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The Stockholm Neonatal Family-Centered Care Study: effects on salivary cortisol in infants and their mothers.
Early Hum Dev. 2012 Jul; 88(7):575-81.EH

Abstract

BACKGROUND

Parental involvement in the care of preterm infants in neonatal intensive care units (NICUs) is common, but little is known about the effect on stress responses in mothers and infants.

AIMS

The aim of this study is to evaluate the effect of family-centered care on salivary cortisol reactivity in mothers and preterm infants and the correlation between the mothers' and the preterm infants' salivary cortisol levels.

METHODS

This study is part of a randomized controlled trial conducted at two level-II NICUs, including Family Care (FC), where parents were able to stay 24h/day from admission to discharge, and Standard Care (SC). To investigate the cortisol response, saliva was collected from 289 preterm infants and their mothers before and after a diaper change at the time of discharge.

RESULTS

No significant differences were found between the two groups in salivary cortisol reactivity, either in mothers or in infants. The results revealed a correlation between preterm infants' and their mothers' baseline and response cortisol in the FC group: r=0.31 (p=0.001) and r=0.24 (p=0.01), respectively. Such correlation was not observed in the SC group: r=0.14 (p=0.14) and r=0.18 (p=0.07), respectively.

CONCLUSIONS

Family-centered care had no effect on salivary cortisol reactivity during diaper change. However, sharing the same environment may increase the concordance between preterm infants' and their mothers' salivary cortisol levels.

Authors+Show Affiliations

Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Sweden. evalotte.morelius@liu.seNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22284983

Citation

Mörelius, Evalotte, et al. "The Stockholm Neonatal Family-Centered Care Study: Effects On Salivary Cortisol in Infants and Their Mothers." Early Human Development, vol. 88, no. 7, 2012, pp. 575-81.
Mörelius E, Broström EB, Westrup B, et al. The Stockholm Neonatal Family-Centered Care Study: effects on salivary cortisol in infants and their mothers. Early Hum Dev. 2012;88(7):575-81.
Mörelius, E., Broström, E. B., Westrup, B., Sarman, I., & Örtenstrand, A. (2012). The Stockholm Neonatal Family-Centered Care Study: effects on salivary cortisol in infants and their mothers. Early Human Development, 88(7), 575-81. https://doi.org/10.1016/j.earlhumdev.2011.12.033
Mörelius E, et al. The Stockholm Neonatal Family-Centered Care Study: Effects On Salivary Cortisol in Infants and Their Mothers. Early Hum Dev. 2012;88(7):575-81. PubMed PMID: 22284983.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Stockholm Neonatal Family-Centered Care Study: effects on salivary cortisol in infants and their mothers. AU - Mörelius,Evalotte, AU - Broström,Eva Berggren, AU - Westrup,Björn, AU - Sarman,Ihsan, AU - Örtenstrand,Annica, Y1 - 2012/01/28/ PY - 2011/09/09/received PY - 2011/11/05/revised PY - 2011/12/19/accepted PY - 2012/1/31/entrez PY - 2012/1/31/pubmed PY - 2012/10/10/medline SP - 575 EP - 81 JF - Early human development JO - Early Hum Dev VL - 88 IS - 7 N2 - BACKGROUND: Parental involvement in the care of preterm infants in neonatal intensive care units (NICUs) is common, but little is known about the effect on stress responses in mothers and infants. AIMS: The aim of this study is to evaluate the effect of family-centered care on salivary cortisol reactivity in mothers and preterm infants and the correlation between the mothers' and the preterm infants' salivary cortisol levels. METHODS: This study is part of a randomized controlled trial conducted at two level-II NICUs, including Family Care (FC), where parents were able to stay 24h/day from admission to discharge, and Standard Care (SC). To investigate the cortisol response, saliva was collected from 289 preterm infants and their mothers before and after a diaper change at the time of discharge. RESULTS: No significant differences were found between the two groups in salivary cortisol reactivity, either in mothers or in infants. The results revealed a correlation between preterm infants' and their mothers' baseline and response cortisol in the FC group: r=0.31 (p=0.001) and r=0.24 (p=0.01), respectively. Such correlation was not observed in the SC group: r=0.14 (p=0.14) and r=0.18 (p=0.07), respectively. CONCLUSIONS: Family-centered care had no effect on salivary cortisol reactivity during diaper change. However, sharing the same environment may increase the concordance between preterm infants' and their mothers' salivary cortisol levels. SN - 1872-6232 UR - https://www.unboundmedicine.com/medline/citation/22284983/The_Stockholm_Neonatal_Family_Centered_Care_Study:_effects_on_salivary_cortisol_in_infants_and_their_mothers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0378-3782(12)00006-0 DB - PRIME DP - Unbound Medicine ER -