Emotional Aspects of Pediatric Post-Intensive Care Syndrome Following Traumatic Brain Injury.
Acute recovery
Emotional functioning
Post-intensive care syndrome
Traumatic brain injury
Journal
Journal of child & adolescent trauma
ISSN: 1936-1521
Titre abrégé: J Child Adolesc Trauma
Pays: Switzerland
ID NLM: 101306630
Informations de publication
Date de publication:
Jun 2021
Jun 2021
Historique:
accepted:
15
11
2020
entrez:
14
5
2021
pubmed:
15
5
2021
medline:
15
5
2021
Statut:
epublish
Résumé
Children with traumatic brain injury (TBI) requiring neurocritical care are at risk for neurocognitive, emotional, physical, and psychosocial difficulties, collectively known as Post-Intensive Care Syndrome. Our study assessed parent-reported emotional functioning and identified risk factors for emotional sequelae in the acute recovery phase. Fifty-three children between 5 and 18 years old hospitalized for TBI were assessed 1-month following discharge. Relevant injury-, child-, and family-specific variables were collected. Emotional functioning was assessed using PROMIS Parent Proxy Report Short Forms for Anxiety and Depressive Symptoms. We used Chi-square tests to evaluate differences between children with and without elevations in anxiety and depressive symptoms. Logistic regression determined predictors of elevations in symptoms among significant variables. Parents frequently endorsed moderate or worse anxiety (45.2%) and depressive (32.1%) symptoms among children. Mechanism of injury and elevated parent post-traumatic stress disorder (PTSD) symptoms were associated with elevated anxiety and depressive symptoms, while direct family involvement in the accident/injury was associated only with elevated anxiety symptoms. Results from logistic regression indicated that only elevated parent PTSD symptoms were a significant predictor for child anxiety and depressive symptoms. Anxiety and depressive symptoms are prevalent in the acute recovery phase of TBI. Consistent with previous research, elevations in anxiety and depressive symptoms were more related to psychosocial factors than injury severity. High levels of parent PTSD symptoms and their relationship with children's internalizing symptoms highlight the need for mental health treatment for TBI patients and their families.
Identifiants
pubmed: 33986904
doi: 10.1007/s40653-020-00332-y
pii: 332
pmc: PMC8099982
doi:
Types de publication
Journal Article
Langues
eng
Pagination
177-187Subventions
Organisme : NHLBI NIH HHS
ID : K12 HL133115
Pays : United States
Organisme : AHRQ HHS
ID : K12 HS022981
Pays : United States
Organisme : NHLBI NIH HHS
ID : K23 HL150217
Pays : United States
Informations de copyright
© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2020.
Déclaration de conflit d'intérêts
Conflict of InterestOn behalf of all authors, the corresponding author states there is no conflict of interest.
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