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The relationship between behavioural problems in preschool children and parental distress after a paediatric burn
Anne Bakker1, Peter G M van der Heijden, Maarten J M van Son
1Dutch Burn Centres, P. O. Box 1015, 1940 EA, Beverwijk, The Netherlands, abakker@burns.nl.
Insights
Parental distress after a child's burn injury is linked to the child's emotional and behavior problems. Addressing parents' acute stress is crucial for their child's recovery and well-being.
Area of Science:
- Pediatric Psychology
- Burn Trauma Research
- Child Development
Background:
- Parental distress following pediatric burn events can impact child outcomes.
- Understanding the relationship between parental acute stress and child behavior is essential for effective care.
Purpose of the Study:
- To examine mother- and father-rated child emotional and behavior problems and parental worries post-burn.
- To investigate the association between parental acute distress and child-related problems at 3 and 12 months post-burn.
Main Methods:
- Longitudinal study involving 155 children and their parents (150 mothers, 125 fathers).
- Child Behavior Checklist used to assess child problems and parental worries.
- Impact of Event Scale measured parental acute distress within the first month post-burn.
Main Results:
- Parents reported comparable views on child emotional and behavior problems, generally within normal limits.
- Parents' acute stress reactions significantly correlated with parent-rated child behavior problems at 3 and 12 months.
- High parental stress was associated with increased burn-related concerns about the child.
Conclusions:
- Parental distress in the subacute phase post-burn is related to subsequent child worries and observed child problems.
- A family-centered approach is recommended, focusing on the interplay between parental distress and child outcomes in pediatric burn care.
Abstract:
This study examines mother- and father-rated emotional and behaviour problems in and worries about 0- to 5-year-old children at 3 and 12 months after a burn event and the relation with parental distress. Mothers (n = 150) and fathers (n = 125) representing 155 children participated in this study. Child emotional and behaviour problems and parental worries about the child were assessed with the Child Behavior Checklist at both time points. Parents' level of acute subjective distress was assessed within the first month after the burn event with the Impact of Event Scale. Mothers and fathers held comparable views of their child's emotional and behaviour problems, which were generally within the normal limits. Parents' own acute stress reactions were significantly related to parent-rated child behaviour problems at 3 and 12 months postburn. A substantial part of mothers' and fathers' worries about the child concerned physical and emotional aspects of the burn trauma, and potential future social problems. Parents with high acute stress scores more often reported burn-related concerns about their child at 3 and 12 months postburn. Health-care professionals should be informed that parents' distress in the subacute phase of their child's burn event may be related to subsequent worries about their child and to (parent-observed) child emotional and behaviour problems. The authors recommend a family perspective, with particular attention for the interplay between parents' distress and parent-reported child behaviour problems and worries, in each phase of paediatric burn care.
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