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An integrative model of pediatric medical traumatic stress

Anne E Kazak1, Nancy Kassam-Adams, Stephanie Schneider

  • 1The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Room 1486 CHOP North, Philadelphia, Pennsylvania 19104-4399, USA. kazak@email.chop.edu

Journal of Pediatric Psychology
|August 12, 2005
PubMed

Insights

A new model helps assess and treat pediatric medical traumatic stress (PMTS) in children and families. It integrates research to guide interventions across various pediatric conditions and their recovery.

Area of Science:

  • Pediatric Psychology
  • Trauma-Informed Care
  • Child Health Outcomes

Background:

  • Pediatric medical traumatic stress (PMTS) affects children and families during illness.
  • Existing literature lacks a unified approach to PMTS assessment and intervention.
  • A comprehensive model is needed to address PMTS across diverse pediatric conditions.

Purpose of the Study:

  • To present a model for assessing and treating pediatric medical traumatic stress (PMTS).
  • To integrate existing literature on PMTS across various pediatric conditions.
  • To guide clinical assessment and intervention strategies for patients and families.

Main Methods:

  • A three-phase model of PMTS is outlined: peritrauma, early/ongoing responses, and longer-term stress.
  • Literature review and discussion of intervention implications for each phase.
  • Focus on commonalities across conditions and developmental considerations.

Main Results:

  • Highlighted commonalities in responses to potentially traumatic events (PTEs) across pediatric conditions.
  • Emphasized the importance of pre-existing psychological well-being and developmental stage.
  • Stressed a social ecological perspective for understanding and intervening in PMTS.

Conclusions:

  • Empirical support is growing for PMTS assessment and intervention models.
  • Interventions are needed throughout pediatric illness and injury trajectories.
  • The proposed model offers a foundation for developing evidence-based PMTS treatments for patients, families, and healthcare teams.
Abstract

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