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AnteayerInternacionales

War-exposed adolescents screening positive for mental health symptoms indicate a need for diagnostic evaluation to inform care

Por: Pollio · E. W. · North · C. S.

Commentary on: Goto R, Pinchuk I, Kolodezhny O, et al (2024). Mental health of adolescents exposed to the war in Ukraine. JAMA Pediatrics, 178 (5), 480-488. doi: 10.1001/jamapediatrics.2024.0295.

Implications for practice and research

  • Individuals screening positive require diagnostic evaluation to inform psychiatric treatment decisions and mental health interventions.

  • Future research should expand these findings with objective measures of war/trauma exposure and full diagnostic assessment.

    • Context

    The study by Goto et al screened adolescents across Ukraine for mental health consequences of war.1 These adolescents had a range of exposures to the Russian invasion beginning in early 2022 and completed self-report symptom questionnaires. Prior studies cited in the article suggested that children and adolescents may be especially vulnerable to war-related mental health problems. Given the difficulties of conducting research during ongoing hostilities, this study’s efforts to collect and systematically evaluate a large research...

    Addressing bereavement among family surrogates of ICU decedents: the power of spiritual awareness and integrated end-of-life care

    Por: Pinto · S. · Fassarella · C. S.

    Commentary on: Wen, F. H., Prigerson, H. G., Hu, T. H., Huang, C. C., Chou, W. C., Chuang, L. P., Chiang, M. C., & Tang, S. T. (2024). Associations Between Family-Assessed Quality-of-Dying-and-Death Latent Classes and Bereavement Outcomes for Family Surrogates of ICU Decedents. Crit Care Med. Published online February 1, 2024. doi:10.1097/CCM.0000000000006199.

    Implications for practice and research

  • Improving end-of-life (EoL) care in intensive care units is paramount for supporting patients and families.

  • Supporting families with EoL decisions can impact their postbereavement health-related quality of life.

  • Recognising and fostering spiritual self-awareness may enhance the bereavement experience.

    •  Context

    Intensive care units (ICUs) exposes both patients and families to an unfamiliar/stressful environment, featuring the urgency for enhanced end-of-life (EoL) care within ICUs.1 2 The emotional burden of EoL decisions can intensify the needs of bereaved families, leading to decreased quality of life,...
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