Beatriz De Mula-Fuentes1, María Quintana1, Jordi Rimbau2, Abel Martínez-Mejías3, María Socorro Úriz3, Cristina Rivera-Pérez3, Maite Garolera4. 1. Brain, Cognition and Behavior: Clinical Research Consorci Sanitari de Terrassa, Barcelona, España. 2. Brain, Cognition and Behavior: Clinical Research Consorci Sanitari de Terrassa, Barcelona, España Unidad de Psicología Infantojuvenil. Consorci Sanitari de Terrassa, Barcelona, España. 3. Servicio de Pediatría. Consorci Sanitari de Terrassa. Barcelona. España. 4. Brain, Cognition and Behavior: Clinical Research Consorci Sanitari de Terrassa, Barcelona, España Unidad de Neuropsicología. Hospital de Terrassa. Consorci Sanitari de Terrassa, Barcelona, España Grup de Recerca Consolidat en Neuropsicologia (SGR0941), Universitat de Barcelona, Barcelona, España.
Abstract
INTRODUCTION: A hospital admission is an experience capable of generating emotional and behavioral alterations at any age. This study pretends to analyze the response of anxiety, fears and/or behavioral alterations in pediatric patients exposed to a conventional non-surgical hospital admission and the existing relationship between these responses and certain modulating variables. Metodology. Design of cohorts. Data collection was carried out in three stages (M1: at admission; M2: at discharge; M3: 2 weeks after discharge), on a 30 patient sample between the ages of 6 to 15 years and 30 caregivers. A comparison was made on the mean of the repeated measurements (Student t) of the respond variables and their correlation (Pearson’s Coefficient Correlation) with modulating variables. RESULTS: The results of the intra-subject analysis showed significance in terms of anxiety levels state in patients in M1 versus M3 (t=3.93, p<.0001, d=0.69) and the magnitude of the total behavioral alterations registered in M1 versus M3 (t=-5.02, p<.0001, d=0.60). It was observed that a significant relationship between modulating variables of patients (anxiety risk) and of the caregiver (anxiety character state, strategy of confrontation) and the variables of response of the anxiety and behavioral alterations of the patient. CONCLUSIONS: Exposure of a conventional non-surgical hospital admission may have negative consequences at an emotional and behavioral level in children, present far beyond the hospital admission. Certain variables, from the patient and the caregiver, are psychological vulnerability factors before a hospitalization process.
INTRODUCTION: A hospital admission is an experience capable of generating emotional and behavioral alterations at any age. This study pretends to analyze the response of anxiety, fears and/or behavioral alterations in pediatric patients exposed to a conventional non-surgical hospital admission and the existing relationship between these responses and certain modulating variables. Metodology. Design of cohorts. Data collection was carried out in three stages (M1: at admission; M2: at discharge; M3: 2 weeks after discharge), on a 30 patient sample between the ages of 6 to 15 years and 30 caregivers. A comparison was made on the mean of the repeated measurements (Student t) of the respond variables and their correlation (Pearson’s Coefficient Correlation) with modulating variables. RESULTS: The results of the intra-subject analysis showed significance in terms of anxiety levels state in patients in M1 versus M3 (t=3.93, p<.0001, d=0.69) and the magnitude of the total behavioral alterations registered in M1 versus M3 (t=-5.02, p<.0001, d=0.60). It was observed that a significant relationship between modulating variables of patients (anxiety risk) and of the caregiver (anxiety character state, strategy of confrontation) and the variables of response of the anxiety and behavioral alterations of the patient. CONCLUSIONS: Exposure of a conventional non-surgical hospital admission may have negative consequences at an emotional and behavioral level in children, present far beyond the hospital admission. Certain variables, from the patient and the caregiver, are psychological vulnerability factors before a hospitalization process.
Authors: Anna Guerrini Usubini; Roberto Cattivelli; Asia Radaelli; Michela Bottacchi; Giulia Landi; Eliana Tossani; Silvana Grandi; Gianluca Castelnuovo; Alessandro Sartorio Journal: Int J Environ Res Public Health Date: 2022-05-05 Impact factor: 4.614
Authors: Leticia San Martín-Rodríguez; Nelia Soto-Ruiz; Marta Ferraz-Torres; Cristina García-Vivar; Amaia Saralegui-Gainza; Paula Escalada-Hernández Journal: Int J Environ Res Public Health Date: 2021-12-31 Impact factor: 3.390