traumatic stress disorder; Psychosocial consequence; Quality of life