An investigation was undertaken to determine whether mothers whose infants failed a newborn hearing screening (MWIF) had significantly more stress and were consequently at risk for dysfunctional attachment than those mothers whose infants passed a newborn hearing screening (MWIP). The Parenting Stress Index (PSI; Abidin, 1995), a screening and diagnostic assessment questionnaire designed to measure the relative magnitude of stress in a parent-child dyad, was used. Twenty MWIP and 20 MWIF participated. The PSI was administered through a telephone interview approximately 1 month after participants’ discharge while their infants were between their fourth and fifth week of life. In the case of MWIF, the interview occurred before their infant’s hearing retest. No significant differences in Total Stress, Life Stress, Child Domain, and Parent Domain subscale raw scores of the PSI were found between MWIP and MWIF (p > .05). An examination of the individual PSI profiles of all participants for "high" and "low" normative percentile scores (i.e., percentile scores ≥90th percentile and percentile scores ≤0 percentile for the former and latter, respectively) revealed that the incidence of high scale/subscale percentile scores was essentially equivalent between groups. MWIP, however, displayed lower scale/subscale percentile scores. The results of the study suggest that those mothers whose infants receive a refer outcome after a newborn hearing screening demonstrate equivalent stress levels as those mothers whose infants received a pass.
References
-
Abidin, R. R. (1995). The Parenting Stress Index. Psychological Assessment Resources: Odessa, FA. -
Abidin, R. R. (1997). Parenting Stress Index: A measure of the parent-child system.InC. P. Zalaquett and R. J. Wood (Eds.), Evaluating stress: A book of resources (pp. 277–291). Lanham, MD: Scarecrow Press. -
Baroni, M. A., Anderson, Y. E., & Mischler, E. (1997). Cystic fibrosis newborn screening: Impact of early screening results on parenting stress.Pediatric Nursing, 23, 143–151. -
Barringer, D. G., Mauk, G. W., Jensen, S., & Woods-Kershner, N. (1997). Survey of parents’ perceptions regarding hospital-based newborn screening.Audiology Today, 9(1), 18–19. -
Bess, F. H., & Paradise, J. L. (1994). Universal screening for hearing impairment: Not simple, not risk free, not necessarily beneficial, and not presently justified.Pediatrics, 93, 330–334. -
Blakeney, P., Meyer, W., Robert, R., Desai, M., Wolf, S., & Herndon, D. (1998). Long-term psychosocial adaptation of children who survive burns involving 80% or greater total body surface area.Journal of Trauma-Injury Infection & Critical Care, 44, 625–632. -
Crnic, K. A., Friedrich, W. N., & Greenberg, M. T. (1983). Adaptation of families with American Journal of Mental Deficency, 88, 125–138. -
Durieux-SmithA., Picton, T. W., Edwards, C. G., MacMurray, B., & Goodman, J. T. (1987). Brainstem electric-response audiometry in infants of a neonatal intensive care unit.Audiology, 26, 284–297. -
Glueckauf, R. L., & Quittner, A. L. (1984). Facing physical disability as a young adult: Psychological issues and approaches.InM. G. Eisenburg, L. C. Sutkin, and M. Jansen (Eds.), Chronic illness and disability through the life span (pp. 167–183). New York: Springer. -
Goldberg, H. K. (1979a). Hearing impairment: A family crisis.Social Work in Health Care, 5, 33–40. -
Goldberg, H. K. (1979b). The social work process with families of hearing impaired children.Volta Review, 81, 299–305. -
Green, M. (1986). Vulnerable child syndrome and its variants.Pediatric Review, 8, 75–80. -
Hanson, M. J., & Hanline, M. F. (1990). Parenting a child with a disability: A longitudinal study of parental stress and adaptation.Journal of Early Intervention, 14, 234–248. -
Horsch, U., Weber, C., Bertram B., & Detrois, P. (1997). Stress experienced by parents of children with cochlear implants compared with parents of deaf children and hearing children.American Journal of Otology, 18(Suppl.), S161–163. -
Hyde, M. L., Riko, K., Corbin, H., Moroso, M., & Alberti, P. (1984). A neonatal hearing screening research program using brainstem electric response audiometry.Journal of Otolaryngology, 13, 49–54. -
Innocenti, M. S., Huh, K., & Boyce, G. C. (1992). Families of children with disabilities: Normative data and other considerations on parenting stress.Topics in Early Childhood Special Education, 12, 403–427. -
