Course and predictors of posttraumatic stress disorder in parents after pediatric intensive care treatment of their child

J Pediatr Psychol. 2010 Oct;35(9):966-74. doi: 10.1093/jpepsy/jsq004. Epub 2010 Feb 11.

Abstract

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.

MeSH terms

  • Adult
  • Child
  • Child, Preschool
  • Critical Care / psychology*
  • Female
  • Humans
  • Infant
  • Intensive Care Units, Pediatric
  • Male
  • Parents / psychology*
  • Psychiatric Status Rating Scales
  • Risk Factors
  • Stress Disorders, Post-Traumatic / diagnosis*
  • Stress Disorders, Post-Traumatic / psychology*
  • Surveys and Questionnaires