TY - JOUR
T1 - Psychological outcomes after pediatric hospitalization: the role of trauma type
AU - Meentken, Maya G.
AU - van der Ende, Jan
AU - del Canho, Riwka
AU - van Beynum, Ingrid M.
AU - Aendekerk, Elisabeth W. C.
AU - Legerstee, Jeroen S.
AU - Lindauer, Ramón J. L.
AU - Hillegers, Manon H. J.
AU - Helbing, Willem A.
AU - Moll, Henriette A.
AU - Utens, Elisabeth M. W. J.
N1 - Funding Information: This work was supported by Innovatiefonds Zorgverzekeraars, Stichting Hartekind, and Vereniging EMDR Nederland. We gratefully acknowledge the co-operation of all patients who participated in the study. Furthermore, we acknowledge Suzanne Hofman & Linda Bot from the Maasstad hospital, the Dutch Association for patients with congenital heart defect (Pati?ntenvereniging Aangeboren Hartafwijkingen; PAH), and Zina Fejzic, MD from the Radboud UMC (pediatric cardiology) for their efforts in recruiting participants. Publisher Copyright: © 2021 The Author(s). Published with license by Taylor & Francis Group, LLC. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021
Y1 - 2021
N2 - 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.
AB - 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.
KW - PTSD
KW - Pediatrics
KW - anxiety
KW - depression
KW - psychological trauma
UR - http://www.scopus.com/inward/record.url?scp=85102809657&partnerID=8YFLogxK
U2 - https://doi.org/10.1080/02739615.2021.1890077
DO - https://doi.org/10.1080/02739615.2021.1890077
M3 - Article
SN - 0273-9615
VL - 50
SP - 278
EP - 292
JO - Children's Health Care
JF - Children's Health Care
IS - 3
ER -