Kazak, A. E. (1987). Families with disabled children: Stress and social networks in three samples.Journal of Abnormal Child Psychology, 15, 137–46. -
Kazak, A. E. (1989). Families of chronically ill children: A systems and social-ecological model of adaptation and challenge.Journal of Consulting and Clinical Psychology, 57, 25–30. -
Kazak, A. E., & Marvin, R. (1984). Differences, difficulties, and adaptation: Stress and social networks in families with handicapped children.Family Relations, 33, 67–77. -
Konstantareas, M. M., & Lampropoulou, V. (1995). Stress in Greek mothers with deaf children: Effects of child characteristics, family resources and cognitive set.American Annals of the Deaf, 140, 264–270. -
Kuyper, P. (1981). Audiometry and the newborn.Audiology, 20, 530–533. -
Leigh, I. W. (1987). Parenting and the hearing impaired: Attachment and coping.Volta review, 89(5), 11–21. -
Luterman, D. (1979). Counseling parents of hearing-impaired children. Boston: Little, Brown. -
Luterman, D., & Kurtzer-White, E. (1999). Identifying hearing loss: Parents’ needs.American Journal of Audiology, 8, 13–18. -
McAlister, R., Butler, E., & Lie, R. (1973). Patterns of social interaction among families of behaviorally retarded children.Journal of Marriage and the Family, 35, 93–100. -
McAndrew, I. (1976). Children with a handicap and their families.Child: Care, Health & Development, 2, 213–218. -
Meadow-Orlans, K. P. (1994). Stress, support, and deafness: Perceptions of infants’ mothers and fathers.Journal of Early Intervention, 18, 91–102. -
Orlans, K. P. (1995). Sources of stress for mothers and fathers of deaf and hard of hearing infants.American Annals of the Deaf, 140, 352–357. - National Institutes of Health. (1993). Early identification of hearing impairment in infants and young children.NIH Consensus Statement, 11(1), 1–24.
-
Prior, M. R., Glazner, J., Sanson, A., Debelle, G. (1988). Research note: Temperament and behavioural adjustment in hearing impaired children.Journal of Child Psychology and Psychiatry, 29, 209–16. -
Quittner, A. L. (1991). Coping with a hearing-impaired child: A model of adjustment to chronic stress.InJ. H. Johnson and S. B. Johnson (Eds.), Advances in health psychology (pp. 206–223). Gainesville, FL: University of Florida Press. -
Quittner, A. L., Glueckauf, R. L., & Jackson, D. N. (1990). Chronic parenting stress: Moderating versus mediating effects of social support.Journal of Personality & Social Psychology, 59, 1266–1278. -
Quittner, A. L., Steck, J. T., & Rouiller, R. L. (1991). Co-chlear implants in children: a study of parental stress and adjustment.American Journal of Otology, 12(Suppl.), 95–104. -
Rothenberg, M., & Sills, E. (1968). Latrogenesis: The PKU anxiety syndrome.Journal of the American Academy of Child Psychiatry, 7, 689–692. -
Tharpe, A. M., & Clayton, E. W. (1997). Newborn hearing screening: Issues in legal liability and quality assurance.American Journal of Audiology, 6(2), 5–12. -
Tluczek, A., Mischler, E., Bowers, B., Peterson, N., Morris, M., Farrel, P., Bruns, W., Colby, H., McCarthy, C., Fost, N, & Carey, P. (1991). Psychological impact of false-positive results when screening for cystic fibrosis.Pediatric Pul-monology Suppl, 7, 29–37. -
Tluczek, A., Mischler, E., Bowers, B., Peterson, N., Morris, M., Farrel, P., Bruns, W., Colby, H., McCarthy, C., Fost, N, & Carey, P. (1992). Parents’ knowledge of neonatal screening and responses to false-positive cystic fibrosis testing.Journal of Developmental and Behavioral Pediatrics, 13, 181–186. -
Waisbren, S. E. (1980). Parents’ reaction to the birth of developmentally disabled child.American journal of Mental Deficiency, 84, 35–351. -
Watkin, P. M., Beckman, A., & Baldwin, M. (1995). The views of parents of hearing impaired children on the need for neonatal screening.British Journal of Audiology, 29, 259–262. -
Williams, D. M. L., & Darbyshire, J. O. (1982). Diagnosis of deafness: A study of family responses and needs.Volta Review, 84, 24–30. -
Yang, E. Y., Stuart, A., Mencher, G. T., Mencher, L. S., & Vincer, M. J. (1993). Auditory brain stem responses to air-and bone-conducted clicks in the audiological assessment of at-risk infants.Ear and Hearing, 14, 175–182.