title: A pilot study on peritraumatic dissociation and coping styles as risk factors for posttraumatic stress, anxiety and depression in parents after their child's unexpected admission to a Pediatric Intensive Care Unit.
abstract: OBJECTIVE
  To study the prevalence of posttraumatic stress disorder (PTSD), anxiety and depression in parents three months after pediatric intensive care treatment of their child and examine if peritraumatic dissocation and coping styles are related to these mental health problems.
  
  
  METHODS
  This is a prospective cohort study and included parents of children unexpectedly admitted to the Pediatric Intensive Care Unit (PICU) from January 2006 to March 2007. At three months follow-up parents completed PTSD (n = 115), anxiety and depression (n = 128) questionnaires. Immediately after discharge, parents completed peritraumatic dissocation and coping questionnaires. Linear regression models with generalized estimating equations examined risk factors for mental health problems.
  
  
  RESULTS
  Over 10% of the parents were likely to meet criteria for PTSD and almost one quarter for subclinical PTSD. Respectively 15% to 23% of the parents reported clinically significant levels of depression and anxiety. Peritraumatic dissocation was most strongly associated with PTSD, anxiety as well as depression. Avoidance coping was primarily associated with PTSD.
  
  
  CONCLUSIONS
  A significant number of parents have mental health problems three months after unexpected PICU treatment of their child. Improving detection and raise awareness of mental health problems is important to minimize the negative effect of these problems on parents' well-being.
authors.affiliation: Psychosocial Department, Emma Children's Hospital Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. m.b.bronner@amc.nl
authors.forename: Madelon B
authors.initials: MB
authors.lastname: Bronner
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: Kayser
authors.forename: Hendrika
authors.initials: H
authors.lastname: Knoester
authors.forename: Albert P
authors.initials: AP
authors.lastname: Bos
authors.forename: Bob F
authors.initials: BF
authors.lastname: Last
authors.forename: Martha A
authors.initials: MA
authors.lastname: Grootenhuis