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Psychosocial and adaptive behavior functioning in children following pediatric intensive care unit hospitalization:

Reham I Abdelmageed1, Azza M Youssef2, Sondos M Magdy2

  • 1Pediatrics Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. rehamibrahim@med.asu.edu.eg.

BMC Pediatrics
|September 17, 2025
PubMed

Insights

Children hospitalized in the pediatric intensive care unit (PICU) experience lasting psychosocial and adaptive functioning issues. Early psychological assessment and follow-up are vital for managing these long-term effects.

Area of Science:

  • Pediatric intensive care
  • Child psychology
  • Functional outcomes assessment

Background:

  • Increasing survival rates post-pediatric intensive care unit (PICU) hospitalization necessitate functional outcome assessment.
  • This study compares psychosocial and adaptive functioning in children post-PICU versus general ward hospitalization.

Purpose of the Study:

  • To compare psychosocial and adaptive functioning in children six weeks and six months after PICU discharge versus general ward discharge.
  • To identify variables associated with impaired functioning post-PICU discharge.

Main Methods:

  • Prospective observational cohort study of 100 children (2-11 years).
  • Utilized Behavioral Assessment System for Children, Third Edition (BASC-3) parent report and Parenting Stress Index-Short Form.
  • Multivariate regression analysis adjusted for demographics, PICU factors, and parental stress.

Main Results:

  • Children exhibited worse psychosocial and adaptive functioning up to six months post-PICU discharge compared to ward discharge (P < 0.05).
  • Intervention procedures and parental stress were linked to impaired functioning.
  • Younger age and longer stay correlated with psychosocial issues; internalizing/externalizing problems with poorer adaptive functioning at six months (P < 0.05).

Conclusions:

  • PICU experience significantly impacts children's psychosocial and adaptive outcomes, requiring longitudinal psychological assessment and follow-up.
  • Integrating adaptive behavior assessment is crucial for identifying deficits and developing management plans.
Abstract

Keywords:
Adaptive behaviorChildrenFunctioningPICUPsychosocial health

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