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Parents' posttraumatic stress after burns in their school-aged child: A prospective study
Marthe R Egberts1, Rens van de Schoot2, Rinie Geenen3
1Association of Dutch Burn Centres.
Insights
Childhood burn injuries significantly impact parents, causing acute psychological distress. Posttraumatic stress symptoms (PTSS) persist in some parents, highlighting the need for integrated parental support in burn care.
Area of Science:
- Psychology
- Pediatric Burn Injury
- Trauma Studies
Background:
- Childhood burn injuries represent a significant traumatic event for families.
- Parental psychological well-being is crucial for child recovery and family adaptation post-injury.
Purpose of the Study:
- To investigate the trajectory and predictors of parental posttraumatic stress symptoms (PTSS) following a child's burn injury.
- To identify factors influencing parental psychological distress in the aftermath of pediatric burns.
Main Methods:
- Prospective study involving 118 families with children aged 8–18 years.
- Parents (111 mothers, 91 fathers) completed the Impact of Event Scale (IES) at multiple time points postburn (1, 3, 12, 18 months).
- Multilevel regression analysis examined the relationship between perceived threat, guilt, anger, and parental PTSS.
Main Results:
- High rates of clinically significant PTSS were observed in mothers (48%) and fathers (26%) within the first month postburn.
- PTSS significantly decreased over 18 months, but a subgroup of parents retained clinical symptoms.
- Perceived life threat, guilt, and anger were significant predictors of parental PTSS, particularly in mothers.
Conclusions:
- Pediatric burn injuries have a profound and acute psychological impact on parents.
- A subset of parents experiences persistent PTSS, underscoring the need for ongoing mental health support.
- Parental support, especially for mothers with intense emotional responses, should be integrated into burn care protocols.
Objective:
This prospective study examined the course and potential predictors of parents' posttraumatic stress symptoms (PTSS) after burn injury in their child (Age 8 to 18 years).
Method:
One hundred eleven mothers and 91 fathers, representing 118 children, participated in the study. Within the first month after the burn event and subsequently at 3, 12, and 18 months postburn, both parents completed the Impact of Event Scale (IES). Parental emotions related to the burn event and appraisal of threat to the child's life were assessed, which were investigated in a multilevel regression model.
Results:
Within the first month postburn, 48% of the mothers and 26% of the fathers reported clinically significant PTSS (IES ≥26), which decreased to, respectively, 19% and 4% 18 months postburn. Symptoms of intrusion were mainly individually experienced, whereas parents within a couple were more similar in terms of their avoidance symptoms. The perceived life threat and feelings of guilt and anger linked to the burn event were significantly related to parental PTSS, especially in mothers.
Conclusions:
The results indicate that a burn event to a child has a severe (acute) psychological impact on parents and that clinical levels of PTSS may persist in a subgroup of parents. The findings underline the need to incorporate parent support in burn care, especially for mothers with a strong emotional response during the first months after the burn event. (PsycINFO Database Record
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