Posttraumatic stress disorder (PTSD) in children after paediatric intensive care treatment compared to children who survived a major fire disaster

被引：53
作者：
Bronner M.B. [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, Amsterdam
[2] Department of Paediatric Intensive Care, Emma Children's Hospital Academic Medical Center, University of Amsterdam, Amsterdam
[3] Department of Developmental Psychology, Vrije Universiteit, Amsterdam
来源：
Child and Adolescent Psychiatry and Mental Health | / 2卷 / 1期
关键词：
Stressful Event; Ptsd Symptom; Paediatric Intensive Care Unit; Total Symptom Score; Paediatric Intensive Care Unit Admission;
D O I：
10.1186/1753-2000-2-9
中图分类号：
学科分类号：
摘要：
Background: The goals were to determine the presence of posttraumatic stress disorder (PTSD) in children after paediatric intensive care treatment, to identify risk factors for PTSD, and to compare this data with data from a major fire disaster in the Netherlands. Methods: Children completed the Dutch Children's Responses to Trauma Inventory at three and nine months after discharge from the paediatric intensive care unit (PICU). Comparison data were available from 355 children survivors who completed the same questionnaire 10 months after a major fire disaster. Results: Thirty-six children aged eight to 17 years completed questionnaires at three month follow-up, nine month follow-up, or both. More than one third (34.5%) of the children had subclinical PTSD, while 13.8% were likely to meet criteria for PTSD. Maternal PTSD was the strongest predictor for child PTSD. There were no significant differences in (subclinical) PTSD symptoms either over time or compared to symptoms of survivors from the fire disaster. Conclusion: This study shows that a considerable number of children have persistent PTSD after PICU treatment. Prevention of PTSD is important to minimize the profound adverse effects that PTSD can have on children's well-being and future development. © 2008 Bronner et al; licensee BioMed Central Ltd.
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  • [1] Yule W., Posttraumatic stress disorder in the general population and in children, J Clin Psychiatry, 62, SUPPL. 17, pp. 23-28, (2001)
  • [2] Diagnostic and Statistical Manual of Mental Disorders (DSM-IV TR), (2000)
  • [3] Yule W., Bolton D., Udwin O., Boyle S., O'Ryan D., Nurrish J., The long-term psychological effects of a disaster experienced in adolescence I: The incidence and course of PTSD, J Child Psychol Psychiatry, 41, 4, pp. 503-511, (2000)
  • [4] Fletcher K.E., Childhood posttraumatic stress disorder, Child Psychopathology, pp. 242-276, (1996)
  • [5] Copeland W.E., Keeler G., Angold A., Costello E.J., Traumatic events and posttraumatic stress in childhood, Arch Gen Psychiatry, 64, 5, pp. 577-584, (2007)
  • [6] Weathers F.W., Keane T.M., The Criterion A problem revisited: Controversies and challenges in defining and measuring psychological trauma, J Trauma Stress, 20, 2, pp. 107-121, (2007)
  • [7] Kazak A.E., Kassam-Adams N., Schneider S., Zelikovsky N., Alderfer M.A., Rourke M., An integrative model of pediatric medical traumatic stress, J Pediatr Psychol, 31, 4, pp. 343-355, (2006)
  • [8] Kassam-Adams N., Introduction to the special issue: Posttraumatic stress related to pediatric illness and injury, J Pediatr Psychol, 31, 4, pp. 337-342, (2006)
  • [9] Saxe G., Vanderbilt D., Zuckerman B., Traumatic stress in injured and ill children, PTSD Research Quarterly, 13, pp. 1-3, (2003)
  • [10] Wintgens A., Boileau B., Robaey P., Posttraumatic stress symptoms and medical procedures in children, Can J Psychiatry, 42, 6, pp. 611-616, (1997)
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