{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T20:30:31Z","timestamp":1792614631452,"version":"4.5.0"},"reference-count":104,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>Pediatric stroke results in complex sequelae that extend beyond motor and cognitive impairments to include significant psychological and psychosocial challenges for both affected children and their families. This narrative review synthesized peer-reviewed studies published in English between 2000 and November 2025, identified through searches in PubMed and Web of Science using keywords related to pediatric stroke and psychosocial outcomes. Eligible studies examined psychological, social, and family-related outcomes, and findings were integrated through a narrative synthesis due to substantial methodological heterogeneity. Internalizing symptoms-such as anxiety, depression, and post-traumatic stress disorder-commonly emerge and may persist long-term, even in cases of favorable neurological recovery. Parental psychological distress, particularly maternal anxiety, depression, and sense of guilt, together with family functioning, are closely associated with children's emotional and behavioral adjustment, reflecting a bidirectional relationship between caregiver and child wellbeing. Recovery after pediatric stroke should be conceptualized as a comprehensive process, requiring a multidisciplinary, family-centered framework incorporating psychological support that addresses not only motor and cognitive deficits but also emotional and psychosocial challenges. Future research and clinical efforts should focus on the development and implementation of accessible, empirically validated interventions aimed at enhancing resilience and long-term quality of life for patients and their families.<\/jats:p>","DOI":"10.3389\/fpsyg.2026.1784867","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T06:38:10Z","timestamp":1774593490000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Unseen struggles: a narrative review of psychosocial and family outcomes following pediatric stroke"],"prefix":"10.3389","volume":"17","author":[{"given":"Samuela","family":"Tarantino","sequence":"first","affiliation":[{"name":"Developmental Neurology Unit, Bambino Ges\u00f9 Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS)","place":["Rome, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Proietti Checchi","sequence":"additional","affiliation":[{"name":"Developmental Neurology Unit, Bambino Ges\u00f9 Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS)","place":["Rome, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michela Ada Noris","family":"Ferilli","sequence":"additional","affiliation":[{"name":"Developmental Neurology Unit, Bambino Ges\u00f9 Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS)","place":["Rome, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Monte","sequence":"additional","affiliation":[{"name":"Developmental Neurology Unit, Bambino Ges\u00f9 Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS)","place":["Rome, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Borrelli","sequence":"additional","affiliation":[{"name":"Developmental Neurology Unit, Bambino Ges\u00f9 Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS)","place":["Rome, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Tiralongo","sequence":"additional","affiliation":[{"name":"Academy of Pediatrics, Tor Vergata University of Rome","place":["Rome, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimiliano","family":"Valeriani","sequence":"additional","affiliation":[{"name":"Developmental Neurology Unit, Bambino Ges\u00f9 Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS)","place":["Rome, Italy"]},{"name":"Systems Medicine Department, Tor Vergata University of Rome","place":["Rome, Italy"]},{"name":"Translational Pain Neuroscience and Precision Medicine, CNAP, Department of Health Science and Technology, School of Medicine, Aalborg University","place":["Aalborg, Denmark"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e721","DOI":"10.1212\/WNL.0000000000013207","article-title":"Effect of age at pediatric stroke on long-term cognitive outcome","volume":"98","author":"Abgottspon","year":"2022","journal-title":"Neurology"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.24953\/turkjped.2022.350","article-title":"Evaluation of risk factors, functionalities, and quality of life in patients with pediatric acute arterial ischemic stroke","author":"Akif-\u00d6zdemir","year":"2023","journal-title":"Turk. 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