Post-traumatic stress disorder symptoms in children after PICU discharge: exploring contributing factors and the need for targeted interventions

Background: The rising number of pediatric intensive care unit (PICU) admissions has brought post-traumatic stress disorder (PTSD) into sharp focus as a pressing mental health concern among pediatric patients. This study aimed to explore the PTSD-related experiences of children following PICU hospitalization. Methods: This descriptive qualitative study investigated PTSD-related experiences in children aged 8–18 years discharged from PICUs in Chengdu, China. Using stratified purposive sampling, we conducted in-depth interviews with participants one-month post-discharge. Data were analyzed thematically through coding, categorization, and theme extraction. To ensure rigor, we employed triangulation, member checking, and expert review. Results: Interviews with 11 children (six boys and five girls) revealed significant PTSD symptoms after PICU discharge. Key contributors to PTSD include physical health and sleep disturbances, psychological distress, environmental stressors, invasive medical interventions, and a lack of social interaction. Conclusions: Post-PICU PTSD symptoms in children are shaped by a combination of physical, psychological, and social factors. Tailored interventions are urgently needed to mitigate these risks, emphasizing holistic care to support recovery and mental well-being.