Abstract
AbstractThe purpose of the present review was to systematically review, synthesize and quantify prevalence rates of subclinical and clinical psychological symptoms in children and adolescents who have undergone surgery. Systematic literature searches were conducted twofold in April 8, 2020 and March 7, 2021 in PsycInfo and PubMed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Manuscripts were screened against eligibility criteria and were included if they investigated psychological symptoms in children or adolescents (age between 1 to 21 years at the time of study) who were hospitalized for pediatric surgery. Means and standard deviations weighted by sample size were calculated. Eleven articles met inclusion criteria. The review revealed that a small but substantial number of children and adolescents are at an elevated risk for postoperative psychological symptoms and disorders. Up to 13% had symptoms consistent with a diagnosis of a posttraumatic stress disorder, 6% to 8% exhibited elevated symptoms of depression or anxiety, and about 25% showed internalizing and externalizing symptoms. This review provides preliminary evidence that children and adolescents experience significant psychological distress and posttraumatic stress symptoms after pediatric surgery. Apart from better training of clinicians, prevention, early psychological screening and psychosocial care in surgical wards of hospitals are recommended. Well-designed studies of high methodological quality are necessary to replicate existing findings and provide a broader base of evidence.
Publisher
Springer Science and Business Media LLC
Subject
Critical Care and Intensive Care Medicine,Emergency Medicine
Reference67 articles.
1. Ahrens-Eipper, S., & Nelius, K. (2017). Posttraumatische Belastungsstörung bei körperlichen Erkrankungen und medizinischen Eingriffen im Kindesalter = Posttraumatic stress in children experiencing illnesses and injuries: A case-study. Trauma & Gewalt, 11(4), 268–278. https://doi.org/10.21706/tg-11-4-268
2. Alisic, E., Hoysted, C., Kassam-Adams, N., Landolt, M. A., Curtis, S., Kharbanda, A. B., Lyttle, M. D., Parri, N., Stanley, R., Babl, F. E., Pediatric Emergency Research Canada, Pediatric Emergency Medicine Collaborative Research Committee of American Academy of Pediatrics, Pediatric Emergency Research in United Kingdom and Ireland, Research in European Pediatric Emergency Medicine, Pediatric Emergency Care Applied Research Network, Pediatric Research in Emergency Departments International Collaborative, & Pediatric Emergency Research Networks. (2016). Psychosocial care for injured children: Worldwide survey among hospital emergency department staff. The Journal of Pediatrics, 170, 227–233. e336. https://doi.org/10.1016/j.jpeds.2015.10.067
3. Als, L. C., Picouto, M. D., Hau, S.-M., Nadel, S., Cooper, M., Pierce, C. M., et al. (2015). Mental and physical well-being following admission to pediatric intensive care. Pediatric Critical Care Medicine: A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 16(5), e141–e149. https://doi.org/10.1097/PCC.0000000000000424.
4. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: Dsm-5 (5. ed.). American Psychiatric Publishing.
5. Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (Ed.). (2019). Psychosocial Care in Paediatric Oncology and Haematology: Entwicklungsstufe 3. https://www.awmf.org/fileadmin/user_upload/Leitlinien/025_Ges_fuer_Paediatrische_Onkologie_und_Haematologie/025-002eng_S3_Psychosocial-Care-Paediatric-Oncology-Haematology__2020-02.pdf
Cited by
11 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献