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Assessment and management of pediatric iatrogenic medical trauma

Marcy Forgey1, Brenda Bursch

  • 1Division of Child Psychiatry, Department of Psychiatry and Biobehavioral Sciences, UCLA Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine at UCLA, 760 Westwood Plaza, 58-242C, Los Angeles, CA 90024, USA. mforgey@mednet.ucla.edu

Current Psychiatry Reports
|January 12, 2013
PubMed

Insights

Medical trauma affects many children and parents, with some developing posttraumatic stress disorder. Evidence-based, family-centered treatments are crucial for those with severe symptoms impacting health and adherence.

Area of Science:

  • Pediatric Psychology
  • Child Psychiatry
  • Trauma-Informed Care

Background:

  • Medically ill children face iatrogenic trauma in healthcare settings.
  • Significant percentages of children (25-30%) and parents experience posttraumatic stress symptoms (PTSS).
  • PTSS in children is linked to medical nonadherence, psychiatric issues, and worse health outcomes.

Purpose of the Study:

  • To review assessment and management strategies for pediatric iatrogenic medical trauma.
  • To emphasize a family-based framework for addressing trauma in medically ill children.
  • To guide clinicians in identifying and treating children and parents with significant distress.

Main Methods:

  • Review of existing literature on pediatric medical trauma.
  • Focus on family-based approaches to assessment and intervention.
  • Discussion of evidence-based, trauma-focused treatment modalities.

Main Results:

  • Most mild trauma symptoms resolve spontaneously.
  • A substantial minority of children and parents require intervention for persistent PTSS.
  • Family-centered care is essential for effective management.

Conclusions:

  • Pediatric iatrogenic medical trauma is a significant concern requiring attention.
  • Trauma-focused treatment is indicated for children and families with high distress.
  • A family-based framework enhances the assessment and management of these complex cases.

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