{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:51:45Z","timestamp":1790383905588,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Admission of a child to a paediatric intensive care unit (PICU) is a highly stressful experience for parents and may trigger acute stress disorder (ASD), posing a risk for long\u2010term post\u2010traumatic stress disorder (PTSD) and depression. Despite this vulnerability, structured follow\u2010up care is rarely offered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study examined (1) acute stress, post\u2010traumatic adjustment and the perceived need for psychological follow\u2010up care among parents of PICU patients, (2) variables associated with ASD symptoms and the need for follow\u2010up care, and (3) dyadic associations between mothers' and fathers' distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>An observational study was conducted at the PICU of a University Hospital in Germany between December 2022 and February 2024. Parents of children admitted for \u2265\u200948\u2009h completed standardised self\u2010report instruments, including the Acute Stress Disorder Scale (ASDS) and the Post\u2010traumatic Adjustment Scale (PAS). Logistic regression analyses identified predictors of ASD and the need for follow\u2010up care; dyadic associations were explored with correlation and intraclass correlation analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventy\u2010seven parents of 52 children participated (58% mothers, median age 38\u2009years). Nearly two\u2010thirds met diagnostic criteria for ASD, with mothers reporting higher symptom severity. Forty\u2010two percent screened positive for PTSD risk, and 68% for depression risk. One\u2010third (34%) expressed a need for psychological follow\u2010up care, which was strongly associated with PTSD risk (OR\u2009=\u20098.42, 95% CI [2.79\u201325.38]). Dyadic analyses showed significant correlations of ASD symptoms between mothers and fathers (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.42), but not for PTSD or depression risk.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Parents of PICU patients experience high rates of acute stress and are at considerable risk for subsequent psychopathology. The need for psychological support is strongly linked to PTSD risk, and parental distress shows dyadic associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Routine psychosocial screening and structured follow\u2010up care should be integrated into PICU services. Family\u2010centred interventions targeting both parents may help mitigate long\u2010term psychological consequences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70272","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T03:06:32Z","timestamp":1764731192000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Acute Stress and Need for Psychological Follow\u2010Up Care in Parents of Children Treated at the Paediatric Intensive Care Unit"],"prefix":"10.1111","volume":"31","author":[{"given":"Emilie","family":"R\u00f6ssler","sequence":"first","affiliation":[{"name":"Institute of Psychosocial Medicine, Psychotherapy and Psychooncology Jena University Hospital  Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherina","family":"Wicklein","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Medicine Jena University Hospital  Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Deffner","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine Jena University Hospital  Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans","family":"Proquitt\u00e9","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Medicine Jena University Hospital  Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7535-7571","authenticated-orcid":false,"given":"Jenny","family":"Rosendahl","sequence":"additional","affiliation":[{"name":"Institute of Psychosocial Medicine, Psychotherapy and Psychooncology Jena University Hospital  Jena Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,2]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010018\u20103041\u2010x"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2019.10.013"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.iccn.2021.103089"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191811450"},{"key":"e_1_2_16_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2022.08.021"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318236ebf9"},{"key":"e_1_2_16_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001476"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010032210\u2010104502"},{"key":"e_1_2_16_10_1","volume-title":"International Classification of Diseases (11th Revision) 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