Surgical procedures and pediatric medical traumatic stress (PMTS) syndrome: Assessment and future directions

Amichai Ben Ari1, Tuvia Peri2, Daniella Margalit3

  • 1Department of Behavioral Sciences, Ariel University, Israel; Herman Dana Division of Child and Adolescent Psychiatry, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Insights

Pediatric surgery can cause lasting psychological distress in children, impacting their behavior and health. Early identification of these symptoms is crucial for improving long-term outcomes and medical adherence.

Area of Science:

  • Pediatric Surgery
  • Child Psychology
  • Trauma Studies

Background:

  • Surgical procedures represent a significant source of traumatic stress for children.
  • Post-surgery psychological distress and dysfunction can lead to poor medical follow-up compliance.
  • Existing literature reveals a lack of comprehensive study on this under-addressed topic.

Purpose of the Study:

  • To determine the frequency and characteristics of persistent psychological distress symptoms in pediatric surgical patients.
  • To enhance awareness and facilitate early identification of post-surgical psychological issues in children.
  • To provide foundational data for interventions aimed at mitigating long-term psychological effects.

Main Methods:

  • A prognosis study involving 79 children (aged 1-6) hospitalized in a pediatric surgical ward.
  • Parents completed three validated questionnaires 3-5 months post-hospitalization.
  • Data collection focused on assessing children's psychological symptoms and parental concerns.

Main Results:

  • A significant proportion of children experienced psychological distress 3-5 months after hospitalization.
  • Post-Traumatic Stress Disorder (PTSD) symptoms were observed in 10.39% of the children.
  • Parental reports indicated that 28.6% of children's distress led to functional impairment.

Conclusions:

  • The study confirms a significant prevalence of hospitalization-related traumatic stress in children.
  • Improved awareness and early detection are essential to reduce the incidence of such distress.
  • Addressing psychological distress is vital for enhancing adherence to medical follow-up care.
Abstract

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