ArticleThe American journal of hospice & palliative care2022
Complicated Grief, Depression and Post-Traumatic Stress Symptoms Among Bereaved Parents following their Child's Death in the Pediatric Intensive Care Unit: A Follow-Up Study.
Article in The American journal of hospice & palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 26 citations in OpenAlex.
- Bereavement care practices: A national survey of Australian paediatric intensive care units.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026Article
- Post-traumatic stress disorder: pathogenesis, epidemiological characteristics, animal models, and potential therapeutic strategies.Military Medical Research · 2026Review
- Noticing and responding to end-of-life suffering in the PICU: A co-designed conceptual framework for nursing practice.Intensive & critical care nursing · 2026Article
- Pediatric Palliative Care Utilization Following Out-of-Hospital Cardiac Arrest at a Large US Quaternary Hospital.Children (Basel, Switzerland) · 2026Article
- Japanese Version of the Quality of Dying and Death in the PICU Instrument: Development and Validation in Eight Centers in Japan.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2026Article
- Severity and determinants of depression among parents following child loss in Bankura District West Bengal.Discover mental health · 2026Article
- Exploring challenges and opportunities in paediatric bereavement care: a qualitative study from a tertiary care hospital in Pakistan.BMC palliative care · 2026Article
- The Role of Unfinished Business in the Relationship Between Attachment Style and Grief: A Two-Wave Longitudinal Study.Behavioral sciences (Basel, Switzerland) · 2026Article
- Children's palliative care and public health: position statement.BMC palliative care · 2025Review
- How Does Bereavement Affect the Health-Related Quality of Life of Household Members Who Do and Do Not Provide Unpaid Care? Difference-in-Differences Analyses Using the UK Household Longitudinal Survey.PharmacoEconomics · 2025Article
- Factors associated with the quality of life of Chinese parents who have lost their only child.Scientific reports · 2024Article
- An Overview for the General Psychiatrist Evaluating Patients With Obstetric and Neonatal Complications and Perinatal Loss.Focus (American Psychiatric Publishing) · 2024Article
- Post-Traumatic Growth in Parents following Their Child's Death in a Pediatric Intensive Care Unit.Journal of palliative medicine · 2022Article
- Palliative and Critical Care: Their Convergence in the Pediatric Intensive Care Unit.Frontiers in pediatrics · 2022Review
Corrections and comments
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Authors and funding
14 authors at 10 institutions in 1 country.
Funding
Abstract
backgroundParents often suffer reduced mental health after their child's death; however, the trajectory and risk factors are not well described.
objectiveDescribe the change in complicated grief, depression, and post-traumatic stress symptoms among parents between 6 and 13 months after their child's death in a pediatric intensive care unit (PICU), and factors associated with 13-month symptoms.
methodsParents whose children died in 1 of 8 PICUs affiliated with the Collaborative Pediatric Critical Care Research Network completed surveys 6 and 13 months after their child's death. Surveys included the Inventory of Complicated Grief (ICG), the Patient Health Questionnaire-8 (PHQ-8) for depression, and the Short Post-Traumatic Stress Disorder Rating Interview (SPRINT). Parents provided sociodemographics. Charts were reviewed for child characteristics.
resultsOne-hundred and fifty seven parents of 104 deceased children completed surveys at both time points. Mental health symptoms declined over time (mean (SD)): ICG (33.8 (15.4) vs. 30.5 (15.2), p < 0.001), PHQ-8 (9.0 (6.4) vs. 7.3 (5.8), p < 0.001), and SPRINT (14.1 (8.3) vs. 12.0 (8.2), p < 0.001). After controlling for 6-month scores, higher 13-month ICG was independently associated with sudden unexpected death; higher PHQ-8 with Black race, insecure attachment style, and sudden unexpected death; and higher SPRINT with having a high school level of education (compared to college degree or higher).
conclusionMental health symptoms improve among parents during the first 13 months after their child's death; however, symptoms persist for many. Black parents and those whose children die suddenly may be high risk for poor adjustment during bereavement.
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