Impact of Parental Acute Psychological Distress on Young Child Pain-Related Behavior Through Differences in Parenting Behavior During Pediatric Burn Wound Care

Brown, E. K.; Young, Alexandra De; Kimble, Roy; Kenardy, Justin

doi:10.1007/s10880-018-9596-1

Cited by 22 publications

(38 citation statements)

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“…Although procedural parental distresspromoting behaviour has shown to mediate the relationship between parental PTSS and child procedural distress (Brown et al, 2019), the current analyses did not find a direct association between procedural parenting behaviour and re-epithelialization. The findings suggest acute parental PTSS plays a role in delayed re-epithelialization following paediatric burn, and further research should look to confirm and explain this relationship.…”

Section: Discussioncontrasting

confidence: 94%

“…Participants were recruited as part of a larger observational study of 87 parent-child dyads investigating parental acute psychological distress and parent-child behaviour during burn wound care (Brown et al, 2019). Four children were excluded from the present analysis because they required grafting (therefore, re-epithelialization could not be estimated).…”

Section: Participants and Designmentioning

confidence: 99%

“…It is common for parents to experience psychological distress, including anxiety, guilt, and PTSS following a paediatric burn (Bakker, Van Loey, Van der Heijden, & Van Son, 2012;Stoddard et al, 2006). Parental anxiety and PTSS have been found to influence child procedural coping and distress behaviours through reduced parental coping-promoting and increased distress-promoting behaviours (Brown, De Young, Kimble, & Kenardy, 2019). Largely, parental behaviour during paediatric medical procedures has been related to child procedural coping and distress, and child procedural pain/fear (for a review, see Brown et al, 2018b).…”

Section: Statement Of Contributionmentioning

confidence: 99%

“…These relationships in relation to previously identified mechanisms of wound healing have been modelled in Figure 1b. Notably, different parental acute psychological distress presentations (anxiety/depression compared to PTSS/guilt) appear related to different parental procedural behaviours (Brown et al, 2019). The divergence suggests it is prudent to test the range of parental acute psychological distress presentations individually.…”

Section: Statement Of Contributionmentioning

confidence: 99%

“…Parental acute psychological distress contributes to child psychological distress following a child's burn (De Young, Hendrikz, Kenardy, Cobham, & Kimble, 2014;Landolt, Ystrom, Sennhauser, Gnehm, & Vollrath, 2012), which may influence the child's re-epithelialization time. Notably, different parental acute psychological distress presentations (anxiety/depression compared to PTSS/guilt) appear related to different parental procedural behaviours (Brown et al, 2019). Notably, different parental acute psychological distress presentations (anxiety/depression compared to PTSS/guilt) appear related to different parental procedural behaviours (Brown et al, 2019).…”

mentioning

confidence: 99%

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The role of parental acute psychological distress in paediatric burn re‐epithelialization

Brown

Young

Kimble

et al. 2019

British J Health Psychol

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Objectives. Following a paediatric burn, parents commonly experience high levels of acute psychological distress, which has been shown to increase child psychological distress as well as child procedural distress. The influence of psychological stress and perceived pain on wound healing has been demonstrated in several laboratory and medical populations. This paper investigates the influence of parental acute psychological distress and procedural behaviour on the child's rate of re-epithelialization, after controlling for child procedural distress. Design. A prospective observational study with longitudinal outcome.Methods. Eighty-three parents of children 1-6 years old reported acute psychological distress (post-traumatic stress symptoms [PTSS], guilt, pre-procedural fear, general anxiety/depression symptoms) in relation to their child's burn. A researcher observed parent-child behaviour at the first dressing change, and parents and nurses reported child procedural distress (pre-, peak-, and post-procedural pain and fear). These variables, along with demographic and injury information, were tested for predicting time to re-epithelialization. Date of re-epithelialization was determined by the treating consultant.Results. Days to re-epithelialization ranged from 3 to 35 days post-injury. A hierarchical multiple regression analysis found wound depth and size significantly accounted for 28% of the variance in time to re-epithelialization. In Block 2, child peak-procedural pain significantly accounted for 6% additional variance. In Block 3, parental PTSS significantly accounted for 5% additional variance.Conclusions. Parental PTSS appears to be an important but under-recognized factor that may influence their child's burn re-epithelialization. Further investigation is required to understand the mechanisms contributing to this association.

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Section: Discussioncontrasting

confidence: 94%

Section: Participants and Designmentioning

confidence: 99%

Section: Statement Of Contributionmentioning

confidence: 99%

Section: Statement Of Contributionmentioning

confidence: 99%

mentioning

confidence: 99%

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The role of parental acute psychological distress in paediatric burn re‐epithelialization

Brown

Young

Kimble

et al. 2019

British J Health Psychol

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Effects of non‐pharmacological interventions on pain in wound patients during dressing change: A systematic review

Ma,

Li,

Wang

et al. 2024

Nursing Open

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BackgroundChanges to the wound dressing frequently cause pain. Some adverse side effects of pharmacologic pain management may cause problems or even impede wound healing. There is no systematic study of non‐pharmacologic therapies for pain during wound dressing changes, despite the gradual promotion of non‐pharmacologic pain reduction methods.ObjectivesTo give clinical wound pain management a new direction, locating and assessing non‐pharmacological interventions regarding pain brought on by wound dressing changes are necessary.MethodThe researchers conducted a comprehensive literature review on non‐pharmacological interventions for pain during wound dressing changes across five databases: PubMed, Web of Science, Medline, Embase, and the Cochrane Library spanning the period from January 2010 to September 2022. The evaluation of literature and data extraction was carried out independently by two researchers, and in cases of disagreement, a third researcher participated in the deliberation. To assess the risk of bias in the literature, the researchers utilised the Cochrane Handbook for Reviews of Interventions, version 5.1.0.ResultsIn total, 951 people were involved in 11 investigations covering seven non‐pharmacological therapies. For pain triggered by dressing changes, virtual reality (VR) distraction, auditory and visual distractions, foot reflexology, religious and spiritual care, and guided imaging demonstrated partially positive effects, with hypnosis therapy and jaw relaxation perhaps having a weak effect.ConclusionThe key to managing wounds is pain management. According to our review, there is some indication that non‐pharmacologic interventions can help patients feel less discomfort when having their wound dressings changed. However, the evidence supporting this view is weak. It needs to be corroborated by future research studies with multicentre and large samples. To promote and use various non‐pharmacologic interventions in the future, it is also necessary to build standardised and homogenised paths for their implementation.

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The Management of Burn Pain in a Pediatric Burns-Specialist Hospital

2021

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Impact of Parental Acute Psychological Distress on Young Child Pain-Related Behavior Through Differences in Parenting Behavior During Pediatric Burn Wound Care

Cited by 22 publications

References 66 publications

The role of parental acute psychological distress in paediatric burn re‐epithelialization

The role of parental acute psychological distress in paediatric burn re‐epithelialization

Effects of non‐pharmacological interventions on pain in wound patients during dressing change: A systematic review

The Management of Burn Pain in a Pediatric Burns-Specialist Hospital

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