A cross-sectional study on posttraumatic growth and influencing factors among parents of premature infants

Abstract Objective Preterm birth is a significant public health concern that negatively affects parents’ mental health. Posttraumatic growth (PTG) is a positive response to trauma that can effectively help parents cope with the stress of preterm birth. However, few studies have investigated PTG amon...

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Main Authors: Wang Xingyanan, Lv Yuanhong, Liu Yang, Xiao Zhitian
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-025-07137-7
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author Wang Xingyanan
Lv Yuanhong
Liu Yang
Xiao Zhitian
author_facet Wang Xingyanan
Lv Yuanhong
Liu Yang
Xiao Zhitian
author_sort Wang Xingyanan
collection DOAJ
description Abstract Objective Preterm birth is a significant public health concern that negatively affects parents’ mental health. Posttraumatic growth (PTG) is a positive response to trauma that can effectively help parents cope with the stress of preterm birth. However, few studies have investigated PTG among parents with preterm infants. This study aimed to examine the level and influencing factors of PTG among parents with preterm infants and to explore its relationship with social support coping styles. Methods A cross-sectional study was conducted among 160 parents of premature infants in a hospital in Shenzhen, China, from May 2022 to August 2022. Parents’ demographic information and birth-related characteristics were collected through a self-designed general information questionnaire. PTG was assessed using the Chinese version of the Posttraumatic Growth Inventory (PTGI). Social support and coping style were measured using the Social Support Scale(SSS) and the Ways of Coping Questionnaire(WCQ). Pearson correlation analysis was used to investigate the relationship between PTGI and WCQ and SSS .A stepwise multiple linear regression analysis was performed to explore independent influencing factors of PTG. Results The parents had an average PTG score of 66.41 ± 10.37, with 81.11% having a low and medium level of PTG. The total score of coping style of parents of premature infants was (34.28 ± 4.97) points, which was in the middle and upper level; the total score of social support of parents of premature infants was (14.28 ± 4.97) points, which was in the middle level. In addition, older gestational age at birth (B = 2.396, P < 0.001) ,higher Apgar score at 5 min at birth (B = 2.117, P = 0.023), positive coping style (B = 0.850, P < 0.001), and higher social support score (B = 1.978, P < 0.001) were associated with higher PTG scores. Conclusion Parents of preterm infants have low to medium levels of PTG, indicating much room for improvement. Older gestational age, higher Apgar score at five minutes at birth, positive coping styles, and high levels of social support were associated with higher PTG levels. Our findings provide helpful guidance for the development of effective and targeted intervention programs to improve parents’ PTG and well-being.
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spelling doaj-art-23d4da3af2d449b0a7ed85dbc47f158e2025-01-12T12:43:48ZengBMCBMC Pregnancy and Childbirth1471-23932025-01-0125111110.1186/s12884-025-07137-7A cross-sectional study on posttraumatic growth and influencing factors among parents of premature infantsWang Xingyanan0Lv Yuanhong1Liu Yang2Xiao Zhitian3Nursing Department, Shenzhen Children’s HospitalNeonatology, Shenzhen Children’s HospitalNeonatology, Shenzhen Children’s HospitalNursing Department, Shenzhen Children’s HospitalAbstract Objective Preterm birth is a significant public health concern that negatively affects parents’ mental health. Posttraumatic growth (PTG) is a positive response to trauma that can effectively help parents cope with the stress of preterm birth. However, few studies have investigated PTG among parents with preterm infants. This study aimed to examine the level and influencing factors of PTG among parents with preterm infants and to explore its relationship with social support coping styles. Methods A cross-sectional study was conducted among 160 parents of premature infants in a hospital in Shenzhen, China, from May 2022 to August 2022. Parents’ demographic information and birth-related characteristics were collected through a self-designed general information questionnaire. PTG was assessed using the Chinese version of the Posttraumatic Growth Inventory (PTGI). Social support and coping style were measured using the Social Support Scale(SSS) and the Ways of Coping Questionnaire(WCQ). Pearson correlation analysis was used to investigate the relationship between PTGI and WCQ and SSS .A stepwise multiple linear regression analysis was performed to explore independent influencing factors of PTG. Results The parents had an average PTG score of 66.41 ± 10.37, with 81.11% having a low and medium level of PTG. The total score of coping style of parents of premature infants was (34.28 ± 4.97) points, which was in the middle and upper level; the total score of social support of parents of premature infants was (14.28 ± 4.97) points, which was in the middle level. In addition, older gestational age at birth (B = 2.396, P < 0.001) ,higher Apgar score at 5 min at birth (B = 2.117, P = 0.023), positive coping style (B = 0.850, P < 0.001), and higher social support score (B = 1.978, P < 0.001) were associated with higher PTG scores. Conclusion Parents of preterm infants have low to medium levels of PTG, indicating much room for improvement. Older gestational age, higher Apgar score at five minutes at birth, positive coping styles, and high levels of social support were associated with higher PTG levels. Our findings provide helpful guidance for the development of effective and targeted intervention programs to improve parents’ PTG and well-being.https://doi.org/10.1186/s12884-025-07137-7InfantPrematureParentsPosttraumatic growthPsychologicalSocial support
spellingShingle Wang Xingyanan
Lv Yuanhong
Liu Yang
Xiao Zhitian
A cross-sectional study on posttraumatic growth and influencing factors among parents of premature infants
BMC Pregnancy and Childbirth
Infant
Premature
Parents
Posttraumatic growth
Psychological
Social support
title A cross-sectional study on posttraumatic growth and influencing factors among parents of premature infants
title_full A cross-sectional study on posttraumatic growth and influencing factors among parents of premature infants
title_fullStr A cross-sectional study on posttraumatic growth and influencing factors among parents of premature infants
title_full_unstemmed A cross-sectional study on posttraumatic growth and influencing factors among parents of premature infants
title_short A cross-sectional study on posttraumatic growth and influencing factors among parents of premature infants
title_sort cross sectional study on posttraumatic growth and influencing factors among parents of premature infants
topic Infant
Premature
Parents
Posttraumatic growth
Psychological
Social support
url https://doi.org/10.1186/s12884-025-07137-7
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