{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:17:48Z","timestamp":1777853868664,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T00:00:00Z","timestamp":1695600000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Jackson Vaughan Critical Care Research Fund","award":["Jackson Vaughan Critical Care Research Fund"],"award-info":[{"award-number":["Jackson Vaughan Critical Care Research Fund"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Intensive Care Med"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Objective: Child survival after intensive care unit (ICU) hospitalization has increased, yet many children experience acute stress that may precipitate mental\/behavioral health comorbidities. Parents report stress after their child's hospitalization. Little is known about the individual and family characteristics that may moderate intergenerational relationships of acute stress. Design: Following ICU admission at a large academic medical center, a prospective cross-sectional cohort study assessed the associations between intergenerational characteristics and acute stress among children and families. Patients: Parent\u2013child dyads ( N\u2009=\u200988) were recruited from the pediatric ICU and pediatric cardiovascular ICU (CVICU) following ICU discharge. Eligible children were between 8 and 18 years old with ICU stays longer than 24\u2005hours. Children with developmental delays were excluded. Caregivers were proficient in English or Spanish. Surveys were collected before hospital discharge. Measurements\/Main Results: The primary outcome was \u201cchild stress\u201d defined as a score\u226517, measured by the Children's Revised Impact of Events Scale (CRIES-8). \u201cParent stress\u201d was defined as an elevated composite score on the Stanford Acute Stress Reaction Questionnaire. We used validated scales to assess the child's clinical and family social characteristics. Acute stress was identified in 34 (39.8%) children and 50 (56.8%) parents. In multivariate linear regression analyses adjusting for social characteristics, parent stress was associated with increased risk of child stress (adjusted odds ratio 2.58, 95% confidence interval 0.69, 4.46, p\u2009&lt;\u2009.01). In unadjusted analyses, Hispanic ethnicity was associated with greater child stress. In adjusted analyses, race, income, ICU length of stay, and language were not associated with child stress and did not moderate the parent\u2013child stress relationship. Conclusions: Parent stress is closely correlated with child stress during ICU hospitalization. Hispanic ethnicity may be associated with increased risk for child stress, but further studies are required to define the roles of other social and clinical measures.<\/jats:p>","DOI":"10.1177\/08850666231201836","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T03:28:15Z","timestamp":1695612495000},"page":"328-335","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Stress Symptoms Among Children and Their Parents After ICU Hospitalization"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4220-5840","authenticated-orcid":false,"given":"Hannah R.","family":"Daughtrey","sequence":"first","affiliation":[{"name":"Pediatric Cardiac Critical Care Medicine, Children's National Heart Institute, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Lee","sequence":"additional","affiliation":[{"name":"Quantitative Sciences Unit, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derek B.","family":"Boothroyd","sequence":"additional","affiliation":[{"name":"Quantitative Sciences Unit, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4938-0246","authenticated-orcid":false,"given":"Georgiana M.","family":"Burnside","sequence":"additional","affiliation":[{"name":"Pediatric Critical Care Medicine, Stanford University School of Medicine, Palo Alto, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard J.","family":"Shaw","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, CA, USA"},{"name":"Lucile Packard Children's Hospital, Stanford Children's Health, Palo Alto, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanwaljeet J.S.","family":"Anand","sequence":"additional","affiliation":[{"name":"Pediatric Critical Care Medicine, Stanford University School of Medicine, Palo Alto, CA, USA"},{"name":"Lucile Packard Children's Hospital, Stanford Children's Health, Palo Alto, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee M.","family":"Sanders","sequence":"additional","affiliation":[{"name":"Lucile Packard Children's Hospital, Stanford Children's Health, Palo Alto, CA, USA"},{"name":"Academic General Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,9,25]]},"reference":[{"key":"bibr1-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001476"},{"key":"bibr2-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0b013e31822f1916"},{"key":"bibr3-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0b013e3182196a8f"},{"key":"bibr4-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1097\/01.PCC.0000137354.19807.44"},{"key":"bibr5-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.9.1467"},{"key":"bibr6-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001070"},{"key":"bibr7-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsq004"},{"key":"bibr8-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-015-3780-7"},{"key":"bibr9-08850666231201836","doi-asserted-by":"publisher","DOI":"10.5492\/wjccm.v6.i2.124"},{"key":"bibr10-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0b013e3182712997"},{"key":"bibr11-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951106000096"},{"key":"bibr12-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000001894"},{"key":"bibr13-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002605"},{"key":"bibr14-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1017\/s1352465805002419"},{"key":"bibr15-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1023\/A:1007822603186"},{"key":"bibr16-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"bibr17-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(01)00296-3"},{"key":"bibr18-08850666231201836","unstructured":"Health Leads Screening Toolkit. Creative Commons. 2019."},{"key":"bibr19-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1177\/1049731507309830"},{"key":"bibr20-08850666231201836","doi-asserted-by":"publisher","DOI":"10.3390\/rel1010078"},{"key":"bibr21-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2016.3827"},{"key":"bibr22-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1080\/03610910902859574"},{"key":"bibr23-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1002\/jts.21745"},{"key":"bibr24-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2016-0069"},{"key":"bibr25-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2016-0071"},{"key":"bibr26-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2019.04.010"},{"key":"bibr27-08850666231201836","volume-title":"Who are America\u2019s poor children? Examining health disparities among children in the United States","author":"Seith D","year":"2011"},{"key":"bibr28-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1097\/01.ccm.0000528874.46782.55"},{"key":"bibr29-08850666231201836","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.47.3.206"}],"container-title":["Journal of Intensive Care Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08850666231201836","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08850666231201836","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08850666231201836","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:57:48Z","timestamp":1777503468000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08850666231201836"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,25]]},"references-count":29,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1177\/08850666231201836"],"URL":"https:\/\/doi.org\/10.1177\/08850666231201836","relation":{},"ISSN":["0885-0666","1525-1489"],"issn-type":[{"value":"0885-0666","type":"print"},{"value":"1525-1489","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,25]]}}}