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Rates of dysfunction in parents of pediatric patients with burns

Kendall-Grove1, D M Ehde, D R Patterson

  • 1Department of Rehabilitation Medicine, University of Washington School of Medicine, Harborview Medical Center, Seattle 98104, USA.

Insights

Many parents of children treated for burns report family dysfunction, with nearly 30% of older children also showing signs of dysfunction. Interventions should address both parents and children, recognizing burns as a symptom of underlying psychosocial issues.

Area of Science:

  • Pediatrics
  • Psychology
  • Public Health

Background:

  • Pediatric burn injuries can be associated with underlying family and child psychosocial issues.
  • Understanding the prevalence of family and child dysfunction is crucial for effective treatment and prevention.

Purpose of the Study:

  • To investigate the rates of family and child dysfunction in children admitted for burn treatment.
  • To identify the scope of psychosocial problems within families experiencing pediatric burns.

Main Methods:

  • Prospective, consecutive sampling of 111 children admitted for burn treatment.
  • Demographic questionnaire administered to parents during the child's hospitalization.

Main Results:

  • 36% of families reported significant parental dysfunction (substance abuse, CPS involvement, incarceration, psychiatric history).
  • 29% of children over age 4 exhibited significant dysfunction (abuse, psychiatric disorders, behavioral issues, learning disabilities).

Conclusions:

  • Parents of children with burns exhibit a high rate of dysfunction.
  • Psychological and preventive interventions should target both parents and children.
  • Burn injuries frequently serve as indicators of broader family psychosocial problems.

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