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Cited by 377Posttraumatic Stress Disorder ResearchFamily and Patient Care in Intensive Care UnitsGrief, Bereavement, and Mental Health

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

Traumatic stress in parents of children admitted to the pediatric intensive care unit.

Balluffi, Andrew, Kassam-Adams, Nancy, Kazak, Anne, Tucker, Michelle, Dominguez, Troy, Helfaer, Mark·2004·Pediatric Critical Care Medicine
DOI 10.1097/01.pcc.0000137354.19807.44
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Abstract

OBJECTIVE: To measure the prevalence of parental acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) and to examine the relationship between ASD symptoms and PTSD symptoms in parents of infants and children admitted to the pediatric intensive care unit (PICU). To examine the correlation between parental perceptions of illness severity and objective measures. To assess the association among demographic, situational, and illness factors and the severity of ASD and PTSD. DESIGN: Prospective cohort study. SETTING: Thirty-eight bed PICU at an urban children's hospital. PATIENTS: The parents of 272 children admitted to the PICU for >48 hrs. INTERVENTIONS: ASD symptoms were assessed using the Acute Stress Disorder Scale during the child's admission. PTSD symptoms were assessed using the PTSD Checklist at least 2 months after discharge. The severity of illness was measured using the Pediatric Risk of Mortality (PRISM III) score. MEASUREMENTS AND MAIN RESULTS: Of the 272 parents completing the initial assessment, 87 (32%) met symptom criteria for ASD. Of the 161 parents completing follow-up, 33 (21%) met symptom criteria for PTSD. PTSD symptoms at follow-up were associated with ASD symptoms assessed in the PICU, unexpected admission, parent's degree of worry that the child might die, and the occurrence of another hospital admission or other traumatic event subsequent to the index admission. Neither ASD nor PTSD responses were associated with objective measures of a child's severity of illness (PRISM III score). CONCLUSION: Traumatic stress symptoms are common among parents in the PICU and may persist long after discharge. There is strong support from these data for continued attention to supporting parents both during and after a child's PICU admission.

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Crossref · 10.1097/01.pcc.0000137354.19807.44

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Citations

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Research works printed but not linked: 4

  1. Miles, 1989, Matern Child Nurs J, 18, 199
  2. Bryant, 2000, PTSD Res Q, 11, 1
  3. Kazak, 2001, J Clin Psychol, 8, 307
  4. Melnyk, 1998, Pediatr Nurs, 24, 521

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Metadata

Authors
Balluffi, A., Kassam-Adams, N., Kazak, A., Tucker, M., Dominguez, T., & Helfaer, M.
Affiliations
Children's Hospital of Philadelphia (US)
ORCID
Kazak, Anne
Venue
Pediatric Critical Care Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2004-11
Volume
5
Issue
6
Pages
547-553
ISSN
1529-7535 (ISSN-L)
DOI
10.1097/01.pcc.0000137354.19807.44
OpenAlex
W2056568789
Cited by
377
References
25
Citations by year
2026: 10 · 2025: 15 · 2024: 19 · 2023: 18 · 2022: 32 · 2021: 19 · 2020: 28 · 2019: 27 · 2018: 23 · 2017: 29 · 2016: 15 · 2015: 16 · 2014: 18 · 2013: 11 · 2012: 17
FWCI
10.13
Type
journal article
Language
en
Open access
closed
Locations
  • Pediatric Critical Care Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Family and Patient Care in Intensive Care Units
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
Keywords
acute stress disorder, post-traumatic stress disorder, pediatric intensive care unit, parents of critically ill children, PRISM III score
MeSH terms
Attitude to Death, Child, Child, Preschool, Female, Hospitalization, Hospitals, Urban, Humans, Infant, Length of Stay, Male, Parents, Prospective Studies, Severity of Illness Index, Stress Disorders, Post-Traumatic, Intensive Care Units, Pediatric, Cohort Studies, Prevalence, Risk Assessment, Stress Disorders, Traumatic, Acute

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