Surgical procedures and pediatric medical traumatic stress (PMTS) syndrome: Assessment and future directions

Ari, Amichai Ben; Peri, Tuvia; Margalit, Daniella; Galili-Weisstub, Esti; Udassin, Raphael; Benarroch, Fortu

doi:10.1016/j.jpedsurg.2017.10.043

Cited by 40 publications

(42 citation statements)

References 37 publications

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“…Emerging evidence suggests that children undergoing surgery are at risk of developing traumatic stress reactions post surgery, [12][13][14][15] as are parents of children undergoing surgery. 16 17 To date, there is only sporadic evidence of, and no consensus on, the rates of traumatic stress development following surgery, or if any risk factors, such as parental stress, 18 might increase the chances of such difficulties occurring.…”

Section: What This Study Adds?mentioning

confidence: 99%

Prevalence of traumatic psychological stress reactions in children and parents following paediatric surgery: a systematic review and meta-analysis

Turgoose

Kerr

Coppi

et al. 2021

bmjpo

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BackgroundChildren undergoing surgery and their parents are at risk of developing post-traumatic stress reactions. We systematically reviewed the literature to understand the prevalence of this issue, as well as potential risk factors.MethodsWe conducted a systematic review and meta-analysis, using PubMed, PsycInfo, Web of Science and Google Scholar, with searches conducted in February 2021. Papers were included if they measured post-traumatic stress in children and/or parents following paediatric surgery and were excluded if they did not use a validated measure of post-traumatic stress. Data were extracted from published reports.FindingsOur search yielded a total of 1672 papers, of which 16 met our inclusion criteria. In meta-analysis, pooled studies of children estimated an overall prevalence of 16% meeting criteria for post-traumatic stress disorder post surgery (N=187, 95% CI 5% to 31%, I2=80%). After pooling studies of parents, overall prevalence was estimated at 23% (N=1444, 95% CI 16% to 31%, I2=91%). Prevalence rates were higher than those reported in the general population. Risk factors reported within studies included length of stay, level of social support and parental mental health.InterpretationThere is consistent evidence of traumatic stress following surgery in childhood which warrants further investigation. Those delivering surgical care to children would benefit from a raised awareness of the potential for post-traumatic stress in their patients and their families, including offering screening and support.

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Section: What This Study Adds?mentioning

confidence: 99%

Prevalence of traumatic psychological stress reactions in children and parents following paediatric surgery: a systematic review and meta-analysis

Turgoose

Kerr

Coppi

et al. 2021

bmjpo

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“…What is more, Ari et al 35 carried out a study to assess the frequency and characteristics of symptoms of persistent psychological distress in children following surgery, using two parent-report questionnaires that assess PTSS among children aged 1 to 6. The first one was The Posttraumatic Stress Disorder Semi-Structured Interview (PTSDSSI) 36 which is concerned with the child's response during and after the traumatic event and includes 29 items with an amount of agreement of 1 to 3 on a Likert scale.…”

Section: Kassam-adams Et Al 22mentioning

confidence: 99%

Aggravating factors and assessment tools for Posttraumatic Stress Disorder in children after hospitalization

Triantafyllou

Matziou

2019

Psychiatriki

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“…Besides, witnessing someone seriously injured or killed, experiencing death or injury of a family member or close relatives due to a traumatic event might also be traumatic (2,3). In addition, various medical procedures and some compulsory medical interventions, such as surgery, can also be traumatic for children (4). It has been noted that the rates of exposure to a traumatic event can vary depending on the age of the person, country of origin and occupation (3).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Post-Traumatic Stress Disorder Following Unintentional Injuries in Children

İz¹,

Çeri²,

Layık³

et al. 2019

Eastern J Med

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Post-traumatic stress disorder (PTSD) is a trauma and stressor-related disorder that might have prominent negative effects on the social and academic life of children. Unintentional injuries are the leading reason for physical disability and death during childhood. We aimed to investigate PTSD symptoms in children withunintentional injuries who weretreated in hospital. Children who were injured due to various causes and treated in emergency servicewere retrospectively evaluated for PTSD symptoms. The PTSD symptoms were assessed by the revised Children's Revised Impact of Event Scale (CRIES-8), and The Schedule for Affective Disorders and Schizophrenia for School-Age Children. The average age of the study sample consisting of fifty-eight male and thirty-one female children (n= 89) was found to be 13.5  2.9. On average, 5.2  3.4 months had passed after the event. The most common cause of injury was traffic accidents (37.1%) and it was followed by falling from high (33.7%), burn (25.8%), and sharp object injury (2.2%). PTSD was prevalent as 24.7% according to K-SADSevaluation. PTSD rates were observed to vary according to the nature of the event that caused the injury. The findings of our study show that more than one-third of the children, who were hospitalized due to unintentional injuries, developed severe PTSD symptoms. Children who treated for unintentional injuries in emergency services should be referred for psychiatric evaluation.

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Surgical procedures and pediatric medical traumatic stress (PMTS) syndrome: Assessment and future directions

Cited by 40 publications

References 37 publications

Prevalence of traumatic psychological stress reactions in children and parents following paediatric surgery: a systematic review and meta-analysis

Prevalence of traumatic psychological stress reactions in children and parents following paediatric surgery: a systematic review and meta-analysis

Aggravating factors and assessment tools for Posttraumatic Stress Disorder in children after hospitalization

Prevalence of Post-Traumatic Stress Disorder Following Unintentional Injuries in Children

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