Traumatic Stress Among Children After Surgical Intervention for Congenital Melanocytic Nevi: A Pilot Study.
Adolescent
Adult
Child
Child, Preschool
Dermatologic Surgical Procedures
/ adverse effects
Female
Humans
Infant
Male
Middle Aged
Nevus, Pigmented
/ congenital
Parents
/ psychology
Pilot Projects
Postoperative Complications
/ diagnosis
Prevalence
Prospective Studies
Psychiatric Status Rating Scales
Risk Factors
Skin Neoplasms
/ congenital
Stress Disorders, Post-Traumatic
/ diagnosis
Young Adult
Journal
Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
ISSN: 1524-4725
Titre abrégé: Dermatol Surg
Pays: United States
ID NLM: 9504371
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
pubmed:
27
12
2019
medline:
6
1
2021
entrez:
27
12
2019
Statut:
ppublish
Résumé
Hospitalization and surgery are traumatic experiences that can result after traumatic stress symptoms (PTSS). Surgical interventions for congenital melanocytic nevus (CMN) can be very stressful, but their potential for causing PTSS has not been studied. We aim to determine prospectively whether children undergoing surgery for CMN develop PTSS and what are the specific risk factors for such an event. The authors aim to determine prospectively whether children undergoing surgery for CMN develop PTSS and what the specific risk factors for such an event are. Thirty children who were consecutively hospitalized in a pediatric surgery ward for CMN removal during the study period were recruited voluntarily. About 4 months after discharge from the hospital, the children and their parents were assessed for psychological distress. At the assessment 4 months after hospitalization, the children displayed a significant increase in symptoms of distress in comparison with baseline levels. Moreover, 33.3% met full post-traumatic stress disorder (PTSD) diagnostic criteria. The number of invasive procedures, family resources, and parental distress predicted 40% of the variance in PTSS, with parental distress predicting it most significantly. The high prevalence of PTSS among children undergoing CMN removal and among their parents emphasizes the importance of actions for prevention and early treatment of psychological distress.
Sections du résumé
BACKGROUND
Hospitalization and surgery are traumatic experiences that can result after traumatic stress symptoms (PTSS). Surgical interventions for congenital melanocytic nevus (CMN) can be very stressful, but their potential for causing PTSS has not been studied. We aim to determine prospectively whether children undergoing surgery for CMN develop PTSS and what are the specific risk factors for such an event.
OBJECTIVE
The authors aim to determine prospectively whether children undergoing surgery for CMN develop PTSS and what the specific risk factors for such an event are.
METHODS
Thirty children who were consecutively hospitalized in a pediatric surgery ward for CMN removal during the study period were recruited voluntarily. About 4 months after discharge from the hospital, the children and their parents were assessed for psychological distress.
RESULTS
At the assessment 4 months after hospitalization, the children displayed a significant increase in symptoms of distress in comparison with baseline levels. Moreover, 33.3% met full post-traumatic stress disorder (PTSD) diagnostic criteria. The number of invasive procedures, family resources, and parental distress predicted 40% of the variance in PTSS, with parental distress predicting it most significantly.
CONCLUSION
The high prevalence of PTSS among children undergoing CMN removal and among their parents emphasizes the importance of actions for prevention and early treatment of psychological distress.
Identifiants
pubmed: 31876572
doi: 10.1097/DSS.0000000000002276
pii: 00042728-202009000-00017
doi:
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e45-e52Références
Bauer BS, Corcoran J. Treatment of large and giant nevi. Clin Plast Surg 2005;32:11–8.
Krengel S, Marghoob AA. Current management approaches for congenital melanocytic nevi. Dermatol Clin 2012;30:377–87.
Thompson A, Kent G. Adjusting to disfigurement: processes involved in dealing with being visibly different. Clin Psychol Rev 2001;21:663–82.
Kent G. Understanding experiences of people with disfigurements: an integration of four models of social and psychological functioning. Psychol Health Med 2000;5:117–29.
Wramp ME, Langenbruch A, Augustin M, Zillikens D, et al. Clinical course, treatment modalities and quality of life in patients with congenital melanocytic nevi—data from the German CMN registry. J Dtsch Dermatol Ges 2017;15:159–67.
Soon K. Towards an Explanatory Model of Socio-Emotional Functioning in Children and Adolescents with Congenital Dermatological Disfigurement: the Role of Attachment and Shame. PhD [dissertation]. London, United Kingdom: Institute of Child Health, University College London; 2015.
Hearst D. Can't they like me as I am? Psychological interventions for children and young people with congenital visible disfigurement. Dev Neurorehabil 2007;10:105–12.
Rumsey N, Harcourt D. Visible difference amongst children and adolescents: issues and interventions. Dev Neurorehabil 2007;10:113–23.
