• Pediatr Crit Care Me · Nov 2020

    Observational Study

    Parental Mental Health Care After Their Child's Pediatric Intensive Care Hospitalization.

    • Grace E Logan, John M Sahrmann, Hongjie Gu, and Mary E Hartman.
    • Department of Pediatrics, Washington University in St. Louis, St. Louis, MO.
    • Pediatr Crit Care Me. 2020 Nov 1; 21 (11): 941948941-948.

    ObjectivesPost-traumatic stress disorder, depression, and anxiety have all been found in parents of PICU survivors. How these research findings translate to actual use of mental health services by parents remains unknown.DesignRetrospective observational cohort study.SettingInsurance claims data from 2006 to 2013 obtained from the IBM MarketScan Commercial Database.PatientsParents of PICU survivors.InterventionsWe examined rates of: 1) mental health diagnoses, 2) outpatient mental health visits, and 3) prescriptions for antidepressants and anxiolytics among parents, 6 months before and 6 months after their child's PICU admission, using each parent as their own control.Measurements And Main ResultsOf the 95,070 parents identified, 9.5% received a new mental health diagnosis in the 6 months after their child's PICU hospitalization, which represented a 110% increase from pre-PICU rates. A smaller proportion of parents were given new prescriptions for antidepressants (3.4%) and anxiolytics (3.9%) in the 6 months after their child's PICU hospitalization. Mothers were twice as likely to receive a new mental health diagnosis and be taking a new medication than fathers in the post-PICU period. The parental diagnosis of acute stress disorder or post-traumatic stress disorder increased by 87% from the pre-PICU to the post-PICU period.ConclusionsAfter their child's PICU hospitalization, the proportion of parents with a new mental health diagnosis nearly doubled. Mothers were at nearly twice the risk of receiving a new mental health diagnosis and receiving a new mental health medication compared with fathers. The proportion of parents receiving mental healthcare is much lower than the proportion reporting mental health symptoms in long-term outcomes studies. Whether this indicates a gap in healthcare delivery for parents with mental health symptoms remains unknown.

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