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Parental Mental Health Care After Their Child's Pediatric Intensive Care Hospitalization.
Logan, Grace E; Sahrmann, John M; Gu, Hongjie; Hartman, Mary E.
Afiliación
  • Logan GE; Department of Pediatrics, Washington University in St. Louis, St. Louis, MO.
  • Sahrmann JM; Department of Medicine, Division of Infectious Diseases, Washington University in St. Louis, St. Louis, MO.
  • Gu H; Division of Biostatistics, Washington University in St. Louis, St. Louis, MO.
  • Hartman ME; Department of Pediatrics, Washington University in St. Louis, St. Louis, MO.
Pediatr Crit Care Med ; 21(11): 941-948, 2020 11.
Article en En | MEDLINE | ID: mdl-32947380
ABSTRACT

OBJECTIVES:

Post-traumatic stress disorder, depression, and anxiety have all been found in parents of PICU survivors. How these research findings translate to actual use of mental health services by parents remains unknown.

DESIGN:

Retrospective observational cohort study.

SETTING:

Insurance claims data from 2006 to 2013 obtained from the IBM MarketScan Commercial Database. PATIENTS Parents of PICU survivors.

INTERVENTIONS:

We examined rates of 1) mental health diagnoses, 2) outpatient mental health visits, and 3) prescriptions for antidepressants and anxiolytics among parents, 6 months before and 6 months after their child's PICU admission, using each parent as their own control. MEASUREMENTS AND MAIN

RESULTS:

Of the 95,070 parents identified, 9.5% received a new mental health diagnosis in the 6 months after their child's PICU hospitalization, which represented a 110% increase from pre-PICU rates. A smaller proportion of parents were given new prescriptions for antidepressants (3.4%) and anxiolytics (3.9%) in the 6 months after their child's PICU hospitalization. Mothers were twice as likely to receive a new mental health diagnosis and be taking a new medication than fathers in the post-PICU period. The parental diagnosis of acute stress disorder or post-traumatic stress disorder increased by 87% from the pre-PICU to the post-PICU period.

CONCLUSIONS:

After their child's PICU hospitalization, the proportion of parents with a new mental health diagnosis nearly doubled. Mothers were at nearly twice the risk of receiving a new mental health diagnosis and receiving a new mental health medication compared with fathers. The proportion of parents receiving mental healthcare is much lower than the proportion reporting mental health symptoms in long-term outcomes studies. Whether this indicates a gap in healthcare delivery for parents with mental health symptoms remains unknown.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Unidades de Cuidado Intensivo Pediátrico / Salud Mental Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Female / Humans / Male Idioma: En Revista: Pediatr Crit Care Med Asunto de la revista: PEDIATRIA / TERAPIA INTENSIVA Año: 2020 Tipo del documento: Article País de afiliación: Macao

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Unidades de Cuidado Intensivo Pediátrico / Salud Mental Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Female / Humans / Male Idioma: En Revista: Pediatr Crit Care Med Asunto de la revista: PEDIATRIA / TERAPIA INTENSIVA Año: 2020 Tipo del documento: Article País de afiliación: Macao