Shirley PG, Thompson N, Kenward M, Johnston G. Parental anxiety before elective surgery in children: a British perspective. Anaesthesia 1998;53:956–9.
Bevan JC, Johnston C, Haig MJ, Tousignant G, et al. Preoperative parental anxiety predicts behavioural and emotional responses to induction of anaesthesia in children. Can J Anaesth 1990;37:177–82.
Kain ZN, Caldwell-Andrews AA, Mayes LC, Wang SM, et al. Parental presence during induction of anesthesia: physiological effects on parents. Anesthesiology 2003;98:58–64.
Wang SM, Gaal D, Maranets I, Caldwell-Andrews A, et al. Acupressure and preoperative parental anxiety: a pilot study. Anesth Analg 2005;101:666–9.
Davidson AJ, Shrivastava PP, Jamsen K, Huang GH, et al. Risk factors for anxiety at induction of anesthesia in children: a prospective cohort study. Paediatr Anaesth 2006;16:919–27.
Caldwell-Andrews AA, Kain ZN, Mayes LC, Kerns RD, et al. Motivation and maternal presence during induction of anesthesia. Anesthesiology 2005;103:478–83.
Kain ZN, Mayes LC, Caldwell-Andrews AA, Saadat H, et al. Predicting which children benefit most from parental presence during induction of anesthesia. Paediatr Anaesth 2006;16:627–34.
Kain ZN, Mayes LC, O'Connor TZ, Cicchetti DV. Preoperative anxiety in children: predictors and outcomes. Arch Pediatr Adolesc Med 1996;150:1238–45.
Kain ZN, Caldwell-Andrews AA, Mayes LC, Weinberg ME, et al. Family-centered preparation for surgery improves perioperative outcomes in children: a randomized controlled trial. Anesthesiology 2007;107:65–74.
Landolt MA, Vollrath ME, Timm K, Gnehm HE, et al. Predicting posttraumatic stress symptoms in children after road traffic accidents. J Am Acad Child Adolesc Psychiatry 2005;44:1276–83.
Barakat LP, Kazak AE, Meadows AT, Casey R. Families surviving childhood cancer: a comparison of posttraumatic stress symptoms with families of healthy children. J Pediatr Psychol 1997;22:843–59.
Kazak AE, Kassam-Adams N, Schneider S, Zelikovsky N, et al. An integrative model of pediatric medical traumatic stress. J Pediatr Psychol 2006;31:343–55.
Kazak AE, Alderfer M, Rourke MT, Simms S, et al. Posttraumatic stress disorder (PTSD) and posttraumatic stress symptoms (PTSS) in families of adolescent childhood cancer survivors. J Pediatr Psychol 2004;29:211–9.
Ari AB, Peri T, Margalit D, Galili-Weisstub E, et al. Surgical procedures and pediatric medical traumatic stress (PMTS) syndrome: assessment and future directions. J Pediatr Surg 2018;53:1526–31.
Connolly D, McClowry S, Hayman L, Mahony L, et al. Posttraumatic stress disorder in children after cardiac surgery. J Pediatr 2004;144:480–4.
McGarry S. Pediatric Medical Traumatic Stress: the Impact on Children, Parents and Staff. PhD [dissertation]. Jundalup, Australia: Edith Cowen University; 2013.
Nelson LP, Gold JI. Posttraumatic stress disorder in children and their parents following admission to the pediatric intensive care unit: a review. Pediatr Crit Care Med 2012;13:338–47.
Nagata S, Funakosi S, Amae S, Yoshida S, et al. Posttraumatic stress disorder in mothers of children who have undergone surgery for congenital disease at a pediatric surgery department. J Pediatr Surg 2008;43:1480–6.
Johnston BD, Martin-Herz SP. Correlates of reinjury risk in sibling groups: a prospective observational study. Pediatrics 2010;125:483–90.
O'Connor SS, Zatzick DF, Wang J, Temkin N, et al. Association between posttraumatic stress, depresssion, and functional impairments in adolescents 24 months after traumatic brain injury. J Trauma Stress 2012;25:264–71.
Colville GA, Pierce CM. Children's self-reported quality of life after intensive care treatment. Pediatr Crit Care Med 2013;14:85–92.
Martin-Herz SP, Zatzick DF, McMahon RJ. Health-related quality of life in children and adolescents following traumatic injury: a review. Clin Child Fam Psychol Rev 2012;15:192–214.
Price J, Kassam-Adams N, Alderfer MA, Christofferson J, et al. Systematic review: a reevaluation and update of the integrative (trajectory) model of pediatric medical traumatic stress. J Pediatr Psychol 2016;41:86–97.
