Predicting Posttraumatic Growth in Mothers and Fathers of Critically Ill Children: A Longitudinal Study

J Clin Psychol Med Settings. 2019 Sep;26(3):372-381. doi: 10.1007/s10880-018-9594-3.

Abstract

Research on parental psychological effects related to a child's critical illness has focused on studying negative outcomes, while the possibility of posttraumatic growth (PTG), defined as the perception of positive changes after a traumatic event, has been overlooked. This study explores the degree of parental PTG after a child's hospitalization in a pediatric intensive care unit (PICU) and the role of resilience, emotions, perceived severity of the child's condition and stress in predicting PTG. In the first 48 h after their child's discharge from a PICU, N = 196 parents were assessed for resilience, emotions, perceived stress, and the degree to which they perceived their child's condition as severe. 6 months later N = 143 parents were assessed PTG. 6 months post discharge, 37.1% of parents reported PTG at least to a medium degree. Path analyses with latent variables showed that the psychological variables assessed at discharge predicted between 20 and 21% of the total variance in PTG. Resilience affected PTG indirectly, through the bias of positive emotions. PTG is a frequent phenomenon. Psychological interventions aimed at encouraging parental PTG after a child's critical admission should focus on boosting resilience and positive emotions.

Keywords: Critically ill children; Parent emotions; Parent stress; Parents; Pediatric intensive care unit; Posttraumatic growth; Resilience.

MeSH terms

  • Adult
  • Attitude to Health*
  • Child, Hospitalized / psychology*
  • Child, Hospitalized / statistics & numerical data
  • Child, Preschool
  • Critical Illness
  • Emotions*
  • Fathers / psychology
  • Female
  • Hospitalization
  • Humans
  • Intensive Care Units, Pediatric
  • Longitudinal Studies
  • Male
  • Mothers / psychology
  • Parents / psychology*
  • Posttraumatic Growth, Psychological*
  • Resilience, Psychological*
  • Severity of Illness Index
  • Stress, Psychological / psychology*