Post-Traumatic Growth in Parents following Their Child's Death in a Pediatric Intensive Care Unit.

TitlePost-Traumatic Growth in Parents following Their Child's Death in a Pediatric Intensive Care Unit.
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, Notterman, DA, Colville, G, Meert, KL
Corporate Authors
JournalJ Palliat Med
Volume25
Issue2
Pagination265-273
Date Published2022 Feb
ISSN1557-7740
KeywordsBereavement, Child, Female, Grief, Humans, Intensive Care Units, Pediatric, Parents, Posttraumatic Growth, Psychological, Surveys and Questionnaires
Abstract

<p> Although bereaved parents suffer greatly, some may experience positive change referred to as post-traumatic growth. Explore the extent to which parents perceive post-traumatic growth after their child's death in a pediatric intensive care unit (PICU), and associated factors. Longitudinal parent survey conducted 6 and 13 months after a child's death. Surveys included the Post-traumatic Growth Inventory-Short Form (PTGI-SF), a 10-item measure with range of 0-50 where higher scores indicate more post-traumatic growth. Surveys also included the Inventory of Complicated Grief (ICG), the Patient Health Questionnaire-8 (PHQ-8) for depression, the Short Post-Traumatic Stress Disorder Rating Interview (SPRINT), a single item on perceived overall health, and sociodemographics. One hundred fifty-seven parents of 104 children who died in 1 of 8 PICUs affiliated with the U.S. Collaborative Pediatric Critical Care Research Network. Of participating parents, 62.4% were female, 71.6% White, 82.7% married, and 89.2% had at least a high school education. Mean PTGI-SF scores were 27.5 ± 12.52 (range 5-50) at 6 months and 28.6 ± 11.52 (range 2-49) at 13 months ( = 0.181). On multivariate modeling, higher education (compared with those not completing high school) and higher 6-month ICG scores (reflecting more complicated grief symptoms) were associated with lower 13-month PTGI-SF scores ( = 0.005 and 0.033, respectively). Parents bereaved by their child's PICU death perceive a moderate degree of post-traumatic growth in the first 13 months after the death however variability is wide. Education level and complicated grief symptoms may influence parents' perception of post-traumatic growth.</p>

DOI10.1089/jpm.2021.0290
Alternate JournalJ Palliat Med
PubMed ID34612728
PubMed Central IDPMC8861930
Grant ListRL1 HD107777 / HD / NICHD NIH HHS / United States
UG1 HD050096 / HD / NICHD NIH HHS / United States
UG1 HD063108 / HD / NICHD NIH HHS / United States
U01 HD049934 / HD / NICHD NIH HHS / United States
UG1 HD049983 / HD / NICHD NIH HHS / United States
RL1 HD107779 / HD / NICHD NIH HHS / United States
U10 HD049983 / HD / NICHD NIH HHS / United States
UG1 HD083171 / HD / NICHD NIH HHS / United States
UG1 HD083166 / HD / NICHD NIH HHS / United States
UG1 HD049981 / HD / NICHD NIH HHS / United States
UG1 HD083170 / HD / NICHD NIH HHS / United States