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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.
Introduction:
Surgical procedures involve traumatic stress. Children may develop chronic psychological distress and dysfunction after surgery, with consequent reluctance to comply with medical follow-up care. A literature review of this topic shows that it has been understudied. Our study aims to assess the frequency and characteristics of symptoms of persistent psychological distress in children following surgery, which have not been documented before, in order to promote its awareness and its early identification.
Methods:
Parents of 79 children (aged 1-6) that were hospitalized in a pediatric surgical ward, comprising a representative sample, completed three validated questionnaires assessing their children's psychological symptoms 3-5months after the hospitalization.
Results:
A significant portion of children suffer from psychological distress 3-5months after hospitalization. Moreover, 10.39% of the children exhibited symptoms of PTSD, and 28.6% of parents reported that the child's distress causes dysfunction. Additionally, our findings emphasize the parents' concerns regarding the child's behavior, function, and health following hospitalization.
Conclusion:
Since a significant prevalence of hospitalization-related traumatic stress is documented, the awareness to it has to be improved, in order to reduce its frequency and increase adherence to medical follow-up care.
Type Of Study:
Prognosis study.
Level Of Evidence:
1.
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