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Examining Recall Memory in Infancy and Early Childhood Using the Elicited Imitation Paradigm
Published on: April 28, 2016
Children's factual and delusional memories of intensive care
Gillian Colville1, Sally Kerry, Christine Pierce
1Pediatric Psychology Service, St. George's Hospital, London, United Kingdom. gcolvill@sgul.ac.uk
Insights
Delusional memories in children after intensive care are linked to medication duration and increased post-traumatic stress risk. Factual memories were not associated with distress, highlighting the need for further research.
Area of Science:
- Pediatric Intensive Care
- Trauma Psychology
- Neuroscience
Background:
- Delusional memories are linked to post-traumatic stress in adult intensive care survivors.
- Understanding this association in pediatric populations is crucial.
Purpose of the Study:
- To investigate the relationship between delusional memories and post-traumatic stress in children following pediatric intensive care.
- To examine the association between factual memories and distress in this cohort.
Main Methods:
- 102 children (7-17 years) were interviewed 3 months post-discharge from a pediatric intensive care unit (PICU).
- Measures included the ICU Memory Tool and a post-traumatic stress disorder (PTSD) screening tool.
- Data analyzed for associations between memory types, medication use, and PTSD scores.
Main Results:
- 63% of children reported factual memories; 32% reported delusional memories.
- Longer opiate/benzodiazepine use correlated with delusional memories (OR 4.98, P=0.023).
- Delusional memories were associated with higher post-traumatic stress scores (adjusted difference 3.0, P=0.045).
Conclusions:
- Delusional memories affect nearly one-third of pediatric intensive care survivors.
- These memories are linked to sedative/analgesic duration and increased PTSD risk.
- Further research is warranted on delusional memories and risk factors in pediatric intensive care patients.
Rationale:
Delusional memories are significantly associated with post-traumatic stress in adult patients after intensive care.
Objectives:
In this study, we attempted to establish whether this relationship was found in children. We also examined the association between factual memory and distress.
Methods:
One hundred two consecutive children, aged between 7 and 17 years, were interviewed about their pediatric intensive care unit (PICU) experience 3 months after discharge from a PICU. Principal measures were the ICU Memory Tool (a checklist of intensive care memories) and an abbreviated version of the Impact of Event Scale (a screen for post-traumatic stress disorder).
Measurements And Main Results:
In total, 64 of 102 (63%) children reported at least one factual memory of their admission and 33 of 102 (32%) reported delusional memories, including disturbing hallucinations. Traumatic brain injury was negatively associated with factual memory (odds ratio, 0.23; 95% confidence interval [CI], 0.09-0.58; P = 0.002). Longer duration of opiates/benzodiazepines was associated with delusional memory (odds ratio, 4.98; 95% CI, 1.3-20.0; P = 0.023). Post-traumatic stress scores were higher in children reporting delusional memories (adjusted difference, 3.0; 95% CI, 0.06-5.9; P = 0.045) when illness severity and emergency status were controlled for. Factual memory was not significantly associated with post-traumatic stress.
Conclusions:
This study indicates that delusional memories are reported by almost one-third of children and are associated both with the duration of opiates/benzodiazepines and risk of post-traumatic stress. More research is needed on the presence of delusional memories and associated risk factors in children receiving intensive care treatment.
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