Maternal Psychological Responses to Retinopathy of Prematurity Diagnosis and Treatment: Anxiety, Rumination, and Resilience–A Cross-Sectional Study

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Prematüre Retinopatisi Tanısı ve Tedavisine Annelerin Psikolojik Tepkileri: Kaygı, Ruminasyon ve Dayanıklılığın İncelenmesi-Kesitsel Araştırma Background: This study investigated the psychological impact of retinopathy of prematurity (ROP) diagnosis and treatment on mothers, focusing on anxiety, intolerance of uncertainty, rumination, resilience, and parenting self-efficacy. Materials and Methods:This cross-sectional study included 267 mothers of preterm infants who underwent routine ROP screening.Participants were categorized into three groups: mothers of infants with ROP not requiring treatment (n = 93), mothers of infants with ROP requiring treatment (n = 47), and mothers of infants without ROP (n = 127).Validated scales, including the State-Trait Anxiety Inventory, Edinburgh Postnatal Depression Scale, Intolerance of Uncertainty Scale, Connor-Davidson Resilience Scale, and Perceived Maternal Parenting Self-Efficacy Scale, were used for assessment.Statistical analyses included analysis of variance, Mann-Whitney U tests, and correlation analyses.Results: Mothers in the ROP-no treatment and ROP-treated groups exhibited significantly higher levels of state anxiety (p < 0.001) and negative rumination (p = 0.007) than those in the no ROP group.Anxiety levels were highest in the ROP-no treatment group, whereas mothers in the ROP-treated group demonstrated significantly greater psychological resilience (p = 0.044).No significant group differences were observed in depressive symptoms or intolerance of uncertainty.Higher psychological resilience was significantly associated with lower levels of anxiety (p < 0.001) and rumination (p < 0.05).Conclusion: ROP diagnosis and treatment have significant effects on maternal anxiety and resilience.Structured psychosocial interventions such as resilience training and cognitive reframing may alleviate maternal distress.These findings emphasize the need for integrated psychological support in the care of preterm infants with ROP.

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