Department of Clinical and Experimental Medicine, Psychiatric Clinic, Azienda Ospedaliero-Universitaria Pisana, University of Pisa, Pisa, Italy.
Occupational Health Department, Azienda Ospedaliero-Universitaria Pisana, University of Pisa, Pisa, Italy.
Ital J Pediatr. 2021 Jan 14;47(1):8. doi: 10.1186/s13052-021-00957-1.
The literature agrees on the impact of post-traumatic stress symptoms in parents of seriously ill children but there is less clarity about the real extent and gender differences of this psychopathological risk. The recent Covid-19 outbreak highlighted new burdens for researchers on Post Traumatic Stress Disorder (PTSD) and clear evidence-based knowledge on this issue is timely needed.
In this review, we present a synthesis of the updated evidence on PTSD rates in parents of children with severe diseases. We also aim to try to understand if research in this field has been refined over time with the long-term intent to better face the new challenges of Covid-19 in the paediatric field.
The PubMed database was searched.
Studies were included if they assessed PTSD in parents of children diagnosed with physical illnesses.
Of 240 studies, 4 were included.
Analysis of the 4 studies revealed 2 studies with PTSD rates around 20% and in line with previous best-evidence. All 4 studies tried to provide more data on fathers, however, all the studies present the lack of a control group.
The limited number of studies, which also differ widely in the methodology used.
Methodological errors evidenced in all the 4 studies limit their reliability, making the understanding of the paediatric caregiver's concern regarding PTSD still difficult. More sound research is needed.
文献一致认为，重病患儿父母存在创伤后应激症状，但对于这种心理病理风险的实际程度和性别差异，认识尚不明确。最近的新冠疫情凸显了研究者在创伤后应激障碍（PTSD）方面的新负担，及时获得这一问题的明确基于证据的知识非常重要。
在本综述中，我们综合了有关重病患儿父母 PTSD 发生率的最新证据。我们还试图了解该领域的研究是否随着时间的推移而不断完善，其长期目标是更好地应对新冠疫情在儿科领域带来的新挑战。
检索 PubMed 数据库。
如果研究评估了患有躯体疾病的儿童的父母的 PTSD，则纳入研究。
在 240 项研究中，有 4 项符合纳入标准。
对这 4 项研究的分析显示，有 2 项研究的 PTSD 发生率约为 20%，与之前的最佳证据一致。所有 4 项研究都试图提供更多关于父亲的数据，但所有研究都缺乏对照组。
研究数量有限，所采用的方法也存在很大差异。
所有 4 项研究都存在方法学错误，限制了其可靠性，使得对儿科照顾者 PTSD 问题的理解仍然困难。需要进行更多可靠的研究。
