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Effects of five parent-and-child risk factors on salivary cortisol levels and symptoms of posttraumatic stress disorder in school-age, critically ill children: Pilot study

Board, Rhonda ; Dai, Jianyu

Heart & Lung - The Journal of Acute and Critical Care, 2011, Vol.40(3), pp.236-246 [Peer Reviewed Journal]

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  • Title:
    Effects of five parent-and-child risk factors on salivary cortisol levels and symptoms of posttraumatic stress disorder in school-age, critically ill children: Pilot study
  • Author/Creator: Board, Rhonda ; Dai, Jianyu
  • Language: English
  • Subjects: Pediatric Critical Care ; Post-Traumatic Stress Syndrome ; Child Stress ; Parent Stress ; Salivary Cortisol ; Pediatric Critical Care ; Post-Traumatic Stress Syndrome ; Child Stress ; Parent Stress ; Salivary Cortisol ; Medicine ; Nursing
  • Is Part Of: Heart & Lung - The Journal of Acute and Critical Care, 2011, Vol.40(3), pp.236-246
  • Description: We examined the contributions of risk factors to the psychological and neuroendocrine status of children admitted to a pediatric intensive care unit (PICU), and explored the feasibility of a full-scale study of these risk factors. A prospective, correlational design was used. Risk factors included parental stress, parental anxiety, child anxiety, severity of the child's illness, and invasive procedures administered to the child. Outcomes variables were pediatric posttraumatic stress disorder (PTSD) symptoms and salivary cortisol levels. Measures were taken at 3 time points over 3 months. The mothers' state anxiety significantly increased over time, whereas the children's PTSD symptoms decreased. Most children with average or high anxiety demonstrated varying degrees of PTSD symptomatology, whereas children with low anxiety exhibited doubtful or mild symptoms of PTSD. As the severity of PTSD symptoms increased over time, the level of salivary...
  • Identifier: ISSN: 0147-9563 ; E-ISSN: 1527-3288 ; DOI: 10.1016/j.hrtlng.2010.05.051