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Pediatrični medicinski stres in travma
Jana Škorjanc, Ivana Kreft Hausmeister in Sandra Klašnja
Polno besedilo (pdf) | Ogledi: 130 | Napisan v slovenščini. | Objavljeno: 23. junij 2021
https://doi.org/10.20419/2021.30.542 | Citati: CrossRef (0)
Povzetek: Dogodki, povezani z različnimi boleznimi, poškodbami in kroničnimi stanji ter z njimi povezano zdravljenje in medicinske intervencije, predstavljajo najpogostejše potencialne travmatske izkušnje v otroštvu. V članku se avtorice sprašujemo o pojavu travmatskega stresa in medicinske travme pri otrocih in njihovih družinah. Pri prepoznavanju medicinske travme si lahko pomagamo s teoretičnim modelom dolgotrajne somatske grožnje, ki je bil oblikovan z namenom razločevanja med medicinsko in nemedicinsko travmo (ki je niso povzročili medicinski dogodki). Različne raziskave poročajo, da kar do 80 % otrok in njihovih družin doživlja nekoliko travmatskega stresa pri soočanju z življenjsko ogrožajočimi boleznimi, poškodbami ali bolečimi medicinskimi postopki. Približno 20–30 % staršev ter 15–25 % otrok in njihovih sorojencev pa celo doživlja trajen travmatski stres, ki ovira vsakodnevno delovanje in vpliva na sam potek zdravljenja ter okrevanja. Razvoj in potek pediatrične medicinske travme ponazarja model pediatričnega medicinskega travmatskega stresa, ki za posamezno fazo poteka navaja tudi cilje intervencij. Poleg psihologa ima pri preprečevanju travme, ki se lahko pojavi pri obravnavi otrok, mladostnikov in njihovih staršev, pomembno vlogo tudi zdravstveno osebje. Vsi strokovni oziroma zdravstveni delavci si moramo prizadevati, da obravnava in oskrba otrok vključuje zavedanje in ozaveščanje o travmi. Na ta način lahko namreč pomembno preprečimo ali zmanjšamo negativne posledice travme, do katere lahko pride v medicinskem okolju.
Ključne besede: otroci, starši, medicinska travma, rak, intenzivna nega
Citiraj:
Škorjanc, J., Kreft Hausmeister, I. in Klašnja, S. (2021). Pediatrični medicinski stres in travma [Pediatric medical stress and trauma]. Psihološka obzorja, 30, 162–170. https://doi.org/10.20419/2021.30.542
Seznam literature v članku
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). CrossRef
Ben-Ari, A., Benarroch, F., Sela, Y. in Margalit, D. (2019). Risk factors for the development of medical stress syndrome following surgical intervention. Journal of Pediatric Surgery, 55(9), 1685–1690. CrossRef
Bokszczanin, A. (2007). PTSD symptoms in children and adolescents 28 months after a flood: Age and gender differences. Journal of Traumatic Stress, 20(3), 347–351. CrossRef
Bronner, M. B., Knoester, H., Bos, A. P., Last, B. F. in Grootenhuis, M. A. (2008). Posttraumatic stress disorder (PTSD) in children after paediatric intensive care treatment compared to children who survived a major fire disaster. Child and Adolescent Psychiatry and Mental Health, 2(1). CrossRef
Edmondson, D. (2014). An enduring somatic threat model of posttraumatic stress disorder due to acute life-threatening medical events. Social and Personality Psychology Compass, 8(3), 118–134. CrossRef
Hall, M. F. in Hall, S. E. (2016). Managing the psychological impact of medical trauma: A guide for mental health and health care professionals. Springer Publishing Company. CrossRef
Ingerski, L. M., Shaw, K., Gray, W. N. in Janicke, D. M. (2010). A pilot study comparing traumatic stress symptoms by child and parent report across pediatric chronic illness groups. Journal of Developmental and Behavioral Pediatrics, 31, 713–719. CrossRef
Jones, C., Baxkman, C., Capuzzo, M., Flaatten, H., Rylander, C. in Griffiths, R. D. (2007). Precipitants of post-traumatic stress disorder following intensive care: A hypothesis generating study of diversity in care. Intensive Care Medicine, 33, 978–985. CrossRef
Kassam-Adams, N. in Butler, L. (2017). What do clinicians caring for children need to know about pediatric medical traumatic stress and the ethics of trauma-informed approaches?AMA Journal of Ethics, 19(8), 793–801. CrossRef
Kazak, A. E., Kassam-Adams, N., Schneider, S., Zlikovsky, N., Alderfer, A. M. in Rourke, M. (2006). An integrative model of pediatric medical traumatic stress. Journal of Pediatric Psychology, 31(4), 343–355. CrossRef
Kazak, A. E., Rourke, T. M., Alderfer, A. M., Pai, A., Reilly, F. A. in Meadows, T. A. (2007). Evidence-based assessment, intervention and psychosocial care in pediatric oncology: A blueprint for comprehensive services across treatment. Journal of Pediatric Psychology, 32(9), 1099–1110. CrossRef
Levine, P. A. in Frederick, A. (1997). Waking the tiger, healing trauma. North Atlantic Books.
