Black, White, and Hispanic Children’s Health and Function 2-13 Months after Sibling ICU Death
| Autor: | Youngblut, JoAnne M., Brooten, Dorothy, Del-Moral, Teresa, Cantwell, G. Patricia, Totapally, Balagangadhar R., Yoo, Changwon |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Attitude to Death Adolescent education Child Behavior Disorders Anxiety Intensive Care Units Pediatric Article Sampling Studies Sex Factors Intensive Care Units Neonatal Humans Attention Longitudinal Studies Child Academic Success Depression Siblings Racial Groups Infant Psychophysiologic Disorders Death Child Preschool Florida Female Emergency Service Hospital |
| Zdroj: | J Pediatr |
| Popis: | OBJECTIVE: To describe children’s anxiety, depression, behaviors, and school performance at 2-13 months after sibling neonatal/pediatric intensive care unit (NICU/PICU) or emergency department (ED) death and compare these outcomes by child age, sex, race/ethnicity, whether the child saw their sibling in the NICU/PICU/ED and attended the sibling’s funeral. STUDY DESIGN: Children in 71 families were recruited for this longitudinal study from 4 children’s hospitals and 14 other Florida hospitals. Children rated anxiety (Spence Children’s Anxiety Scale) and depression (Children’s Depression Inventory); parents rated child behaviors (Child Behavior Checklist) and reported school performance (detentions, suspensions, requested parent-teacher meetings) at 2, 4, 6, and 13 months post-sibling death. Analyses included RM-ANOVA, t-tests and oneway ANOVA. RESULTS: 132 children and 96 parents participated. More children were female (58%), black (50%), and school-aged (72%). 43% of children had elevated anxiety; 6% had elevated depression over 13 months post-sibling death. Child-rated anxiety was higher for girls and Black vs White children. Child-rated anxiety and depression were lower if they saw their sibling in the NICU/PICU/ED before and/or after the death, and/or attended the funeral. Teens were more withdrawn than school-age children at all time points. Children who did not see their deceased sibling in the NICU/PICU/ED after death had more requests for parent-teacher conferences. CONCLUSION: Children’s anxiety was more common than depression, especially in girls and Black children. Children who saw their siblings in the NICU/PICU/ED before/after death and/or attended funeral services had lower anxiety and depression over the first 13 months after sibling death. |
| Databáze: | OpenAIRE |
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