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Psychosocial implications of pediatric surgical hospitalization
1Doernbecher Children's Hospital, Oregon Health & Science University, Portland, Oregon 97282 , USA. JulieLerwick@yahoo.com
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Childhood surgery can cause anxiety. Child-centered play therapy (CCPT) offers a developmentally appropriate, undirected approach to reduce psychological trauma and anxiety in pediatric surgical patients.
Area of Science:
- Pediatric Psychology
- Childhood Surgical Care
- Mental Health Interventions
Background:
- Childhood surgical illness and injury necessitate interventions to mitigate patient anxiety.
- Unaddressed psychological concerns in pediatric surgical patients can lead to long-term negative effects.
- Understanding developmental stages, not just age, is crucial for addressing psychosocial needs.
Purpose of the Study:
- To explore the efficacy of Child-Centered Play Therapy (CCPT) as an intervention for pediatric surgical patients.
- To compare CCPT with directive approaches like medical play in managing anxiety and psychological distress.
- To highlight the importance of developmentally appropriate, undirected therapeutic interventions.
Main Methods:
- Review of existing literature on interventions for pediatric surgical patients.
- Analysis of Child-Centered Play Therapy (CCPT) as an undirected, developmentally appropriate approach.
- Comparison of CCPT's impact on emotional expression and anxiety reduction versus directive methods.
Main Results:
- Child-Centered Play Therapy (CCPT) provides an outlet for children to express emotions related to hospitalization.
- CCPT has demonstrated effectiveness in reducing perceived and actual psychological trauma and anxiety.
- This therapy also addresses behavioral issues in children preparing for surgery.
Conclusions:
- Child-Centered Play Therapy (CCPT) is a comprehensive mental health intervention for pediatric surgical patients.
- Undirected, developmentally appropriate play therapy is essential for addressing the psychosocial needs of these children.
- Implementing CCPT can significantly improve the mental health outcomes for children undergoing surgery.
Abstract:
The prevalence of childhood surgical illness and injury requiring hospitalization suggests the need for implementation of an applied intervention to decrease levels of anxiety in these patients. When psychological concerns are not addressed in the present moment, potential for long-term negative psychological effects occur. To respond to the psychosocial needs of pediatric surgical patients it is important to understand foundational stages of development. Age is not always directly correlated with developmental stage and attunement to this subtle differentiation is essential. Some medical facilities offer services to pediatric surgical patients that include education about upcoming procedures as well as medical play which offers the opportunity to express emotions correlated with the hospitalization experience. This approach is directive in nature and controls the process of making sense of the medical environment. An alternative is Child Centered Play Therapy (CCPT) which creates an outlet for any emotions the children choose to express. CCPT offers comprehensive mental health care through a developmentally-appropriate, undirected intervention carried out by a mental health therapist and has been shown to reduce perceived and actual psychological trauma, anxiety, and behavioral issues in children preparing for surgery.
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