Levine, P. A. in Kline, M. (2018). Skupaj premagujmo travme in stres: Kako pri otrocih krepimo samozavest in psihično odpornost [Overcoming trauma and stress together: How to strengthen children's self-confidence and psychological resilience]. Mladinska knjiga.
Marsac, L. M., Kassam-Adams, N., Delahanty, L. D., Widaman F. K. in Barakat, P. L. (2014). Posttraumatic stress following acute medical trauma in children: A proposed model of bio/psycho/social processes during the peri-trauma period. Clinical Child Family Psychological Review, 17, 399–411. CrossRef
McCarthy, M. C., Ashley, D. M., Lee, K. J. in Anderson, V. A. (2012). Predictors of acute and posttraumatic stress symptoms in parents following their child's cancer diagnosis. Journal of Traumatic Stress, 25, 558–566. CrossRef
Meiser-Stedman, R. A., Yule, W., Dalgleish, T. Smith, P. in Glucksman, E. (2006). The role of the family in child and adolescent posttraumatic stress following attendance at an emergency department, Journal of Pediatric Psychology, 31(4), 397–402. CrossRef
Nabors, L. in Kichler, J. (2016). Play therapy with children experiencing medical illness and trauma. V K. O'Connor, C. Schaefer in D. B. Braverman (ur.), Handbook of play therapy (str. 437–454). John Wiley and Sons. CrossRef
National Child Traumatic Stress Network. (2003). Medical Trauma. https://www.nctsn.org/what-is-child-trauma/trauma-types/medical-trauma
Nelson, P. L. in Gold, I. J. (2012). Posttraumatic stress disorder in children and their parents following admission to the pediatric intensive care unit: A review. Pediatric Critical Care Medicine, 13(3), 338–347. CrossRef
Ostrowski, S. A., Christopher, N. C. in Delahanty, D. L. (2007). Brief report: The impact of maternal posttraumatic stress disorder symptoms and child gender on risk for persistent posttraumatic stress disorder symptoms in child trauma victims. Journal of Pediatric Psychology, 32(3), 338–342. CrossRef
Pai, A. L. H., Greenley, R. N., Lewandowski, A., Drotar, D., Youngstrom, E. in Peterson, C. C. (2007). A meta-analytic review of the influence of pediatric cancer on parent and family functioning. Journal of Family Psychology, 21, 407–415. CrossRef
Pai, A. in Kazak, E. A. (2006). Pediatric medical traumatic stress in pediatric oncology: Family system interventions. Current Opinion Pediatric, 18, 558–562. CrossRef
Patino-Fernandez, A. M., Pai, A., Alderfer, M., Hwang, W., Reilly, A. in Kazak, A. E. (2007). Acute stress in parents of children newly diagnosed with cancer. Pediatric Blood Cancer, 50, 289–292. CrossRef
Price, J., Kassam-Adams, N., Alderfer, M. A., Christofferson, J. in Kazak, A. E. (2015). Systematic review: A reevaluation and update of the Integrative (trajectory) model of pediatric medical traumatic stress. Journal of Pediatric Psychology, 41(1), 86–97. CrossRef
Rees, G., Gledhill, J., Garralda, M. E. in Nadel, S. (2004). Psychiatric outcome following paediatric intensive care unit (PICU) admission: A cohort study. Intensive Care Medicine, 30(8), 1607–1614. CrossRef
Rennick, J. E., Morin, I., Kim, D., Johnston, C. C., Dougherty, G. in Platt, R. (2004). Identifying children at high risk for psychological sequelae after pediatric intensive care unit hospitalization. Pediatric Critical Care Medicine, 5(4), 358–363. CrossRef
Rennick, J. E. in Rashotte, J. (2009). Psychological outcomes in children following pediatric intensive care unit hospitalization: A systematic review of the research. Journal of Child Health Care, 12(2), 128–149. CrossRef