Preventing Posttraumatic Stress Following Pediatric Injury: A Randomized Controlled Trial of a Web-Based Psycho-Educational Intervention for Parents

Marsac, Meghan L.; Hildenbrand, Aimee K.; Kohser, Kristen L.; Winston, Flaura Koplin; Li, Yimei; Kassam‐Adams, Nancy

doi:10.1093/jpepsy/jst053

Cited by 48 publications

(57 citation statements)

References 38 publications

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“…Although there is evidence to suggest having both parents attend intervention sessions together is important for facilitating skill development (Tiano & McNeil, ) and better mental health outcomes (May et al, ), the current results suggest interventions might be improved by incorporating content that is specific to the symptoms (e.g., depressed mood and motivation) and stressors (e.g., more strategies around work‐related issues for fathers). In addition, parental interventions in the context of a child's serious illness or injury are often conducted acutely, that is, while the child is an inpatient (Fedele et al, ; Melnyk et al, ; Sahler et al, ), or in the months following the acute period (Burke et al, ; Marsac et al, ). Results presented here suggest that after the initial diagnosis phase, overall parents report psychological symptoms in the normal range.…”

Section: Discussionmentioning

confidence: 99%

Psychological trajectories of mothers and fathers following their child's diagnosis of a life‐threatening illness or injury: A longitudinal investigation

et al. 2019

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Objective Explore the mental health trajectories of parents following their child's life‐threatening illness/injury. Methods Participants were 217 parents (mean age: 34.9–40.0; 66 fathers) of 165 children who presented to a tertiary hospital with a life‐threatening illness/injury. Parents completed questionnaires about their mental health and psychosocial stressors within 4 weeks of the child's illness/injury (T1), and 4 months (T2), 7 months (T3), and 19 months (T4) postdiagnosis. Results For both mothers and fathers, mental health symptoms were elevated at diagnosis declining to normal levels by T3, with a pattern of increase at T4. Fathers demonstrated a faster decline in symptoms between T1 and T2, and fathers, but not mothers, experienced a relapse in depressive symptoms at T4. Fathers reported higher rates of work changes. Conclusions These findings have important implications for the design and timing of parental interventions to support families of children with life‐threatening disease/injury.

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Section: Discussionmentioning

confidence: 99%

Psychological trajectories of mothers and fathers following their child's diagnosis of a life‐threatening illness or injury: A longitudinal investigation

et al. 2019

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“…Many authors have shown that their interventions, in addition to reducing post‐traumatic stress symptoms, brought other benefits such as improvement in mother‐infant interactions quality, increase in maternal sensitivity and infant cooperation during interactions (Borghini et al., ), as well as a decrease in anxiety and depression (Shaw et al., ), improvement in parental psychological flexibility and mindfulness (Burke et al., ) and decrease prolonged grief symptoms (Kersting et al., ). However, some authors reported no effects of the Internet‐based intervention (Galvin & Muscara, ; Marsac et al., ).…”

Section: Introductionmentioning

confidence: 99%

Risk factors for the development of post‐traumatic stress disorder and coping strategies in mothers and fathers following infant hospitalisation in the neonatal intensive care unit

Aftyka

Rybojad

Rosa

et al. 2017

Journal of Clinical Nursing

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“…Some incorporated other psychotherapeutic approaches, for example, motivational interviewing [29] or parenting guidance [33,49], in addition to CBT techniques. Others included additional elements of expressive writing, sometimes about a stressful event or trauma, but did not state that they supported participants to cognitively reappraise their reactions or provide any further therapeutic instruction focused on the trauma [30,31,36,47,51].…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review and Meta-Analysis of e-Mental Health Interventions to Treat Symptoms of Posttraumatic Stress

Simblett¹,

Birch²,

Matcham³

et al. 2017

JMIR Ment Health

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BackgroundPosttraumatic stress disorder (PTSD) is a stress disorder characterized by unwanted intrusive re-experiencing of an acutely distressing, often life-threatening, event, combined with symptoms of hyperarousal, avoidance, as well as negative thoughts and feelings. Evidence-based psychological interventions have been developed to treat these symptoms and reduce distress, the majority of which were designed to be delivered face-to-face with trained therapists. However, new developments in the use of technology to supplement and extend health care have led to the creation of e-Mental Health interventions.ObjectiveOur aim was to assess the scope and efficacy of e-Mental Health interventions to treat symptoms of PTSD.MethodsThe following databases were systematically searched to identify randomized controlled trials of e-Mental Health interventions to treat symptoms of PTSD as measured by standardized and validated scales: the Cochrane Library, MEDLINE, EMBASE, and PsycINFO (in March 2015 and repeated in November 2016).ResultsA total of 39 studies were found during the systematic review, and 33 (N=3832) were eligible for meta-analysis. The results of the primary meta-analysis revealed a significant improvement in PTSD symptoms, in favor of the active intervention group (standardized mean difference=-0.35, 95% confidence interval -0.45 to -0.25, P<.001, I2=81%). Several sensitivity and subgroup analyses were performed suggesting that improvements in PTSD symptoms remained in favor of the active intervention group independent of the comparison condition, the type of cognitive behavioral therapy-based intervention, and the level of guidance provided.ConclusionsThis review demonstrates an emerging evidence base supporting e-Mental Health to treat symptoms of PTSD.

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Preventing Posttraumatic Stress Following Pediatric Injury: A Randomized Controlled Trial of a Web-Based Psycho-Educational Intervention for Parents

Abstract: Brief web-based interventions introduced during child hospitalization are a feasible strategy to reach many parents following pediatric injury. Preventing psychological symptoms may require more than parental education alone.

Cited by 48 publications

References 38 publications

Psychological trajectories of mothers and fathers following their child's diagnosis of a life‐threatening illness or injury: A longitudinal investigation

Psychological trajectories of mothers and fathers following their child's diagnosis of a life‐threatening illness or injury: A longitudinal investigation

Risk factors for the development of post‐traumatic stress disorder and coping strategies in mothers and fathers following infant hospitalisation in the neonatal intensive care unit

A Systematic Review and Meta-Analysis of e-Mental Health Interventions to Treat Symptoms of Posttraumatic Stress

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