Psychological outcomes after pediatric hospitalization: the role of trauma type

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Childrens Health Care Pub Date : 2021-03-16 DOI:10.1080/02739615.2021.1890077

M. G. Meentken, J. van der Ende, R. del Canho, I. V. van Beynum, Elisabeth W. C. Aendekerk, J. Legerstee, R. Lindauer, M. Hillegers, W. Helbing, H. Moll, E. Utens

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引用次数: 5

Abstract

ABSTRACT Physical injury and illness are common potentially traumatic events during childhood and adolescence. Many children experience psychosocial difficulties after medical events. The sample consisted of 399 children aged 4 to 15 who had been hospitalized for physical illness or injury. Elevated psychological symptomatology (PTSS, depression, anxiety) was more frequent after multiple (type II) compared to single (type I) medical events, but only a few differences were statistically significant. The strongest risk factor of child PTSS was parental stress. Type II trauma and low parental education were significant risk factors only for parent report of child PTSS (not for child report). The analyzed risk factors did not differ for type I versus II trauma. We recommend standardized screening and monitoring for mental health in the standard pediatric health care. Furthermore, pediatricians should be trained in signaling stress signs of parents.

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儿科住院后心理结局:创伤类型的作用

身体损伤和疾病是儿童和青少年时期常见的潜在创伤性事件。许多儿童在医疗事件后经历心理社会困难。样本包括399名4至15岁的儿童，他们因身体疾病或受伤而住院。与单次(I型)医疗事件相比，多次(II型)医疗事件后心理症状(ptsd、抑郁、焦虑)升高的频率更高，但只有少数差异具有统计学意义。儿童创伤后应激障碍的最大危险因素是父母压力。II型创伤和父母教育程度低是家长报告的儿童创伤后应激障碍的显著危险因素(对儿童报告没有影响)。分析的风险因素在I型和II型创伤中没有差异。我们建议在标准的儿科卫生保健中对心理健康进行标准化筛查和监测。此外，儿科医生应该接受关于父母压力信号的培训。

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来源期刊

Childrens Health Care PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.90

自引率

11.10%

发文量