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Post-traumatic growth in parents after a child's admission to intensive care: maybe Nietzsche was right?
Gillian Colville1, Penelope Cream
1Paediatric Psychology Service, St George's Hospital, London, SW17 0QT, UK. gcolvill@sgul.ac.uk
Insights
Most parents of children in pediatric intensive care report significant post-traumatic growth. This positive change was linked to moderate post-traumatic stress levels, not high or low.
Area of Science:
- Psychology
- Pediatrics
- Trauma Studies
Background:
- This study investigated post-traumatic growth (PTG) in parents whose children underwent intensive care.
- A cohort of 50 parents from a Pediatric Intensive Care Unit (PICU) participated in a prospective, cross-sectional study.
Discussion:
- 88% of parents reported significant PTG after their child's PICU stay.
- PTG was positively correlated with post-traumatic stress, but in a curvilinear manner.
- Moderate levels of post-traumatic stress were most strongly associated with higher PTG.
Key Insights:
- Post-traumatic growth is a significant phenomenon for parents experiencing pediatric intensive care.
- Ventilated children and older children were associated with higher parental PTG.
- The relationship between PTG and post-traumatic stress is complex, peaking at moderate stress levels.
Outlook:
- Further research should explore the mechanisms underlying PTG in this population.
- Interventions could be developed to support parents in navigating trauma and fostering growth.
- Understanding PTG can inform clinical support for families in pediatric critical care settings.
Objective:
The aim of this prospective study was to establish the degree to which parents report post-traumatic growth after the intensive care treatment of their child.
Design:
Prospective cross-sectional cohort study.
Setting:
Paediatric Intensive Care Unit (PICU).
Subjects:
A total of 50 parents of children, admitted to PICU for >12 h.
Measurements And Results:
Parents provided stress ratings as their child was discharged from PICU and, 4 months later, completed postal questionnaires rating their anxiety, depression, post-traumatic stress and post-traumatic growth. As much as 44 parents (88%) indicated on the Posttraumatic Growth Inventory (PTGI) [1] that they had experienced a positive change to a great degree as a result of their experiences in PICU. Parents of children who were ventilated (P = 0.024) reported statistically higher post-traumatic growth as did parents of older children (P = 0.032). PTGI scores were positively correlated with post-traumatic stress scores at 4 months (P = 0.021), but on closer inspection this relationship was found to be curvilinear.
Conclusions:
Post-traumatic growth emerged as a salient concept for this population. It was more strongly associated with moderate levels of post-traumatic stress, than high or low levels.
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