Course and Predictors of Posttraumatic Stress Disorder in Parents after Pediatric Intensive Care Treatment of their Child
Course and Predictors of Posttraumatic Stress Disorder in Parents after Pediatric Intensive Care Treatment of their Child
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DOI：
10.1093/jpepsy/jsq004
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发表时间：
2010-10-01
影响因子：
3.6
通讯作者：
Grootenhuis, Martha A.
中科院分区：
文献类型：
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作者：
Bronner, Madelon B.;Peek, Niels;Grootenhuis, Martha A.
目的了解儿童意外进入儿科重症监护病房（PICU）后父母发生创伤后应激障碍（PTSD）的情况，并探讨其发生的危险因素。方法对190例PICU治疗后3个月和9个月的PTSD患儿家长进行问卷调查。风险因素包括创伤前数据、医疗数据、社会人口统计学和3个月时的创伤后应激反应。结果在3个月时，30.3%的父母符合亚临床PTSD标准，12.6%的父母符合临床PTSD标准。临床PTSD患病率并没有随着时间的推移而改变。9个月时，10.5%的父母仍然符合PTSD的标准。早期压力性生活事件、早期心理社会护理和3个月时创伤后应激反应的数量可预测持续性亚临床和临床PTSD。结论入住PICU是一种与父母持续性PTSD相关的应激事件。风险因素的评估可以促进持续性PTSD的早期干预检测。
Objective To study posttraumatic stress disorder (PTSD) in parents after unexpected pediatric intensive care unit (PICU) treatment of their child and to identify risk factors for its development. Method Parents completed PTSD questionnaires 3 and 9 months (N = 190) after PICU treatment. Risk factors included pretrauma data, medical data, social demographics and posttraumatic stress responses at 3 months. Results In total, 30.3% of parents met criteria for subclinical PTSD and 12.6% for clinical PTSD at 3 months. Clinical PTSD prevalence rates did not change over time. At 9 months, 10.5% of parents still met criteria for PTSD. Number of earlier stressful life events, earlier psychosocial care and posttraumatic stress responses at 3 months predicted persistent subclinical and clinical PTSD. Conclusions PICU admission is a stressful event associated with persistent parental PTSD. Assessment of risk factors can facilitate detection of persistent PTSD for early intervention.