Off-campus Pacific University users: To download campus access theses and dissertations, please log into our proxy server with your PUNet ID and password.

Non-Pacific University users: Please talk to your librarian about requesting this thesis or dissertation through interlibrary loan.

Theses or dissertations that have a specific embargo period indicated below will not be available to anyone until the date indicated.

Date of Award


Degree Type

Dissertation (On-Campus Access Only)

Degree Name

Doctor of Psychology (PsyD)

Committee Chair

Shahana Koslofsky


Infants hospitalized in a neonatal intensive care unit (NICU) are at increased risk for developmental complications due to neonatal illness and early disruptions in bonding and attachment. While there is significant research on the importance of early attachment processes in child development, there is limited research on visitation patterns in the NICU setting and on factors that may specifically influence maternal visitation. This study examined biopsychosocial factors, including Apgar scores, maternal postpartum depression, insurance status (as a proxy of socioeconomic status), ethnicity and gender, to determine possible factors that influence maternal NICU visitation. A hierarchical multiple regression analysis was conducted to test the effects of biopsychosocial factors on visitation duration. Insurance status, as indicated by private or public insurance, significantly predicted visitation duration and accounted for 5% of the variance in maternal visitation. Continued research is recommended to examine factors related to NICU visitation patterns, as well as factors associated with insurance status in the United States.

Available for download on Sunday, October 20, 2019