Show simple item record

dc.contributor.authorLe Brocque, Robyne M
dc.contributor.authorDow, Belinda L
dc.contributor.authorMcMahon, Hayley
dc.contributor.authorCrothers, Anna L
dc.contributor.authorKenardy, Justin A
dc.contributor.authorWilliams, Tara J
dc.contributor.authorLong, Debbie A
dc.date.accessioned2020-08-11T05:46:39Z
dc.date.available2020-08-11T05:46:39Z
dc.date.issued2020
dc.identifier.issn1529-7535
dc.identifier.doi10.1097/PCC.0000000000002316
dc.identifier.urihttp://hdl.handle.net/10072/396428
dc.description.abstractOBJECTIVES: This study investigated trauma symptom trajectories of children 2-16 years old following admission to pediatric intensive care and identified factors that predicted a child's trauma symptom trajectory. DESIGN: Prospective longitudinal design. SETTING: Two tertiary care PICUs in Brisbane, Qld, Australia. PATIENTS: Children 2-16 years old admitted to PICU for longer than 8 hours. MEASUREMENTS MAIN RESULTS: Maternal reported child posttraumatic stress symptoms (n = 272) on the Trauma Symptom Checklist for Young Children were used to assess posttraumatic stress symptoms up to 12 months post admission. Semiparametric group-based trajectory analyses were completed to identify patterns over time. Age, gender, length of stay, premorbid functioning, maternal perceived threat to life, and maternal acute distress were assessed as potential risk factors. Three likely trajectory groups were identified. The majority of children were resilient (83.8%); however, a significant minority experienced chronic symptoms (12.9%) or elevated stress symptoms which resolved quickly (3.3%). After controlling for other variables, maternal report of premorbid internalizing behavior significantly predicted both chronic (odds ratio, 6.3) and recovery (odds ratio, 38.0) trajectories. Maternal acute distress significantly predicted child chronic symptom trajectories (odds ratio, 5.2). CONCLUSIONS: Children with elevated trauma symptoms postintensive care need timely and effective intervention. The majority of children with high levels of acute symptoms will continue to have chronic, ongoing posttraumatic stress symptoms. In addition, acute maternal distress and preexisting internalizing child behavior predict ongoing psychologic distress after discharge from the PICU. Screening in the acute period post-PICU admission may identify children likely to experience ongoing chronic posttraumatic distress symptoms and enable targeted treatment of children at risk. This is the first study to examine symptom trajectories in children following pediatric intensive care admission and includes a sample of very young children.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofissue7
dc.relation.ispartofjournalPediatric Critical Care Medicine
dc.relation.ispartofvolume21
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode4205
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsCritical Care Medicine
dc.subject.keywordsGeneral & Internal Medicine
dc.titleThe Course of Posttraumatic Stress in Children: Examination of Symptom Trajectories and Predictive Factors Following Admission to Pediatric Intensive Care
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationLe Brocque, RM; Dow, BL; McMahon, H; Crothers, AL; Kenardy, JA; Williams, TJ; Long, DA, The Course of Posttraumatic Stress in Children: Examination of Symptom Trajectories and Predictive Factors Following Admission to Pediatric Intensive Care, Pediatric Critical Care Medicine, 2020, 21 (7), pp. E399-E406
dc.date.updated2020-08-11T05:45:03Z
gro.hasfulltextNo Full Text
gro.griffith.authorLong, Debbie A.
gro.griffith.authorCrothers, Anna


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record