Parental Psychological Flexibility as a Mediating Factor of Post-Traumatic Stress Disorder in Children after Hospitalization or Surgery

Background: Illness, surgery, and surgical hospitalization are significant stressors for children. Children exposed to such medical events may develop post-traumatic medical syndrome (PMTS, pediatric medical traumatic stress) that could slow their physical and emotional recovery. Objective: This stu...

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Autores principales:	Amichai Ben-Ari, Roy Aloni, Shiri Ben-David, Fortu Benarroch, Daniella Margalit
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	pediatric medical traumatic stress post traumatic stress disorder parental psychological flexibility children after hospitalization Medicine R
Acceso en línea:	https://doaj.org/article/3809d862c7c04e65976aa668a8ae451b
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spelling	oai:doaj.org-article:3809d862c7c04e65976aa668a8ae451b2021-11-11T16:46:35ZParental Psychological Flexibility as a Mediating Factor of Post-Traumatic Stress Disorder in Children after Hospitalization or Surgery10.3390/ijerph1821116991660-46011661-7827https://doaj.org/article/3809d862c7c04e65976aa668a8ae451b2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11699https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: Illness, surgery, and surgical hospitalization are significant stressors for children. Children exposed to such medical events may develop post-traumatic medical syndrome (PMTS, pediatric medical traumatic stress) that could slow their physical and emotional recovery. Objective: This study examined the relationship between the level of parental psychological resilience and the development of PMTS in young children. Method: We surveyed 152 parents of children aged 1–6 who were admitted to the pediatric surgery department. Parents completed questionnaires in two phases. In the first phase, one of the parents completed the Acceptance and Action Questionnaire (AAQ-ll) and the Parental Psychological Flexibility (PPF) Questionnaire. In the second phase, about three months after discharge, the same parent completed the Young Child PTSD (Post Traumatic Stress Disorder) Checklist (YCPC) and the UCLA (Los Angeles, CA, USA) PTSD Reaction Index for DSM-5 Parent/Caregiver Version for Children Age 6 Years and Younger Evaluating Post-traumatic Disorder. In addition, the parent completed a Posttraumatic Stress Diagnostic Scale (PDS) questionnaire to assess the existence of post-traumatic symptoms in the parents. Results: The findings indicate that (1) a parent’s psychological flexibility is significantly associated with the level of personal distress (r = −0.45, <i>p</i> < 0.001), (2) a parents’ level of distress is significantly correlated with the child’s level of PTMS, and (3) a parent’s level of psychological flexibility is a significant mediating factor between the level of parental post-traumatic distress and the child’s level of PTMS. Conclusions: A parent’s psychological flexibility may act as a protective factor against the development of the child’s mental distress after hospitalization or surgery.Amichai Ben-AriRoy AloniShiri Ben-DavidFortu BenarrochDaniella MargalitMDPI AGarticlepediatric medical traumatic stresspost traumatic stress disorderparental psychological flexibilitychildren after hospitalizationMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11699, p 11699 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pediatric medical traumatic stress post traumatic stress disorder parental psychological flexibility children after hospitalization Medicine R
spellingShingle	pediatric medical traumatic stress post traumatic stress disorder parental psychological flexibility children after hospitalization Medicine R Amichai Ben-Ari Roy Aloni Shiri Ben-David Fortu Benarroch Daniella Margalit Parental Psychological Flexibility as a Mediating Factor of Post-Traumatic Stress Disorder in Children after Hospitalization or Surgery
description	Background: Illness, surgery, and surgical hospitalization are significant stressors for children. Children exposed to such medical events may develop post-traumatic medical syndrome (PMTS, pediatric medical traumatic stress) that could slow their physical and emotional recovery. Objective: This study examined the relationship between the level of parental psychological resilience and the development of PMTS in young children. Method: We surveyed 152 parents of children aged 1–6 who were admitted to the pediatric surgery department. Parents completed questionnaires in two phases. In the first phase, one of the parents completed the Acceptance and Action Questionnaire (AAQ-ll) and the Parental Psychological Flexibility (PPF) Questionnaire. In the second phase, about three months after discharge, the same parent completed the Young Child PTSD (Post Traumatic Stress Disorder) Checklist (YCPC) and the UCLA (Los Angeles, CA, USA) PTSD Reaction Index for DSM-5 Parent/Caregiver Version for Children Age 6 Years and Younger Evaluating Post-traumatic Disorder. In addition, the parent completed a Posttraumatic Stress Diagnostic Scale (PDS) questionnaire to assess the existence of post-traumatic symptoms in the parents. Results: The findings indicate that (1) a parent’s psychological flexibility is significantly associated with the level of personal distress (r = −0.45, <i>p</i> < 0.001), (2) a parents’ level of distress is significantly correlated with the child’s level of PTMS, and (3) a parent’s level of psychological flexibility is a significant mediating factor between the level of parental post-traumatic distress and the child’s level of PTMS. Conclusions: A parent’s psychological flexibility may act as a protective factor against the development of the child’s mental distress after hospitalization or surgery.
format	article
author	Amichai Ben-Ari Roy Aloni Shiri Ben-David Fortu Benarroch Daniella Margalit
author_facet	Amichai Ben-Ari Roy Aloni Shiri Ben-David Fortu Benarroch Daniella Margalit
author_sort	Amichai Ben-Ari
title	Parental Psychological Flexibility as a Mediating Factor of Post-Traumatic Stress Disorder in Children after Hospitalization or Surgery
title_short	Parental Psychological Flexibility as a Mediating Factor of Post-Traumatic Stress Disorder in Children after Hospitalization or Surgery
title_full	Parental Psychological Flexibility as a Mediating Factor of Post-Traumatic Stress Disorder in Children after Hospitalization or Surgery
title_fullStr	Parental Psychological Flexibility as a Mediating Factor of Post-Traumatic Stress Disorder in Children after Hospitalization or Surgery
title_full_unstemmed	Parental Psychological Flexibility as a Mediating Factor of Post-Traumatic Stress Disorder in Children after Hospitalization or Surgery
title_sort	parental psychological flexibility as a mediating factor of post-traumatic stress disorder in children after hospitalization or surgery
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/3809d862c7c04e65976aa668a8ae451b
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Parental Psychological Flexibility as a Mediating Factor of Post-Traumatic Stress Disorder in Children after Hospitalization or Surgery

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