Objectives: 

Post-traumatic stress disorder, depression, and anxiety have all been found in parents of PICU survivors. How these research findings translate to actual use of mental health services by parents remains unknown.

Design: 

Retrospective observational cohort study.

Setting: 

Insurance claims data from 2006 to 2013 obtained from the IBM MarketScan Commercial Database.

Patients: 

Parents of PICU survivors.

Interventions: 

We examined rates of: 1) mental health diagnoses, 2) outpatient mental health visits, and 3) prescriptions for antidepressants and anxiolytics among parents, 6 months before and 6 months after their child’s PICU admission, using each parent as their own control.

Measurements and Main Results: 

Of the 95,070 parents identified, 9.5% received a new mental health diagnosis in the 6 months after their child’s PICU hospitalization, which represented a 110% increase from pre-PICU rates. A smaller proportion of parents were given new prescriptions for antidepressants (3.4%) and anxiolytics (3.9%) in the 6 months after their child’s PICU hospitalization. Mothers were twice as likely to receive a new mental health diagnosis and be taking a new medication than fathers in the post-PICU period. The parental diagnosis of acute stress disorder or post-traumatic stress disorder increased by 87% from the pre-PICU to the post-PICU period.

Conclusions: 

After their child’s PICU hospitalization, the proportion of parents with a new mental health diagnosis nearly doubled. Mothers were at nearly twice the risk of receiving a new mental health diagnosis and receiving a new mental health medication compared with fathers. The proportion of parents receiving mental healthcare is much lower than the proportion reporting mental health symptoms in long-term outcomes studies. Whether this indicates a gap in healthcare delivery for parents with mental health symptoms remains unknown.

中文翻译：

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小儿重症监护室住院治疗后的父母心理保健服务*

目标： 

在PICU幸存者的父母中均发现了创伤后应激障碍，抑郁症和焦虑症。这些研究结果如何转化为父母对心理健康服务的实际使用仍未知。

设计： 

回顾性观察队列研究。

设置： 

从IBM MarketScan商业数据库获得的2006年至2013年的保险理赔数据。

耐心： 

PICU幸存者的父母。

干预措施： 

我们检查了以下几率：1）父母接受PICU治疗之前和之后6个月和6个月后，父母中的抗抑郁药和抗焦虑药的处方：1）精神健康诊断，2）门诊精神健康就诊和处方。

测量和主要结果： 

在确定的95,070名父母中，有9.5％的孩子在其PICU住院之后的6个月内接受了新的心理健康诊断，这比PICU之前的患病率增加了110％。较小比例的父母在孩子的PICU住院后六个月内接受了抗抑郁药（3.4％）和抗焦虑药（3.9％）的新处方。在PICU后时期，母亲接受新的心理健康诊断和服用新药物的可能性是父亲的两倍。从PICU治疗前到PICU治疗后，父母对急性应激障碍或创伤后应激障碍的诊断增加了87％。

结论： 

在孩子的PICU住院治疗后，接受新的心理健康诊断的父母比例几乎翻了一番。与父亲相比，母亲接受新的精神健康诊断和接受新的精神健康药物的风险接近两倍。接受心理保健的父母比例远低于长期结果研究中报告心理健康症状的比例。这是否表明存在心理健康症状的父母在医疗保健服务方面存在差距，尚不清楚。