{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T12:41:48Z","timestamp":1787661708886,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T00:00:00Z","timestamp":1700697600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016244","name":"Health Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016244","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>New research in the field of psychological trauma has emphasized (a) the heterogeneity of psychological reactions after traumatic events and (b) the existence of distinct symptom trajectories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>In this study, existing data on post\u2010traumatic stress disorder (PTSD) symptoms in 66 parent\u2013child dyads were re\u2010examined in the light of this literature in order to establish whether a similar pattern of symptom trajectories also applies to this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A prospective observational cohort study. Participants' PTSD symptoms were assessed 3 and 12\u2009months after discharge from a paediatric intensive care unit (PICU), using a short form of the Davidson Trauma Scale with parents and the Child Revised Impact of Events Scale with children aged 7\u201317\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Results confirmed that the majority of children (58%) and parents (46%) exhibited a \u2018Resilient\u2019 PTSD trajectory over the year, in the sense that their scores remained in the non\u2010clinical range at both timepoints. Children displaying a \u2018Resilient\u2019 trajectory were more likely to have a parent who also displayed a \u2018Resilient\u2019 trajectory (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.018). However, there was also evidence of a \u2018Recovery\u2019 trajectory in a significant minority in this sample and over 1 in 4 children and parents exhibited a \u2018Chronic\u2019 or \u2018Delayed\u2019 symptom trajectory.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although average PTSD scores reduced over time in this sample and \u2018Resilient\u2019 trajectories were common, a significant proportion of children and parents exhibited \u2018Chronic\u2019 and \u2018Delayed\u2019 symptom trajectories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>These results suggest that, although the majority do well, a significant number of children and family members may develop chronic or delayed symptoms of PTSD in the year following PICU discharge. The monitoring of individual family members' symptoms beyond 3\u2009months post\u2010discharge may help to determine those who might most benefit from further support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.13014","type":"journal-article","created":{"date-parts":[[2023,11,23]],"date-time":"2023-11-23T13:11:10Z","timestamp":1700745070000},"page":"830-834","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Post\u2010traumatic stress trajectories of children and their parents over the year following intensive care discharge: A secondary analysis"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8530-2822","authenticated-orcid":false,"given":"Gillian","family":"Colville","sequence":"first","affiliation":[{"name":"Population Health Research Institute St George's University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine M.","family":"Pierce","sequence":"additional","affiliation":[{"name":"Paediatric Intensive Care Unit Great Ormond St Hospital  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2018.05.008"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22242"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsv074"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002316"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002404"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-012-2612-2"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465805002419"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199902000-00003"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-1781(99)00070-0"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3109\/00048678709160914"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2008.10.002"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.84.2.125"},{"key":"e_1_2_11_15_1","volume-title":"Health and Deprivation: Inequality and the North","author":"Townsend P","year":"1988"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200103000-00019"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.12420"},{"key":"e_1_2_11_18_1","volume-title":"Group\u2010Based Modeling of Development","author":"Nagin DS","year":"2009"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-0748"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002605"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002905"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000003129"},{"key":"e_1_2_11_23_1","first-page":"156","article-title":"Parental posttraumatic stress symptoms in the context of pediatric post intensive care syndrome: impact on the family and opportunities for intervention","volume":"9","author":"Riley AR","year":"2021","journal-title":"Clin Pract Pediatr Psychol"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318236ebf9"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001476"},{"key":"e_1_2_11_26_1","first-page":"1575","article-title":"Is pediatric intensive care trauma\u2010informed? A review of principles and evidence","volume":"9","author":"Demers LA","year":"2022","journal-title":"Children (Basel)"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.13014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T01:32:10Z","timestamp":1718933530000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nicc.13014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,23]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1111\/nicc.13014"],"URL":"https:\/\/doi.org\/10.1111\/nicc.13014","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,23]]},"assertion":[{"value":"2023-08-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}