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Parental Acute Distress During Initial Ambulatory Pediatric Burn Clinic Visit

Carrie Tully1,2, Nakisa Asefnia2, Aaron Mun2

  • 1School of Medicine and Health Sciences, The George Washington University, Washington, DC, United States.

Journal of Burn Care & Research : Official Publication of the American Burn Association
|March 24, 2025
PubMed

Insights

Parental distress significantly impacts a child's burn injury recovery, affecting their pain and stress levels during clinic visits. Early interventions targeting parental well-being are crucial for better child outcomes.

Area of Science:

  • Pediatric Psychology
  • Traumatology
  • Family Medicine

Background:

  • Pediatric burn injuries cause significant distress to children and families.
  • Psychological symptoms like anxiety, depression, and posttraumatic stress symptoms (PTSS) can arise.
  • Parental distress is linked to a child's pain response and recovery trajectory.

Purpose of the Study:

  • To investigate the relationship between parental distress and child psychosocial outcomes.
  • To examine temporal patterns of parental distress during initial burn clinic visits.
  • To understand the influence of parental distress on child pain and acute stress symptoms.

Main Methods:

  • Assessed parental distress at three key time points: before, during, and after the child's initial burn clinic visit.
  • Evaluated child acute stress symptoms and observed pain.
  • Analyzed the temporal relationship between parental distress and child outcomes.

Main Results:

  • A dynamic relationship was observed between parental distress, child acute stress symptoms, and child-observed pain.
  • Parental distress during the initial burn clinic visit was a significant factor in the child's experience.
  • Findings highlight the critical role of parental emotional state in pediatric burn care.

Conclusions:

  • Parental distress is a key factor influencing a child's acute stress and pain during burn treatment.
  • Timely psychological interventions for parents can improve a child's recovery.
  • Future research should focus on family-centered, resilience-based interventions for pediatric burn survivors.

Keywords:
acute stress disorderchild psychologydual-foci modelshealth psychologyparenting

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