Resilient, recovering, distressed: a longitudinal qualitative study of parent psychosocial trajectories following child critical injury

Kim Foster, Rebecca Mitchell, Connie Van, Alexandra Young, Andrea McCloughen, Kate Curtis

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Introduction: The psychological distress and risk of mental health problems for parents of children with critical injury is well-established. There has been little exploration, however, of parent experiences and psychosocial trajectories over time following child critical injury. To address this knowledge gap, a longitudinal qualitative study was conducted to explore parent experiences and support needs and identify parent psychosocial trajectories in the 12 months following child critical injury. Methods: Semi- structured in-depth interviews were conducted with 27 parents at three time points over a 12 month period: the immediate hospital period post-child injury, and 6 and 12 months following injury, resulting in a total of 81 interviews. Data were analysed using a longitudinal within and across-case thematic analysis of patterns emerging over time. Findings: Three parent trajectory patterns were identified: resilient trajectory where parents were temporarily disrupted by the child's injury and hospitalisation, but recovered their mental and emotional wellbeing quickly, which was maintained over time; recovering trajectory where parents were initially disrupted at the time of injury but their mental and emotional wellbeing fluctuated over time and had not been fully restored by 12 months; and distressed trajectory where parents experienced significant psychosocial disruption due to their child's injury and struggled to adapt and regain their wellbeing over time, remaining emotionally distressed about the circumstances and impacts of the injury on their child and family. Illustrative narratives that represent each trajectory are presented. Conclusions: This is the first qualitative study to report the psychosocial trajectories of parents of critically injured children. Clinical application of insights provided by these trajectories can assist clinicians to use targeted strategies to help strengthen parental adaptation and prevent adverse mental health outcomes, and address families’ psychosocial support needs following child injury. Screening for parent psychological distress and post-traumatic stress disorder is needed from the time of the child's admission, and a dedicated trauma support role can facilitate an integrated care approach for children and families with complex needs across the care continuum.

LanguageEnglish
Pages1605-1611
Number of pages7
JournalInjury
Volume50
Issue number10
DOIs
Publication statusPublished - Oct 2019

Fingerprint

Longitudinal Studies
Wounds and Injuries
Parents
Mental Health
Interviews
Psychology
Continuity of Patient Care
Post-Traumatic Stress Disorders
Child Care
Hospitalization

Bibliographical note

Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Longitudinal
  • Paediatric critical injury
  • Parent
  • Psychosocial
  • Qualitative
  • Resilience

Cite this

Foster, Kim ; Mitchell, Rebecca ; Van, Connie ; Young, Alexandra ; McCloughen, Andrea ; Curtis, Kate. / Resilient, recovering, distressed : a longitudinal qualitative study of parent psychosocial trajectories following child critical injury. In: Injury. 2019 ; Vol. 50, No. 10. pp. 1605-1611.
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Resilient, recovering, distressed : a longitudinal qualitative study of parent psychosocial trajectories following child critical injury. / Foster, Kim; Mitchell, Rebecca; Van, Connie; Young, Alexandra; McCloughen, Andrea; Curtis, Kate.

In: Injury, Vol. 50, No. 10, 10.2019, p. 1605-1611.

Research output: Contribution to journalArticleResearchpeer-review

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