An integrative model of pediatric medical traumatic stress.

TitleAn integrative model of pediatric medical traumatic stress.
Publication TypeJournal Article
Year of Publication2006
AuthorsKazak AE, Kassam-Adams N, Schneider S, Zelikovsky N, Alderfer MA, Rourke M
JournalJ Pediatr Psychol
Volume31
Issue4
Pagination343-55
Date Published2006 May
ISSN0146-8693
KeywordsChild, Chronic Disease, Humans, Stress Disorders, Traumatic
Abstract

OBJECTIVE: To guide assessment and intervention for patients and families, a model for assessing and treating pediatric medical traumatic stress (PMTS) is presented that integrates the literature across pediatric conditions.

METHODS: A model with three general phases is outlined--I, peritrauma; II, early, ongoing, and evolving responses; and III, longer-term PMTS. Relevant literature for each is reviewed and discussed with respect to implications for intervention for patients and families.

RESULTS: Commonalities across conditions, the range of normative responses to potentially traumatic events (PTEs), the importance of preexisting psychological well-being, developmental considerations, and a social ecological orientation are highlighted.

CONCLUSIONS: Growing empirical support exists to guide the development of assessment and intervention related to PMTS for patients with pediatric illness and their parents. The need for interventions across the course of pediatric illness and injury that target patients, families, and/or healthcare teams is apparent. The model provides a basis for further development of evidence-based treatments.

DOI10.1093/jpepsy/jsj054
Alternate JournalJ Pediatr Psychol
PubMed ID16093522