Introduction
As a practitioner working with children recovering from critical illnesses, understanding the biological and psychological aftermath is crucial. A recent exploratory study titled Stress hormones and posttraumatic stress symptoms following paediatric critical illness: an exploratory study provides insights into the role of stress hormones, particularly cortisol, in children post-intensive care. This blog aims to help practitioners improve their skills by implementing the outcomes of this research or encouraging further research.
Key Findings
The study investigated cortisol regulation in children aged 5-16, 3-6 months after discharge from pediatric intensive care units (PICU). It compared these children with healthy controls to assess potential changes in cortisol levels and their association with posttraumatic stress symptoms (PTSD).
- No significant differences were found in basal cortisol concentrations between PICU survivors and healthy controls.
- However, a significant association was identified between evening cortisol levels and PTSD symptoms in the PICU group.
- Evening cortisol was a modest independent predictor of PTSD symptoms, influenced by septic illness and pre-existing health issues.
Implications for Practitioners
These findings suggest that while cortisol levels may normalize after critical illness, there is still a potential link between cortisol dysregulation and PTSD symptoms. Here are some ways practitioners can use this information:
- Monitor Psychological Symptoms: Regularly assess children for PTSD symptoms, especially those with a history of critical illness and septic conditions.
- Consider Biological Factors: Recognize the potential role of cortisol and other stress hormones in psychological recovery. Consider collaborating with endocrinologists for comprehensive care.
- Encourage Further Research: Given the exploratory nature of the study, practitioners should advocate for further research to confirm these findings and explore intervention strategies.
Encouraging Further Research
The study highlights the need for more extensive research to understand the complex relationship between cortisol regulation and PTSD in children. Practitioners can contribute by:
- Participating in or supporting longitudinal studies that track cortisol levels and psychological outcomes over time.
- Collaborating with researchers to explore the impact of therapeutic interventions on cortisol regulation and PTSD symptoms.
Conclusion
Understanding the interplay between stress hormones and psychological outcomes in children post-critical illness is essential for effective care. By staying informed and advocating for further research, practitioners can play a pivotal role in improving recovery outcomes for these vulnerable children.
To read the original research paper, please follow this link: Stress hormones and posttraumatic stress symptoms following paediatric critical illness: an exploratory study.
