Psychiatric Morbidity in Pediatric Critical Illness Survivors

Davydow, Dimitry S.; Richardson, Laura P.; Zatzick, Douglas; Katon, Wayne

doi:10.1001/archpediatrics.2010.10

Cited by 94 publications

(75 citation statements)

References 53 publications

(141 reference statements)

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“…Hastal›ktan önceki psikiyatrik ya da geliflimsel patolojilerin varl›¤›, hastal›¤›n ciddiyeti ve yo¤un bak›mda yat›fl psikiyatrik hastal›klara yatk›nl›¤› artt›rmaktad›r (15). Tedavide farmakoterapi ve/veya biliflsel-davran›flç› terapiler uygulanabilir (16).…”

Section: S Su Um MM Ma Ar Ry Yunclassified

Kronik hastalıklı ergenlerle konsültasyon çalışması

Ozmen¹,

Başer²

2011

tpa

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K Kr ro on ni ik k h ha as st ta al l› ›k kl l› › e er rg ge en nl le er rl le e k ko on ns sü ül lt ta as sy yo on n ç ça al l› ›fl flm ma as s› › P Ps sy yc ch hi ia at tr ri ic c c co on ns su ul lt ta at ti io on n s se er rv vi ic ce e t to o a ad do ol le es sc ce en nt ts s w wi it th h c ch hr ro on ni ic c i il ll ln ne es ss s M Mi in ne e Ö Öz zm me en n, , S Si in ne em m B Ba afl fle er r ‹stanbul Üniversitesi Cerrahpafla T›p Fakültesi, Psikiyatri Anabilim Dal›, ‹stanbul, Türkiye

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Section: S Su Um MM Ma Ar Ry Yunclassified

Kronik hastalıklı ergenlerle konsültasyon çalışması

Ozmen¹,

Başer²

2011

tpa

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“…Apart from the initial treatment with antibiotics, there may also be hospitalization [8] or, rarely, surgery. Medical illnesses requiring hospital admission may cause anxiety for children and families and may result in future psychological concerns [9,[10][11][12]. Antibiotic prophylaxis after initial treatment may be associated with significant side effects, particularly with respect to the gastrointestinal system, as well as allergic reactions [13,14].…”

Section: Introductionmentioning

confidence: 99%

Quality of life in children with vesicoureteral reflux

et al. 2011

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Vesicoureteral reflux (VUR) is commonly diagnosed in children presenting with urinary tract infections. Antibiotic prophylaxis and ureteric surgery are standard treatments for these children. Our aim was to investigate whether health-related quality of life (HRQOL) was altered in children treated for VUR. Children aged 1-5 years with grade III or higher VUR were identified through electronic records at the Stollery Children's Hospital. Parents of these children were mailed the TNO-AZL Netherlands Organisation for Applied Scientific Research Academic Medical Centre Quality of Life (TAPQOL) questionnaire. QOL scores for this group were compared with normative controls from the instrument's creators using the Mann-Whitney U test. Thirty-two of the 96 (33%) mailed surveys were returned. Eight children had surgery, and 19 were treated with antibiotic prophylaxis. When comparing the VUR group with the control group, we found that anxiety and social functioning scores were significantly better in patients with VUR (p < 0.01). The VUR group had worse scores in problem behavior, stomach complaints ,and communication (p < 0.01). This study reveals that children with VUR have a reasonable QOL when compared with controls. However, the diagnosis of VUR and its management does have an impact on gastrointestinal complaints, behavior, and communication, which may occur as a result of chronic medical intervention.

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“…Mounting evidence suggests PICU hospitalization can have significant psychological repercussions for children and their parents. Of the more than 210,000 children admitted annually to PICUs in North America (3,4), approximately 25% will exhibit negative psychological outcomes after discharge (5,6). Decreases in attention span, self-esteem, and self-confidence, altered relationships, increased medical fears, and depression have been identified up to 6 months after discharge.…”

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confidence: 99%

“…Decreases in attention span, self-esteem, and self-confidence, altered relationships, increased medical fears, and depression have been identified up to 6 months after discharge. Decreased emotional well-being (based on healthrelated quality-of-life studies), increased anxiety, hallucinations, delusions, and posttraumatic stress disorder have been identified up to 1 year after discharge (5)(6)(7)(8)(9). Pediatric critical illness is potentially detrimental to other members of the family (10).…”

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confidence: 99%

Advancing Our Understanding of the Psychological Impact of PICU Hospitalization

Rennick

2015

Pediatric Critical Care Medicine

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A dvances in medical technology are observed and experienced most dramatically in the environment of the PICU. This has resulted in significant changes in the nature of the PICU population. An analysis of admission data from 54 PICUs in the United States found that children with an underlying complex chronic health condition now comprise over half of all admissions (1). Many previously healthy children go on to leave the PICU with a chronic condition or remain technology dependent (2). Mounting evidence suggests PICU hospitalization can have significant psychological repercussions for children and their parents. Of the more than 210,000 children admitted annually to PICUs in North America (3, 4), approximately 25% will exhibit negative psychological outcomes after discharge (5, 6). Decreases in attention span, self-esteem, and self-confidence, altered relationships, increased medical fears, and depression have been identified up to 6 months after discharge. Decreased emotional well-being (based on healthrelated quality-of-life studies), increased anxiety, hallucinations, delusions, and posttraumatic stress disorder have been identified up to 1 year after discharge (5-9). Pediatric critical illness is potentially detrimental to other members of the family (10). Posttraumatic stress disorder, for example, has been identified in 18%-48% of parents after their child's PICU admission (11).In the pediatric critical care community, there is currently no consensus on how best to conceptualize this important area of study. The most recent trend has been to focus on posttraumatic stress as a conceptual framework for studying the impact of PICU hospitalization, and posttraumatic stress disorder (PTSD) as the primary outcome. However, a review of psychiatric morbidity in pediatric critical illness survivors concluded that future research would benefit from considering outcomes other than PTSD, focusing on children within a particular developmental stage (trauma-exposed adolescents, for example, may be at even greater risk for subsequent psychopathology than younger children), and clarifying whether psychiatric morbidity results from premorbid factors, the critical illness itself, or children's subsequent treatments (6). In one of the first articles to examine mediators of acute stress disorder (ASD) and later PTSD in critically ill youth after PICU hospitalization, In this issue of Pediatric Critical Care Medicine, Dr. Stowman and colleagues (12) have begun to address some of these concerns.Stowman and colleagues (12) followed 50 youth ages 9 to 17 years with a range of PICU admitting diagnoses to examine potential mediators of ASD and later PTSD symptoms, including youth anxiety, depression, negative effect, and hospital fear, and parent anxiety and depression. Parents were also assessed for ASD and PTSD symptoms. Power calculations were not reported. Measures were administered in the PICU and again 4 to 7 weeks later. Twenty-six percent of youth were classified as PTSD-positive, which is substantially higher than a previou...

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Psychiatric Morbidity in Pediatric Critical Illness Survivors

Cited by 94 publications

References 53 publications

Kronik hastalıklı ergenlerle konsültasyon çalışması

Kronik hastalıklı ergenlerle konsültasyon çalışması

Quality of life in children with vesicoureteral reflux

Advancing Our Understanding of the Psychological Impact of PICU Hospitalization

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