{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T18:50:32Z","timestamp":1782240632532,"version":"3.54.5"},"reference-count":39,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:00:00Z","timestamp":1782172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Provide an overview of medical traumatic stress in pediatric critical care and highlight pediatric psychology as a central mechanism for translating evidence into trauma-informed screening, prevention, and intervention practices within pediatric intensive care units (PICUs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Current literature is synthesized to characterize medical traumatic stress, identify trauma-informed practice guidelines, and propose recommendations for improved integration of pediatric psychology into critical care settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>High rates of medical traumatic stress and posttraumatic stress disorder (PTSD) are reported among critically ill children, caregivers, and PICU staff, with identifiable risk factors. Current and emerging standards of care reviewed include traumatic stress and delirium screening, early mobility initiatives, PICU follow-up programs, trauma-focused interventions, and staff debriefing efforts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Medical traumatic stress is a common outcome of PICU hospitalization. Earlier integration of pediatric psychology services during and following PICU admission offers promise for improving outcomes, advancing trauma-informed care, and informing future research across the PICU continuum.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jpepsy\/jsag040","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T11:43:59Z","timestamp":1780487039000},"source":"Crossref","is-referenced-by-count":0,"title":["Topical Review: Integrating pediatric psychology into PICUs: improving screening and interventions for medical trauma"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4846-9310","authenticated-orcid":false,"given":"Kristin","family":"Canavera","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Alabama at Birmingham, Heersink School of Medicine , Birmingham, AL,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2723-9690","authenticated-orcid":false,"given":"Nicole M","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department Psychiatry and Behavioral Health, Ann and Robert H. Lurie Children\u2019s Hospital of Chicago, Northwestern University Feinberg School of Medicine , Chicago, IL,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saad","family":"Ghafoor","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, St. Jude Children\u2019s Research Hospital , Memphis, TN,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Mudd","sequence":"additional","affiliation":[{"name":"Department of Pediatric Behavioral Health and Neurological Sciences, Cleveland Clinic Children\u2019s , Cleveland, OH,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"2026062314300369200_jsag040-B1","author":"American College of Surgeons","year":"2022"},{"key":"2026062314300369200_jsag040-B2","doi-asserted-by":"crossref","first-page":"111","DOI":"10.4037\/ajcc2022560","article-title":"Cumulative stress debriefing to combat compassion fatigue in a pediatric intensive care unit","volume":"31","author":"Arbios","year":"2022","journal-title":"American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses"},{"key":"2026062314300369200_jsag040-B3","first-page":"135","volume":"14","author":"Balistreri","year":"2025"},{"key":"2026062314300369200_jsag040-B4","doi-asserted-by":"publisher","first-page":"1096","DOI":"10.1177\/21694826251337144","article-title":"Mitigating post-intensive care syndrome: Time to consider embedded pediatric psychologists in PICUs","volume":"24","author":"Canavera","year":"2023","journal-title":"Pediatric Critical Care Medicine: A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies"},{"key":"2026062314300369200_jsag040-B5","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/j.chest.2024.03.028","article-title":"The role of pediatric psychologists in critical care: Lessons learned and future directions in integrating mental health care into PICUs","volume":"166","author":"Canavera","year":"2024","journal-title":"Chest"},{"key":"2026062314300369200_jsag040-B6"},{"key":"2026062314300369200_jsag040-B7","doi-asserted-by":"crossref","first-page":"e592","DOI":"10.1097\/PCC.0000000000003341","article-title":"Mental health provision in PICU: An analysis of referrals to an embedded psychologist over 20 years at a single center","volume":"24","author":"Colville","year":"2023","journal-title":"Pediatric Critical Care Medicine: A Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies"},{"key":"2026062314300369200_jsag040-B8","doi-asserted-by":"crossref","first-page":"1523","DOI":"10.1007\/s00134-012-2612-2","article-title":"Patterns of post-traumatic stress symptoms in families after paediatric intensive care","volume":"38","author":"Colville","year":"2012","journal-title":"Intensive Care Medicine"},{"key":"2026062314300369200_jsag040-B9","doi-asserted-by":"publisher","first-page":"830","DOI":"10.1111\/nicc.13014","article-title":"Post-traumatic stress trajectories of children and their parents over the year following intensive care discharge: A secondary analysis","volume":"29","author":"Colville","year":"2024","journal-title":"Nursing in Critical Care"},{"key":"2026062314300369200_jsag040-B10","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1097\/CCM.0b013e318236ebf9","article-title":"Family response to critical illness: Postintensive care syndrome-family","volume":"40","author":"Davidson","year":"2012","journal-title":"Critical Care Medicine"},{"key":"2026062314300369200_jsag040-B11","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/j.mnl.2020.06.007","article-title":"Managing moral distress in the workplace: Creating a resiliency bundle","volume":"18","author":"Davis","year":"2020","journal-title":"Nurse Leader"},{"key":"2026062314300369200_jsag040-B12","doi-asserted-by":"publisher","first-page":"2991","DOI":"10.1007\/s00787-023-02141-8","article-title":"Risk factors of post-traumatic stress disorder after hospitalization in a pediatric intensive care unit: A systematic literature review","volume":"33","author":"de Pellegars","year":"2024","journal-title":"European Child & Adolescent Psychiatry"},{"key":"2026062314300369200_jsag040-B13","doi-asserted-by":"crossref","first-page":"e1296","DOI":"10.1097\/PCC.0000000000003804","article-title":"Eight PICU Follow-Up programs in the United States established from 2013 to 2022: Report from the pediatric outcomes studies after PICU (POST-PICU) investigators. 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