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Preventing Pediatric Medical Traumatic Stress in a Pediatric Urology Outpatient Setting: Application of the Pediatric

Lillian C Hayes1,2,3, Jaclyn A Shepard4, Michelle M SooHoo5

  • 1Department of Urology, Boston Children's Hospital, USA.

Journal of Pediatric Psychology
|September 22, 2023
PubMed

Insights

Pediatric medical traumatic stress (PMTS) is a concern in urology. Applying the Pediatric Psychosocial Preventative Health Model (PPPHM) can guide prevention and intervention for urology patients.

Area of Science:

  • Urology
  • Psychology
  • Pediatric Healthcare

Background:

  • Pediatric medical traumatic stress (PMTS) is increasingly recognized in various medical fields.
  • Urologic interventions can be perceived as invasive, painful, and distressing by pediatric patients.
  • A specialized psychological approach, termed "uropsychology," is emerging for urology patients.

Purpose of the Study:

  • To enhance understanding of PMTS within pediatric urology populations.
  • To identify a theoretical model for preventing PMTS in this demographic.
  • To formulate clinical care recommendations for managing PMTS in pediatric urology.

Main Methods:

  • A literature review was conducted on PMTS in pediatric urology and other populations.
  • Experienced pediatric uropsychologists shared insights from clinical practice.
  • The Pediatric Psychosocial Preventative Health Model (PPPHM) was utilized as a guiding framework.

Main Results:

  • Gaps in the current evidence base for preventing PMTS in pediatric urology were identified.
  • Clinical care recommendations were developed, integrating clinical experience and the PPPHM.
  • The PPPHM framework offers a structure for prevention and intervention strategies.

Conclusions:

  • Limited research exists on PMTS in pediatric urology, despite the potentially traumatic nature of urologic procedures.
  • The PPPHM can effectively guide prevention and intervention efforts for PMTS in this population.
  • Further research is crucial to characterize PMTS, evaluate interventions, and develop screening tools, alongside promoting interdisciplinary collaboration and access to uropsychology care.
Abstract

Keywords:
healthcare services and utilizationnephrology and urologypost-traumatic stress and traumaprevention sciencepsychosocial intervention

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