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The factors associated with paediatric medical post-traumatic stress: A systematic review
Ilia Marcev1, Colm Lannon-Boran1,2, Philip Hyland1
1Maynooth University, Ireland.
Insights
This review identifies key factors contributing to pediatric medical-related posttraumatic stress (PMTS) in children and parents. Understanding these correlates can help clinicians identify at-risk families for early intervention.
Area of Science:
- Pediatric Psychology
- Trauma Studies
- Healthcare Research
Background:
- Pediatric medical experiences can lead to posttraumatic stress in children and parents.
- Identifying associated factors is crucial for timely intervention and support.
Purpose of the Study:
- To synthesize existing literature on factors linked to pediatric medical-related posttraumatic stress (PMTS).
- To organize identified correlates into key thematic areas for better understanding.
Main Methods:
- Systematic literature search of Medline, PubMed, and Scopus (Jan 2018 - Nov 2023).
- Inclusion of twelve English-language articles focusing on children with diverse medical conditions and their parents.
- Thematic analysis of identified factors associated with PMTS.
Main Results:
- Six key areas of PMTS correlates were identified: hospital practices, parent-child relationship, parental mental wellbeing, psychological factors, sociodemographic factors, and physical condition consequences.
- Factors were associated with both children and their parents.
- A wide range of correlates were found across the included studies.
Conclusions:
- Knowledge of PMTS correlates can aid clinicians in identifying at-risk children and parents.
- This understanding supports the development of targeted interventions.
- Further research may be needed to establish causal inferences given study designs.
Abstract:
We examined and synthesised existing literature on factors associated with paediatric medical-related posttraumatic stress among children and their parents. Children experiencing a broad spectrum of medical conditions, diseases and injuries were of interest. A search of relevant literature concerning PMTS in children and their parents, as well as factors associated with PMTS, was conducted using Medline, PubMed and Scopus. Only studies published in English between January 2018 and November 2023 were included. Twelve articles met inclusion criteria. A broad range of correlates of PMTS were identified for children and parents, which were thematically organised into six key areas: hospital practices and environments; the parent-child relationship; parental mental wellbeing; psychological factors; sociodemographic factors; and the physical consequences of the condition. Bearing in mind constraints on causal inference due to the design of the included studies, knowledge of the factors associated with PMTS may enable clinicians to identify at-risk children and parents, with a view to intervention.
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