A pilot study on peritraumatic dissociation and coping styles as risk factors for posttraumatic stress, anxiety and depression in parents after their child's unexpected admission to a Pediatric Intensive Care Unit

被引：39
作者：
Bronner M.B. [1 ]
Kayser A.-M. [1 ]
Knoester H. [2 ]
Bos A.P. [2 ]
Last B.F. [1 ,3 ]
Grootenhuis M.A. [1 ]
机构：
[1] Psychosocial Department, Emma Children's Hospital Academic Medical Center, University of Amsterdam
[2] Department of Paediatric Intensive Care, Emma Children's Hospital Academic Medical Center, University of Amsterdam
[3] Department of Developmental Psychology, Vrije Universiteit, Amsterdam
来源：
Child and Adolescent Psychiatry and Mental Health | / 3卷 / 1期
关键词：
Mental Health Problem; Pediatric Intensive Care Unit; Avoidance Coping; Passive Coping Strategy; Peritraumatic Dissociation;
D O I：
10.1186/1753-2000-3-33
中图分类号：
学科分类号：
摘要：
Aim: To study the prevalence of posttraumatic stress disorder (PTSD), anxiety and depression in parents three months after pediatric intensive care treatment of their child and examine if peritraumatic dissocation and coping styles are related to these mental health problems. Methods: This is a prospective cohort study and included parents of children unexpectedly admitted to the Pediatric Intensive Care Unit (PICU) from January 2006 to March 2007. At three months follow-up parents completed PTSD (n = 115), anxiety and depression (n = 128) questionnaires. Immediately after discharge, parents completed peritraumatic dissocation and coping questionnaires. Linear regression models with generalized estimating equations examined risk factors for mental health problems. Results: Over 10% of the parents were likely to meet criteria for PTSD and almost one quarter for subclinical PTSD. Respectively 15% to 23% of the parents reported clinically significant levels of depression and anxiety. Peritraumatic dissocation was most strongly associated with PTSD, anxiety as well as depression. Avoidance coping was primarily associated with PTSD. Conclusion: A significant number of parents have mental health problems three months after unexpected PICU treatment of their child. Improving detection and raise awareness of mental health problems is important to minimize the negative effect of these problems on parents' well-being. © 2009 Bronner et al; licensee BioMed Central Ltd.
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