Price Julia, Kassam-Adams Nancy, Alderfer Melissa A, Christofferson Jennifer, Kazak Anne E
Center for Healthcare Delivery Science, Nemours Children's Health System, Department of Pediatrics, Sidney Kimmel Medical College at Thomas Jefferson University.
Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, and Division of Emergency Medicine, The Children's Hospital of Philadelphia.
J Pediatr Psychol. 2016 Jan-Feb;41(1):86-97. doi: 10.1093/jpepsy/jsv074. Epub 2015 Aug 28.
The objective of this systematic review is to reevaluate and update the Integrative Model of Pediatric Medical Traumatic Stress (PMTS; Kazak et al., 2006), which provides a conceptual framework for traumatic stress responses across pediatric illnesses and injuries.
Using established systematic review guidelines, we searched PsycINFO, Cumulative Index to Nursing and Allied Health Literature, and PubMed (producing 216 PMTS papers published since 2005), extracted findings for review, and organized and interpreted findings within the Integrative Model framework.
Recent PMTS research has included additional pediatric populations, used advanced longitudinal modeling techniques, clarified relations between parent and child PMTS, and considered effects of PMTS on health outcomes. Results support and extend the model's five assumptions, and suggest a sixth assumption related to health outcomes and PMTS.
Based on new evidence, the renamed Integrative Trajectory Model includes phases corresponding with medical events, adds family-centered trajectories, reaffirms a competency-based framework, and suggests updated assessment and intervention implications.
本系统评价的目的是重新评估和更新儿童医学创伤应激综合模型（PMTS；Kazak等人，2006年），该模型为儿童疾病和损伤中的创伤应激反应提供了一个概念框架。
我们按照既定的系统评价指南，检索了心理学文摘数据库（PsycINFO）、护理及相关健康文献累积索引数据库（Cumulative Index to Nursing and Allied Health Literature）和医学期刊数据库（PubMed）（检索出2005年以来发表的216篇关于PMTS的论文），提取供审查的研究结果，并在综合模型框架内对研究结果进行组织和解读。
近期关于PMTS的研究纳入了更多儿童群体，采用了先进的纵向建模技术，阐明了父母与儿童PMTS之间的关系，并考虑了PMTS对健康结局的影响。研究结果支持并扩展了该模型的五个假设，并提出了与健康结局和PMTS相关的第六个假设。
基于新证据，重新命名的综合轨迹模型纳入了与医疗事件相对应的阶段，增加了以家庭为中心的轨迹，重申了基于能力的框架，并提出了更新后的评估和干预建议。
