Complex Traumatic Stress in the Pediatric Medical Setting

Brosbe, Micah S.; Faust, Jan L.; Gold, Steven N.

doi:10.1080/15299732.2012.724761

Cited by 6 publications

(3 citation statements)

References 70 publications

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“…The negative experience can include not just the illness or the injury, but also aspects of the hospitalization and treatments provided. These aspects can be experienced in different ways, but impact on all areas of neurodevelopment [ 50 , 51 , 52 ]. Using neuroscience principles on how to support healthy brain development, we can also apply these strategies for protecting brains—particularly those that are still developing.…”

Section: Impact Of Hospitalization and Critical Illness On Child Healthmentioning

confidence: 99%

“…Improved understanding of the psychological and neurological impacts of pediatric hospitalizations requires a developmental perspective. Hospitalization can result in a disruption in familial and social relationships and routines, which can be experienced as a stressful, traumatic event in a person’s life [ 52 ]. This process is especially intensified in early childhood, given developing brains are more vulnerable and have had less opportunity to develop protective resilience and coping mechanisms.…”

Section: Impact Of Hospitalization and Critical Illness On Child Healthmentioning

confidence: 99%

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Brain-Directed Care: Why Neuroscience Principles Direct PICU Management beyond the ABCs

et al. 2022

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Major advances in pediatric intensive care (PICU) have led to increased child survival. However, the long-term outcomes among these children following PICU discharge are a concern. Most children admitted to PICU are under five years of age, and the stressors of critical illness and necessary interventions can affect their ability to meet crucial developmental milestones. Understanding the neuroscience of brain development and vulnerability can inform PICU clinicians of new ways to enhance and support the care of these most vulnerable children and families. This review paper first explores the evidence-based neuroscience principles of brain development and vulnerability and the impact of illness and care on children’s brains and ultimately wellbeing. Implications for clinical practice and training are further discussed to help optimize brain health in children who are experiencing and surviving a critical illness or injury.

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Section: Impact Of Hospitalization and Critical Illness On Child Healthmentioning

confidence: 99%

Section: Impact Of Hospitalization and Critical Illness On Child Healthmentioning

confidence: 99%

Brain-Directed Care: Why Neuroscience Principles Direct PICU Management beyond the ABCs

et al. 2022

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“…In a review of anxiety among youth with medical conditions, authors summarized the relationship between painful medical interventions and PTSD, suggesting lasting effects of painful procedures on later pain processing (Pao and Bosk 2011). Further, in a review of complex traumatic stress in the medical setting, traumatic stress was described to influence pain maintenance via mechanisms of emotion dysregulation, information processing, and dissociation (Brosbe et al 2013).…”

Section: Impact Of Traumatic Stress On Pain Sensitivity and Processingmentioning

confidence: 99%

Traumatic Stress and Pediatric Pain: Towards a Neurobiological Stress-Health Perspective

Kao

Bhandari

Huestis

et al. 2017

Journ Child Adol Trauma

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This theoretical review aims to present the limited findings on traumatic stress and pain in children and adolescents, highlight recent discoveries regarding neurobiological processes, and suggest an alternative stress-health perspective in the future study and conceptualization of pediatric pain and traumatic stress based on results. Current literature highlights a positive correlation between pain and trauma symptoms in youth and suggests a complex relationship that may have mutually maintaining dynamics and intertwined physiological processes. Developmentally sensitive, longitudinal, processoriented designs assessing neurobiological alterations and stress responses should be utilized in the examination of the trauma-pain relationship. Such investigations may provide a more unified explanation of the relationship between chronic pain and traumatic stress.

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Socioemotional Consequences of Illness and Disability

Crnic

Neece

2015

Handbook of Child Psychology and Developmental Science

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This chapter addresses core developmental approaches to understanding the nature of social and emotional consequences of illness and disability during the developmental period. The chapter addresses the ways in which developmental disabilities and chronic illness share a particular risk status, but can also be differentiated. Definitions and epidemiology are broadly considered to set the stage for the specific social and emotional domains to be reviewed. Three basic domains are addressed in depth: social and peer competencies, emotion and emotion regulation, and behavior and emotion problems . Disabilities and chronic illnesses are discussed both separately and together within these domains. The shifting nature of the conceptual paradigms used to understand the consequences of chronic conditions ( pathology versus adaptational or positive approaches) are discussed. Both endogenous and exogenous factors that contribute to the consequences of chronic conditions are addressed. Genetic approaches highlight the endogenous considerations, while family, school, and cultural factors are the focus of the exogenous factors that contribute. These considerations lead to a discussion of intervention approaches that have addressed socioemotional competencies in children with chronic conditions. The chapter concludes with a review of the current state of the field, and suggestions for the next generation of research for the field.

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Complex Traumatic Stress in the Pediatric Medical Setting

Cited by 6 publications

References 70 publications

Brain-Directed Care: Why Neuroscience Principles Direct PICU Management beyond the ABCs

Brain-Directed Care: Why Neuroscience Principles Direct PICU Management beyond the ABCs

Traumatic Stress and Pediatric Pain: Towards a Neurobiological Stress-Health Perspective

Socioemotional Consequences of Illness and Disability

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