Posttraumatic Stress in Parents of Hospitalized Children With Medical Complexity
Bibliographic record
Abstract
BACKGROUND/OBJECTIVES: Parents of children with medical complexity (CMC) are exposed to repeated episodes of pediatric medical traumatic stress, placing them at risk of posttraumatic stress symptoms (PTSS) and posttraumatic stress disorder (PTSD). The objectives of this study are (1) to establish the prevalence and severity of PTSS and PTSD in parents of hospitalized CMC and (2) to determine whether a hospitalization influences PTSS and whether PTSS were associated with subjective experiences during the hospitalization. METHODS: This prospective cohort study enrolled parents of hospitalized CMC at a Canadian children's hospital and used a validated questionnaire to measure PTSS at baseline and 2 to 6 months later. Potential predictor variables related to demographics, child illness, caregiving, and experiences in hospital were collected. Multivariable regression models were used to determine relevant associations with PTSS. RESULTS: Of 75 enrolled participants, 58 completed baseline questionnaires and 48 completed follow-up. Twenty-nine percent of participants met cutoff for PTSD at baseline and 33% at follow-up. Increased PTSS was found in association with female gender, higher number of previous traumatic events, history of anxiety/depression, higher caregiving responsibilities, insomnia, and anxiety symptoms in hospital. Most subjective experiences of hospitalization showed no relationship with PTSS. For most participants, PTSS was stable and persistent over time. CONCLUSIONS: PTSS/PTSD are frequently found among parents of hospitalized CMC. Caregiving responsibilities, anxiety and insomnia are potentially modifiable risk factors. A combination of integrated tangible and mental health supports, in hospital and community, could be an opportunity to mitigate PTSS in this high-risk population.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".