Risk factors of post-traumatic stress disorder after hospitalization in a pediatric intensive care unit: a systematic literature review

Pellegars, Alice de; Cariou, Cindy; Floch, Marine Le; Duverger, Philippe; Boussicault, Gérald; Riquin, Élise

doi:10.1007/s00787-023-02141-8

Cited by 5 publications

(4 citation statements)

References 46 publications

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“…Some other factors such as acute child and parent stress, sepsis, and emergency admission were considered as potential risk factors, but they still require further investigation. Gender and age were not significantly associated with PTSD in the pediatric population [14].…”

Section: Resultsmentioning

confidence: 74%

“…It is actually a disturbance of consciousness, changes in cognition, and the development of a perceptual disturbance [15]. Delirium is also presented as one of the main predictors of ICU-related PTSD in various studies [11,14]. Delusional memories have been related to an increased risk of developing high severity of PTSD symptoms and PTSD in critically ill patients [15].…”

Section: Resultsmentioning

confidence: 99%

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Intensive Care Unit (ICU)-Related Post-traumatic Stress Disorder: A Literature Review

Abdelbaky,

Eldelpshany

2024

Cureus

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An intensive care unit (ICU) is a challenging environment characterized by frequent incidences of stressors and traumatic situations. Therefore, both patients and caregivers are at high risk of developing psychological disorders such as post-traumatic stress disorder (PTSD), anxiety, and depression. ICU-related PTSD is a significant concern that remains under-recognized. This literature review examines the current state of knowledge regarding ICU-related PTSD, including its prevalence, risk factors, clinical manifestations, and potential interventions. Key findings suggest that a considerable proportion of ICU survivors develop PTSD symptoms, which can significantly impact their quality of life and recovery. The most common predictors investigated for PTSD in ICU survivors are age, gender, pre-illness psychopathy, length of stay in the ICU, delirium, and sedative agents. The treatment and prevention strategies of ICU-related PTSD include psychological therapies and pharmacological and non-pharmacological treatments. Psychological interventions, including cognitive-behavioral therapy and pharmacotherapy, have shown promise in mitigating PTSD symptoms in ICU survivors. However, further research is needed to better understand the mechanisms underlying ICU-related PTSD and to develop targeted interventions to prevent and manage this debilitating condition.

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Section: Resultsmentioning

confidence: 74%

Section: Resultsmentioning

confidence: 99%

Intensive Care Unit (ICU)-Related Post-traumatic Stress Disorder: A Literature Review

Abdelbaky,

Eldelpshany

2024

Cureus

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“…To the Editor: Pediatric Intensive Care Units (PICU) survivors display an increased risk for psychiatric outcomes and Post-Traumatic Stress Disorder (PTSD), emphasizing the need to be attentive to such patients' mental well-being and individual vulnerability [1]. PTSD may occur in 14% to 36% of cases after PICU hospitalization [1].…”

mentioning

confidence: 99%

“…Considering this, we have read with interest a study published in the Indian Journal of Pediatrics that conclude Indian parents were highly stressed by the PICU environment, especially when their child was intubated [2]. This seems particularly important given that parental stress could represent a risk factor for pediatric PTSD [1].…”

mentioning

confidence: 99%

Addressing Parental Stress and Reducing Avoidable Benzodiazepine Exposure in Children During Hospitalization in Pediatric Intensive Care Units to Improve Mental Health Outcomes

Fernandez

Gindt

François³

et al. 2023

Indian J Pediatr

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In agreement with Aamir et al., and taking into account that the child's anxiety is modulated by the parents' anxiety [1], it seems necessary to consider involving parents in specific care programs in order to reduce their stress during their children's care, especially in case of child's intubation [2]. Such a goal required from us to structure psychological and psychiatric interventions in the PICU of Nice to establish an appropriate care pathway (from PICU to child/parents' home), with child psychiatrist/psychologist devoted to this activity.

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Post-traumatic stress disorder in children after discharge from the pediatric intensive care unit: a scoping review

Tang,

Chui,

Chong

et al. 2024

Eur Child Adolesc Psychiatry

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Risk factors of post-traumatic stress disorder after hospitalization in a pediatric intensive care unit: a systematic literature review

Cited by 5 publications

References 46 publications

Intensive Care Unit (ICU)-Related Post-traumatic Stress Disorder: A Literature Review

Intensive Care Unit (ICU)-Related Post-traumatic Stress Disorder: A Literature Review

Addressing Parental Stress and Reducing Avoidable Benzodiazepine Exposure in Children During Hospitalization in Pediatric Intensive Care Units to Improve Mental Health Outcomes

Post-traumatic stress disorder in children after discharge from the pediatric intensive care unit: a scoping review

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