Penkower L, Dew MA, Ellis D, Sereika SM, et al. Psychological distress and adherence to the medical regimen among adolescent renal transplant recipients. Am J Transpl 2003;3:1418–25.
Masnari O, Schiestl C, Rössler J, Gütlein SK, et al. Stigmatization predicts psychological adjustment and quality of life in children and adolescents with a facial difference. J Pediatr Psychol 2013;38:162–72.
Noronha DO, Faust J. Identifying the variables impacting post-burn psychological adjustment: a meta-analysis. J Pediatr Psychol 2007;32:380–91.
Tabrizi JS, Seyedhejazi M, Fakhari A, Ghadimi F, et al. Preoperative education and decreasing preoperative anxiety among children aged 8–10 years old and their mothers. Anesth Pain Med 2015;5:1–5.
Cagiran E, Sergin D, Deniz MN, Tanatti B, et al. Effects of sociodemographic factors and maternal anxiety on preoperative anxiety in children. J Int Med Res 2014;42:572–80.
Tsao JCI, Lu Q, Myers CD, Kim SC, et al. Parent and child anxiety sensitivity: relationship to children's experimental pain responsivity. J Pain 2006;7:319–26.
Achenbach T, Edelbrock G. Manual for Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: University of Vermont; 1983.
Achenbach TM, Ruffle TM. The child behavior checklist and related forms for assessing behavioral/emotional problems and competencies. Pediatr Rev 2000;21:265–71.
Zilber N, Auerbach J, Lerner Y. Israeli norms for the achenbach child behavior checklist: comparison of clinically-referred and non-referred children. Isr J Psychiatry Relat Sci 1994;31:5–12.
Rennick JE, Johnston CC, Dougherty G, Dougherty G, et al. Children's psychological responses after critical illness and exposure to invasive technology. J Dev Behav Pediatr 2002;23:133–44.
Scheeringa MS, Zeanah CH. PTSD Semi-structured Interview and Observational Record for Infants and Young Children. New Orleans, LA: Department of Psychiatry and Neurology, Tulane University Health Sciences Center; 2005.
Cohen E Play and adaptation in traumatized young children and their caregivers in Israel. In: Barbanel L, Sternberg RJ, editors. Psychological Interventions in Times of Crisis. New York, NY: Springer Publishing Company;2006; pp. 151–80.
Laor N, Wolmer L, Mayes LC, Golomb A, et al. Israeli preschoolers under Scud missile attacks: a developmental perspective on risk-modifying factors. Arch Gen Psychiatry 1996;53:416–23.
Leigh E, Yule W, Smith P. Measurement issues: measurement of posttraumatic stress disorder in children and young people—lessons from research and practice. Child Adolesc Ment Health 2016;21:124–35.
Brislin RW. Research instruments. In: Lonner WJ, Berry JW, editors. Field Methods in Cross-Cultural Research. Beverly Hills, CA: SAGE Publications, 1986; 137–64.
Doric Ana, Stevanovic D, Stupar D, Vostanis P, et al. UCLA PTSD reaction index for DSM-5 (PTSD-RI-5): a psychometric study of adolescents sampled from communities in eleven countries. Eur J Psychotraumatol 2019;10:1605282.
Pai AL, Patiño-Fernández AM, McSherry M, Beele D, et al. The Psychosocial Assessment Tool (PAT 2.0): psychometric properties of a screener for psychological distress in families of children newly diagnosed with cancer. J Pediatr Psychol 2008;33:50–62.
Foa EB. The Posttraumatic Diagnostic Scale (PDS) Manual. Minneapolis, MN: National Computer Systems; 1996.
Sadock BJ, Sadock VA, editors. Kaplan and Sadock's Comprehensive Textbook of Psychiatry.(7th ed). Philadelphia, PA: Lippincott Williams and Wilkins, 2003.
Koot HM, de Waard-van der Spek F, Peer CD, Mulder PGH, et al. Psychosocial sequelae in 29 children with giant congenital melanocytic naevi. Clin Exp Dermatol 2000;25:589–93.
Landolt MA, Ystrom E, Sennhauser FH, Gnehm HE, et al. The mutual prospective influence of child and parental post-traumatic stress symptoms in pediatric patients. J Child Psychol Psychiatry 2012;53:767–74.
Ingerski LM, Shaw K, Gray WN, Janicke DM. A pilot study comparing traumatic stress symptoms by child and parent report across pediatric chronic illness groups. J Dev Behav Pediatr 2010;31:713–9.
Ari AB, Margalit D, Udassin R, Benarroch F. Traumatic stress among school-aged pediatric surgery patients and their parents. Eur J Pediatr Surg 2018;29:437–442.