Parental psychological responses during their child's pediatric intensive care unit (PICU) admission are often overlooked. This study aimed to identify pre-existing and peri-traumatic factors explaining parental stress and anxiety during their child's PICU admission and one-month follow-up. A prospective pilot study included 60 PICU parents. Parental Stressors Scale and State-trait Anxiety Inventory measured stress and anxiety during PICU admission, and the State-trait Anxiety Inventory and Perceived Stress Scale at a one-month follow-up. During PICU admission, parental stress correlated with age, race, and adverse childhood experiences (ACEs), anxiety was linked to income. At one-month follow-up, anxiety related to child's health worries, perceived stress was linked to parental ACEs and education. Parental ACEs predicted perceived stress ( = 0.83, = .028). Children's diagnoses explained anxiety, particularly respiratory and cardiac diagnoses ( = −13.44, = .023; −10.03, = .045). Identifying factors helps teams understand parental vulnerability and provide appropriate support.

中文翻译：

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探索孩子入住 PICU 期间影响父母心理脆弱性的因素：一项前瞻性队列研究

孩子入住儿科重症监护病房 (PICU) 期间家长的心理反应常常被忽视。这项研究旨在确定预先存在的因素和创伤前后的因素，这些因素可以解释父母在孩子入住 PICU 和一个月的随访期间的压力和焦虑。一项前瞻性试点研究纳入了 60 名 PICU 家长。父母压力源量表和状态特质焦虑量表测量了 PICU 入院期间的压力和焦虑，以及状态特质焦虑量表和感知压力量表在一个月的随访中测量。在 PICU 入住期间，父母的压力与年龄、种族和不良童年经历 (ACE) 相关，焦虑与收入相关。在一个月的随访中，焦虑与孩子的健康担忧有关，感知到的压力与父母的 ACE 和教育有关。父母 ACE 预测感知压力 (= 0.83, = .028)。儿童的诊断解释了焦虑，特别是呼吸系统和心脏疾病的诊断 (= -13.44, = .023; -10.03, = .045)。识别因素有助于团队了解父母的脆弱性并提供适当的支持。