Skip Navigation



Journal of Pediatric Psychology Advance Access published online on August 10, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj054
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow CME/CE:
Take the course for this article:
 An Integrative Model of Pediatric Med...
Right arrow All Versions of this Article:
31/4/343    most recent
jsj054v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Kazak, A. E.
Right arrow Articles by Rourke, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kazak, A. E.
Right arrow Articles by Rourke, M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Journal of Pediatric Psychology © The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org
Received May 19, 2004
Revised November 17, 2004
Accepted December 9, 2004

Article

An Integrative Model of Pediatric Medical Traumatic Stress

Anne E. Kazak PhD, ABPP1*, Nancy Kassam-Adams PhD2, Stephanie Schneider MS2, Nataliya Zelikovsky PhD1, Melissa A. Alderfer PhD1, and Mary Rourke PhD2

1 The Children’s Hospital of Philadelphia; The University of Pennsylvania
2 The Children’s Hospital of Philadelphia

* To whom correspondence should be addressed.
Anne E. Kazak, E-mail: kazak{at}email.chop.edu


  Abstract

Objective To guide assessment and intervention for patients and families, a model for assessing and treating pediatric medical traumatic stress (PMTS) is presented that integrates the literature across pediatric conditions. Methods A model with three general phases is outlined--I, peritrauma; II, early, ongoing, and evolving responses; and III, longer-term PMTS. Relevant literature for each is reviewed and discussed with respect to implications for intervention for patients and families. Results Commonalities across conditions, the range of normative responses to potentially traumatic events (PTEs), the importance of preexisting psychological well-being, developmental considerations, and a social ecological orientation are highlighted. Conclusions Growing empirical support exists to guide the development of assessment and intervention related to PMTS for patients with pediatric illness and their parents. The need for interventions across the course of pediatric illness and injury that target patients, families, and/or healthcare teams is apparent. The model provides a basis for further development of evidence-based treatments.

Keywords: cancer; families; intervention; pediatric illness; pediatric injury; posttraumatic stress disorder; posttraumatic stress; transplantation.
Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 J Pediatr PsycholHome page
A. Bakker, N. E. E. Van Loey, M. J. M. Van Son, and P. G. M. Van der Heijden
Brief Report: Mothers' Long-term Posttraumatic Stress Symptoms Following a Burn Event of Their Child
J. Pediatr. Psychol., October 21, 2009; (2009) jsp090v1.
[Abstract] [Full Text] [PDF]

Home page
 J Pediatr PsycholHome page
B. L. Murray, J. A. Kenardy, and S. H. Spence
Brief Report: Children's Responses to Trauma- and Nontrauma-related Hospital Admission: A Comparison Study
J. Pediatr. Psychol., May 1, 2008; 33(4): 435 - 440.
[Abstract] [Full Text] [PDF]

Home page
 J Pediatr PsycholHome page
N. R. Andrews, J. M. Chaney, L. L. Mullins, J. L. Wagner, K. A. Hommel, and J. N. Jarvis
Brief Report: Illness Intrusiveness and Adjustment among Native American and Caucasian Parents of Children with Juvenile Rheumatic Diseases
J. Pediatr. Psychol., November 1, 2007; 32(10): 1259 - 1263.
[Abstract] [Full Text] [PDF]

Home page
 J Pediatr PsycholHome page
A. E. Kazak, M. T. Rourke, M. A. Alderfer, A. Pai, A. F. Reilly, and A. T. Meadows
Evidence-based Assessment, Intervention and Psychosocial Care in Pediatric Oncology: A Blueprint for Comprehensive Services Across Treatment
J. Pediatr. Psychol., October 1, 2007; 32(9): 1099 - 1110.
[Abstract] [Full Text] [PDF]

Home page
 Evid. Based Ment. HealthHome page
W B. Daviss
The Child Trauma Screening Questionnaire predicts PTSD onset 6 months after traumatic accident better than the Children's Impact of Events Scale
Evid. Based Ment. Health, May 1, 2007; 10(2): 44 - 44.
[Full Text] [PDF]

Home page
 J Pediatr PsycholHome page
L. Stoppelbein and L. Greening
Brief Report: The Risk of Posttraumatic Stress Disorder in Mothers of Children Diagnosed with Pediatric Cancer and Type I Diabetes
J. Pediatr. Psychol., March 1, 2007; 32(2): 223 - 229.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.