Journal of Pediatric Nursing
Volume 23, Issue 2 , Pages 81-91, April 2008

The Impact of Unintentional Pediatric Trauma: A Review of Pain, Acute Stress, and Posttraumatic Stress

  • Jeffrey I. Gold, PhD

      Affiliations

    • Corresponding Author InformationCorresponding author Jeffrey I. Gold, PhD, Comfort, Pain Management, and Palliative Care Program, Department of Anesthesiology Critical Care Medicine, Children's Hospital Los Angeles, 4650 Sunset Boulevard, MS No. 12, Los Angeles, CA 90027-6062.
  • ,
  • Alexis J. Kant, BA
  • ,
  • Seok Hyeon Kim, MD, PhD

Department of Anesthesiology Critical Care Medicine, Children's Hospital Los Angeles, Los Angeles, CA

Keck School of Medicine, University of Southern California, Los Angeles, CA

Department of Neuropsychiatry and Institute of Mental Health, Hanyang University College of Medicine, Seoul, South Korea

This article reviews current research on acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) resulting from pediatric simple (i.e., single, unpredictable, and unintentional) physical injury and how pain may act as both a trigger and a coexisting symptom. Although several studies have explored predictors of ASD and PTSD, as well as the relationship between these conditions in adults, there is less research on ASD and PTSD in children and adolescents. This review highlights the importance of early detection of pain and acute stress symptoms resulting from pediatric unintentional physical injury in the hopes of preventing long-term negative outcomes, such as the potential development of PTSD and associated academic, social, and psychological problems.

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PII: S0882-5963(07)00297-7

doi:10.1016/j.pedn.2007.08.005

Journal of Pediatric Nursing
Volume 23, Issue 2 , Pages 81-91, April 2008