Posttraumatic Stress Symptoms in Parents of Children with Acute Burns

Hall, Erin; Saxe, Glenn; Stoddard, Frederick J.; Kaplow, Julie B.; Koenen, Karestan C.; Chawla, Neharika; Lopez, Carlos; King, Lynda A.; King, Daniel W.

doi:10.1093/jpepsy/jsj016

Cited by 133 publications

(107 citation statements)

References 37 publications

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“…42 Hall et al interviewed parents of hospitalized burn victims and found out that three months after the event a significant share (47%) of the children had remarkable symptoms of posttraumatic stress. 56 In Brazil, in 2002, according to Datasus, 266 children and adolescents aged 0 to19 years died from exposure to smoke, fire and flames. 2 Burns are a type of injury that predominantly occurs at home, especially in the kitchen, [41][42][43] and which affects mainly children aged between 1 and 4 years.…”

Section: Burnsmentioning

confidence: 99%

As injúrias não intencionais no ambiente domiciliar: a casa segura

Paes

Gaspar

2005

J. Pediatr. (Rio J.)

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Objective: To review the characteristics of unintentional injuries and their impact on children and adolescents. Sources of data:Articles published between 2000 and 2005 in the MEDLINE, EBSCO, Proquest, SciELO, BVS and Google Scholar databases were selected. The authors used the keywords unintentional injuries, injuries, safe home, burns, falls, drowning, scorpions, snakes, poisoning, child, adolescent, mortality, injury control, and hospitalization. Some articles were evaluated based on the selected publications.Summary of the findings: Unintentional injuries in the world and in Brazil are analyzed, and so are the behaviors currently adopted for injury prevention and control. The impact on mortality, on physical damage, and the economic burden of injuries are evaluated. Special emphasis is placed on home environment, approaching the effects of child development, social disparities and contextualization of home environment on childrens world and vulnerabilities. The main types of events that cause physical damage to the child and adolescent in the home environment are described. Conclusion:The prevention of injuries in the home environment is possible. In this case, health professionals have the challenge to reduce the consequences of unintentional injuries on the morbidity and mortality of children and young people in Brazil and in the whole world.J Pediatr (Rio J). 2005;81(5 Suppl):S146-S154: Safety, accident prevention, injuries, home accidents, home safety, injury control.

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Section: Burnsmentioning

confidence: 99%

As injúrias não intencionais no ambiente domiciliar: a casa segura

Paes

Gaspar

2005

J. Pediatr. (Rio J.)

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“…Previous studies have reported considerable rates of depression [19], anxiety [20], acute stress symptoms [21,22], and posttraumatic stress [23,24]. Moreover, studies found that many mothers had concerns about their child's health, scarring and appearance, and social issues after a burn event [7,20].…”

mentioning

confidence: 99%

The relationship between behavioural problems in preschool children and parental distress after a paediatric burn event

Bakker

Heijden

Son

et al. 2014

Eur Child Adolesc Psychiatry

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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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“…On the other hand, other publications present a better scenario, indicating that parents are optimistic and that the experience of having a child with cancer made them become emotionally stronger, selecting new priorities in life and giving them a greater sense of personal force, an improvement in relationships and a better management of other stressors (Barakat et al, 2003, Barakat et al, 2000, Fernandez et al, 2009Grootenhuis & Last, 1997;Jurbergs et al 2009, Maurice-Stam et al, 2008. Kazak et al (2007) believe that parents´ stress can be adaptive, since it alerts their social environment that they are in need of emotional support.…”

Section: Parents´ Psychological Adjustmentmentioning

confidence: 99%

Eficacia de intervenciones psicológicas dirigidas a promover el ajuste de niños con cáncer y de sus padres: una revisión

2014

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Título: Eficacia de intervenciones psicológicas dirigidas a promover el ajuste de niños con cáncer y de sus padres: una revisión. Resumen: Esta revisión tiene como objetivo ofrecer un panorama general sobre la eficacia de las intervenciones psicológicas destinadas a promover el ajuste psicológico de niños aquejados de cáncer y de sus padres. Con este fin se revisaron los artículos publicados entre 1998-2010, empleando las siguientes palabras-clave: intervención psicosocial, psicoterapia, ensayo, tratamiento, ajuste, bienestar, adaptación, cáncer, cáncer infantil, cáncer pediá-trico, ansiedad y depresión (combinándolas entre sí) en las siguientes bases de datos: Psycinfo, Medline, Scielo, Lilacs, Psicodoc y Psyarticles. Se localizaron un total de catorce artículos, de cuyo análisis se concluye que la mayoría de las intervenciones utilizadas resultan de alguna utilidad para mejorar el ajuste psicológico tanto de los niños como de los padres, aunque el número de tratamientos que pueden considerarse realmente eficaces es más limitado. Se discute sobre la conveniencia de que la intervención psicológi-ca dirigida a este tipo de población se centre más en las fortalezas y en la promoción de la salud y deje de apoyarse exclusivamente en modelos de tratamiento basados en déficits y psicopatología. Posiblemente, este cambio de orientación contribuirá a fomentar cambios clínicamente relevantes en relación al estrés que acompaña al cáncer y su tratamiento. Palabras clave: Ajuste psicológico; intervenciones; cáncer infantil; revisión. Abstract:This article aims at providing a general overview of psychological interventions intended to promote psychological adjustment of children with cancer and their parents. To achieve this goal, we reviewed published articles between 1998-2010, using a combination of the following keywords: psychosocial intervention, psychotherapy, trial, treatment, adjustment, well-being, adaptation, cancer, childhood cancer, pediatric cancer, anxiety and depression in the electronic databases: Psycinfo, Medline, Scielo, Lilacs, Psicodoc and Psyarticles. Fourteen articles were found and analyses show that most interventions had some efficacy in the psychological adjustment of children and their parents; nevertheless, there is a limited number of treatments that can in fact be considered effective. The convenience of psychological interventions is discussed and how they must comprehend strengths and the promotion of psychological health and should not be based solely on deficits and psychopathological models. Possibly, this re-orientation will help fostering significant clinic changes regarding the stress associated to cancer and its treatment.

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Posttraumatic Stress Symptoms in Parents of Children with Acute Burns

Abstract: This study suggests that many parents of children with burns suffer from posttraumatic stress symptoms. Interventions that target factors such as family conflict, children's symptoms, and parents' acute anxiety and dissociation may diminish the risk for PTSD.

Cited by 133 publications

References 37 publications

As injúrias não intencionais no ambiente domiciliar: a casa segura

As injúrias não intencionais no ambiente domiciliar: a casa segura

The relationship between behavioural problems in preschool children and parental distress after a paediatric burn event

Eficacia de intervenciones psicológicas dirigidas a promover el ajuste de niños con cáncer y de sus padres: una revisión

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