Parental Mental Health Care After Their Child's Pediatric Intensive Care Hospitalization.
Parental Mental Health Care After Their Child's Pediatric Intensive Care Hospitalization.
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父母心理保健在孩子的小儿重症监护住院治疗后。
DOI：
10.1097/pcc.0000000000002559
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发表时间：
2020-11
期刊：
影响因子：
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通讯作者：
Hartman ME
中科院分区：
文献类型：
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作者：
Logan GE;Sahrmann JM;Gu H;Hartman ME
PICU 幸存者的父母都发现了创伤后应激障碍 (PTSD)、抑郁和焦虑。这些研究结果如何转化为父母对心理健康服务的实际使用仍然未知。回顾性观察队列研究。从 IBM® MarketScan® Commercial Database 获取的 2006-2013 年保险索赔数据。 PICU 幸存者的父母。我们检查了孩子入住 PICU 前 6 个月和入院后 6 个月内父母的 1) 心理健康诊断率、2) 门诊心理健康就诊率和 3) 抗抑郁药和抗焦虑药处方率，并以每位家长作为自己的对照。在已确定的 95,070 名家长中，9.5% 在孩子入住 PICU 住院后 6 个月内接受了新的心理健康诊断，这比 PICU 前的比率增加了 110%。在孩子入住 PICU 住院后的 6 个月内，一小部分家长接受了新的抗抑郁药 (3.4%) 和抗焦虑药 (3.9%) 处方。在 PICU 后阶段，母亲接受新的心理健康诊断并服用新药物的可能性是父亲的两倍。从 PICU 前到 PICU 后期间，父母诊断出的急性应激障碍或 PTSD 增加了 87%。在孩子入住儿科重症监护病房（PICU）住院后，接受新的心理健康诊断的父母比例几乎增加了一倍。与父亲相比，母亲接受新的心理健康诊断和接受新的心理健康药物的风险几乎是父亲的两倍。接受心理健康护理的父母比例远低于长期结果研究中报告心理健康症状的比例。这是否表明存在心理健康症状的父母在医疗保健服务方面存在差距仍不得而知。
Post-traumatic stress disorder (PTSD), depression and anxiety have all been found in parents of PICU survivors. How these research findings translate to actual use of mental health services by parents remains unknown. Retrospective observational cohort study. Insurance claims data from 2006-2013 obtained from the IBM® MarketScan® Commercial Database. Parents of PICU survivors. We examined rates of 1) mental health diagnoses, 2) outpatient mental health visits, and 3) prescriptions for antidepressants and anxiolytics among parents, 6 months before and 6 months after their child’s PICU admission, using each parent as their own control. Of the 95,070 parents identified, 9.5% received a new mental health diagnosis in the 6 months after their child’s PICU hospitalization, which represented a 110% increase from pre-PICU rates. A smaller proportion of parents were given new prescriptions for antidepressants (3.4%) and anxiolytics (3.9%) in the 6 months after their child’s PICU hospitalization. Mothers were twice as likely to receive a new mental health diagnosis and be taking a new medication than fathers in the post-PICU period. The parental diagnosis of acute stress disorder or PTSD increased by 87% from the pre-PICU to the post-PICU period. After their child’s PICU hospitalization, the proportion of parents with a new mental health diagnosis nearly doubled. Mothers were at nearly twice the risk of receiving a new mental health diagnosis and receiving a new mental health medication compared to fathers. The proportion of parents receiving mental health care is much lower than the proportion reporting mental health symptoms in long-term outcomes studies. Whether this indicates a gap in health care delivery for parents with mental health symptoms remains unknown.