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Psychosocial implications of pediatric surgical hospitalization

Julie L Lerwick1

  • 1Doernbecher Children's Hospital, Oregon Health & Science University, Portland, Oregon 97282 , USA. JulieLerwick@yahoo.com

Insights

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.

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