{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T13:28:19Z","timestamp":1791984499080,"version":"4.4.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T00:00:00Z","timestamp":1620172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000071","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["UG1HD050096"],"award-info":[{"award-number":["UG1HD050096"]}],"id":[{"id":"10.13039\/100000071","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Parents often suffer reduced mental health after their child\u2019s death; however, the trajectory and risk factors are not well described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Describe the change in complicated grief, depression, and post-traumatic stress symptoms among parents between 6 and 13 months after their child\u2019s death in a pediatric intensive care unit (PICU), and factors associated with 13-month symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Parents whose children died in 1 of 8 PICUs affiliated with the Collaborative Pediatric Critical Care Research Network completed surveys 6 and 13 months after their child\u2019s death. Surveys included the Inventory of Complicated Grief (ICG), the Patient Health Questionnaire-8 (PHQ-8) for depression, and the Short Post-Traumatic Stress Disorder Rating Interview (SPRINT). Parents provided sociodemographics. Charts were reviewed for child characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>One-hundred and fifty seven parents of 104 deceased children completed surveys at both time points. Mental health symptoms declined over time (mean (SD)): ICG (33.8 (15.4) vs. 30.5 (15.2), p &lt; 0.001), PHQ-8 (9.0 (6.4) vs. 7.3 (5.8), p &lt; 0.001), and SPRINT (14.1 (8.3) vs. 12.0 (8.2), p &lt; 0.001). After controlling for 6-month scores, higher 13-month ICG was independently associated with sudden unexpected death; higher PHQ-8 with Black race, insecure attachment style, and sudden unexpected death; and higher SPRINT with having a high school level of education (compared to college degree or higher).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Mental health symptoms improve among parents during the first 13 months after their child\u2019s death; however, symptoms persist for many. Black parents and those whose children die suddenly may be high risk for poor adjustment during bereavement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091211015913","type":"journal-article","created":{"date-parts":[[2021,5,9]],"date-time":"2021-05-09T02:40:19Z","timestamp":1620528019000},"page":"228-236","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":34,"title":["Complicated Grief, Depression and Post-Traumatic Stress Symptoms Among Bereaved Parents following their Child\u2019s Death in the Pediatric Intensive Care Unit: A Follow-Up Study"],"prefix":"10.1177","volume":"39","author":[{"given":"Markita","family":"Suttle","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Nationwide Children\u2019s Hospital, Columbus, OH, USA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark W.","family":"Hall","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Nationwide Children\u2019s Hospital, Columbus, OH, USA)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murray M.","family":"Pollack","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children\u2019s National Hospital, Washington DC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Berg","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine, Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick S.","family":"McQuillen","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Benioff Children\u2019s Hospital, University of California, San Francisco, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter M.","family":"Mourani","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Children\u2019s Hospital of Colorado, University of Colorado School of Medicine, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Sapru","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Mattel Children\u2019s Hospital, University of California Los Angeles, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph A.","family":"Carcillo","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Children\u2019s Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Startup","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Holubkov","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Utah, Salt Lake City, UT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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Pleasant, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Research Network (CPCCRN)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,5,5]]},"reference":[{"key":"bibr1-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2015.01.005"},{"key":"bibr2-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1315618"},{"issue":"4","key":"bibr3-10499091211015913","first-page":"12s","volume":"15","author":"Zisook S","year":"2017","journal-title":"Focus (Am Psychiatr Publ)"},{"key":"bibr4-10499091211015913","doi-asserted-by":"publisher","DOI":"10.3109\/00048679809062734"},{"key":"bibr5-10499091211015913","doi-asserted-by":"publisher","DOI":"10.2190\/X565-HW49-CHR0-FYB4"},{"key":"bibr6-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1007\/s10880-018-9590-7"},{"key":"bibr7-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2010.187"},{"issue":"1","key":"bibr8-10499091211015913","first-page":"396","volume":"49","author":"Suttle M","year":"2021","journal-title":"J Pediatr Intensive Care"},{"key":"bibr9-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5112"},{"key":"bibr10-10499091211015913","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2019572"},{"key":"bibr11-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1177\/1049909117744188"},{"key":"bibr12-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-1194"},{"key":"bibr13-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2010.0291"},{"key":"bibr14-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.24360"},{"key":"bibr15-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.71.4.810"},{"key":"bibr16-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2014.927768"},{"key":"bibr17-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(95)02757-2"},{"key":"bibr18-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2010.03.006"},{"key":"bibr19-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2008.06.026"},{"key":"bibr20-10499091211015913","doi-asserted-by":"publisher","DOI":"10.1097\/00004850-200109000-00005"},{"key":"bibr21-10499091211015913","unstructured":"Institute of Medicine. 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