Complicated Grief, Depression and Post-Traumatic Stress Symptoms Among Bereaved Parents following their Child's Death in the Pediatric Intensive Care Unit: A Follow-Up Study.

TitleComplicated Grief, Depression and Post-Traumatic Stress Symptoms Among Bereaved Parents following their Child's Death in the Pediatric Intensive Care Unit: A Follow-Up Study.
Publication TypeJournal Article
Year of Publication2022
AuthorsSuttle, M, Hall, MW, Pollack, MM, Berg, RA, McQuillen, PS, Mourani, PM, Sapru, A, Carcillo, JA, Startup, E, Holubkov, R, J Dean, M, Notterman, DA, Meert, KL
Corporate Authors
JournalAm J Hosp Palliat Care
Volume39
Issue2
Pagination228-236
Date Published2022 Feb
ISSN1938-2715
KeywordsBereavement, Child, Depression, Follow-Up Studies, Grief, Humans, Intensive Care Units, Pediatric, Parents, Stress Disorders, Post-Traumatic
Abstract

<p><b>BACKGROUND: </b>Parents often suffer reduced mental health after their child's death; however, the trajectory and risk factors are not well described.</p><p><b>OBJECTIVE: </b>Describe the change in complicated grief, depression, and post-traumatic stress symptoms among parents between 6 and 13 months after their child's death in a pediatric intensive care unit (PICU), and factors associated with 13-month symptoms.</p><p><b>METHODS: </b>Parents whose children died in 1 of 8 PICUs affiliated with the Collaborative Pediatric Critical Care Research Network completed surveys 6 and 13 months after their child's death. Surveys included the Inventory of Complicated Grief (ICG), the Patient Health Questionnaire-8 (PHQ-8) for depression, and the Short Post-Traumatic Stress Disorder Rating Interview (SPRINT). Parents provided sociodemographics. Charts were reviewed for child characteristics.</p><p><b>RESULTS: </b>One-hundred and fifty seven parents of 104 deceased children completed surveys at both time points. Mental health symptoms declined over time (mean (SD)): ICG (33.8 (15.4) vs. 30.5 (15.2), p < 0.001), PHQ-8 (9.0 (6.4) vs. 7.3 (5.8), p < 0.001), and SPRINT (14.1 (8.3) vs. 12.0 (8.2), p < 0.001). After controlling for 6-month scores, higher 13-month ICG was independently associated with sudden unexpected death; higher PHQ-8 with Black race, insecure attachment style, and sudden unexpected death; and higher SPRINT with having a high school level of education (compared to college degree or higher).</p><p><b>CONCLUSION: </b>Mental health symptoms improve among parents during the first 13 months after their child's death; however, symptoms persist for many. Black parents and those whose children die suddenly may be high risk for poor adjustment during bereavement.</p>

DOI10.1177/10499091211015913
Alternate JournalAm J Hosp Palliat Care
PubMed ID33949217
Grant ListRL1 HD107779 / HD / NICHD NIH HHS / United States
U10 HD049983 / HD / NICHD NIH HHS / United States
UG1 HD049983 / HD / NICHD NIH HHS / United States