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Published on: January 7, 2020
The psychologic impact on children of admission to intensive care
1St. George's University of London, London, UK. g.colville@sgul.ac.uk
Insights
Children in the pediatric intensive care unit (PICU) can experience lasting distress, often linked to parental anxiety. Understanding the child
Area of Science:
- Pediatric Psychology
- Child Psychiatry
- Intensive Care Medicine
Background:
- Limited research exists on the psychological impact of pediatric intensive care unit (PICU) stays on children.
- Existing literature primarily focuses on parental and family experiences.
Purpose of the Study:
- To explore the child's psychological experience during and after a PICU admission.
- To examine the association between parental anxiety and children's psychological symptoms.
- To investigate the nature of children's memories of the PICU.
Main Methods:
- Literature review of existing studies on children's PICU experiences.
- Integration of author's research examples.
- Examination of evidence regarding factual and delusional memories.
Main Results:
- A significant minority of children experience persistent psychological distress post-PICU.
- Parental anxiety is associated with increased psychological symptoms in children.
- Children may form both factual and delusional memories of their PICU stay.
Conclusions:
- Further research is needed to fully understand and address the psychological needs of children in the PICU.
- Clinical interventions should consider the child's perspective and the impact of parental anxiety.
- Addressing children's memories and distress is crucial for recovery.
Abstract:
There is growing literature on the psychologic impact on parents and families of having a child on the pediatric intensive care unit (PICU), but less is known about the child's experience. In this article the relevant literature is explored and illustrated with examples from the author's research. Recurring themes are the persistence of distress in a significant minority of children and the association between parental anxiety and child's psychologic symptoms. The evidence on the extent of children's factual and delusional memories relating to PICU is also examined. Finally, the implications of the current state of knowledge for future research and for clinical work are discussed.
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