TY - JOUR 
A1 - Rodríguez Rey, Rocío
AU - Alonso Tapia, Jesús
AU - Colville, Gillian
T1 - Prediction of parental posttraumatic stress, anxiety and depression after a child's critical hospitalization
Y1 - 2018
SN - 0883-9441

UR - http://hdl.handle.net/11268/7491
AB - OBJECTIVE:
To study the role of parental resilience, emotions accessed during admission and perceived stress in predicting the degree of parental posttraumatic stress disorder (PTSD), anxiety and depression symptoms after a child's treatment in intensive care.

METHODS:
This was prospective longitudinal cohort study. A total of 196 parents of pediatric intensive care survivors completed questionnaires assessing resilience, perceived stress, emotions experienced during admission, 48h post-discharge (T0). Sociodemographic and medical data were also collected. Main outcomes were anxiety, depression and PTSD, three (T1) and six (T2) months later.

RESULTS:
At T2, 23% of parents reported clinically significant levels of symptoms of PTSD, 21% reported moderate-severe anxiety, and 9% reported moderate-severe depression. These rates were not statistically different to rates at T1. Path analyses indicated that 47% of the variance in psychopathology symptoms at T2 could be predicted from the variables assessed at T0. Resilience was a strong negative predictor of psychopathology symptoms, but this effect was mostly indirect, mediated by the stress that parents perceive during their child's critical hospitalization.

CONCLUSIONS:
Mobilizing coping in order to maintain resilience and to decrease their perceived stress levels could improve parents' mental health outcomes following their child's intensive care treatment.
KW - Ansiedad
KW - Depresión mental
KW - Cuidados intensivos pediátricos
KW - Estrés mental
KW - Pediatría
LA - eng
ER -