The mutual prospective influence of child and parental post‐traumatic stress symptoms in pediatric patients

Landolt, Markus A.; Ystrøm, Eivind; Sennhauser, Felix H.; Gnehm, Hanspeter E.; Vollrath, Margarete E.

doi:10.1111/j.1469-7610.2011.02520.x

Cited by 154 publications

(157 citation statements)

References 25 publications

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“…To our knowledge, this had not been reported before in preschool injured children. Our findings were consistent with a study on school-aged children and their parents after a medical traumatic event [27], but differed from a Each parent could describe more than one concern. Percentages in each cell are expressed as proportions of the total number of participating parents at the respective stages Eur Child Adolesc Psychiatry previous study that only found a relationship between mother-reported child and maternal adjustment after a paediatric burn event [17].…”

Section: Discussionsupporting

confidence: 88%

“…Second, we hypothesised that mothers and fathers would show a moderate to high level of correspondence in terms of their rating of internalising and externalising problem behaviour in the child. Third, in line with a prospective study on school-aged children and their parents after a paediatric medical event [27], we expected a positive relation between parental acute stress and child behaviour problems at 3 and 12 months postburn in mothers as well as in fathers, while controlling for child age, gender, and extent of the burn injury. Fourth, we explored parental worries about the child.…”

mentioning

confidence: 55%

“…The authors suggested that the absent relationship between the father's PTSD symptoms and the child's outcome might in fact be due to the single use of the mother's rating of the child's functioning [11]. Literature on other child traumatic events [27,28] and child psychopathology [29] has showed somewhat mixed results, but in general both mothers' and fathers' psychological functioning were associated with child emotional and behavioural problems. Up to now, it is unclear to what extent fathers' reactions are related to his preschool child's postburn reactions.…”

mentioning

confidence: 99%

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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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Section: Discussionsupporting

confidence: 88%

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confidence: 55%

mentioning

confidence: 99%

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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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“…Parents often witness the burn accident and subsequently accompany the child through painful wound care procedures and assist with managing the burn wound at home, all of which can influence stress levels [21]. The relationship of parent distress and the impact on child distress is well-researched with numerous studies reporting that a child's distress can be influenced by parents' responses to the traumatic event [23,98,99]. Studies have found that parent behaviors related to situational distress and anticipation of child distress can influence the child's response and psychological recovery from a burn injury [23,98,99].…”

Section: Parent Experience Of Pediatric Outpatient Burn Carementioning

confidence: 99%

“…For a child who sustains a traumatic, unintentional injury such as a burn, recovery can be affected by both the experience of the parent and child during treatment, as parental stress reactions are known to impact on the child's own reactions to stressful situations [23,98,99]. Parents of children who sustain burn injuries have been found to display acute stress reactions related to concerns for their child during the acute treatment phase and longer-term potential psychosocial impacts for the child [136].…”

Section: Introductionmentioning

confidence: 99%

A holistic exploration of paediatric partial thickness burn care in the outpatient setting

Kee¹

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Effect of a Videoconference-Based Online Group Intervention for Traumatic Stress in Parents of Children With Life-threatening Illness

et al. 2020

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IMPORTANCE A substantial proportion of parents whose child is diagnosed with a life-threatening illness experience high levels of distress that can lead to long-term mental health difficulties. This can affect the child's recovery. OBJECTIVE To evaluate the efficacy of an acceptance and commitment therapy-based group intervention, delivered using videoconferencing, in reducing posttraumatic stress symptoms (PTSS) in these parents. DESIGN, SETTING, AND PARTICIPANTS This study was a randomized clinical trial of an intervention for parents with elevated acute stress symptoms. It was a single-site study conducted in a tertiary pediatric hospital in Australia. Parents of children aged 0 to 18 years admitted for a lifethreatening illness or injury to the oncology, cardiology, or pediatric intensive care departments were eligible. Participants were screened for eligibility within the first month after diagnosis or admission and then were randomized to the intervention group or the waiting list control group 4 to 10 months after diagnosis or admission. Recruitment commenced January 2014, and final postintervention follow-up was completed in February 2018. Data analysis was performed from July to September 2018. INTERVENTIONS Treatment was a psychological acceptance and commitment therapy-based group therapy program called Take a Breath, which consisted of a 6-session parent-mediated psychological intervention delivered via online videoconferences over the course of 8 weeks. Waiting list control participants received treatment as usual and were offered the intervention 3 months after randomization. MAIN OUTCOMES AND MEASURES The primary outcome was PTSS, as measured by the Posttraumatic Stress Disorder Checklist-Version 5 (total score range, 0-80, with higher scores indicating greater symptom severity). The PTSS was measured both before and immediately after the intervention. Changes in psychological skills taught within the intervention were also evaluated, including acceptance, mindfulness, values-based living, and psychological flexibility. RESULTS Of 1232 parents who were assessed for eligibility, 313 were randomized; 161 were allocated to the waiting list control group, and 152 were allocated to the intervention group. Of those allocated, 44 parents in the waiting list group and 37 in the intervention group completed the postintervention questionnaire and were analyzed (81 participants total; mean [SD] age, 37.17 [6.43] years). Sixtyfive participants (80.2%) were women, 48 participants (59.3%) were married, and 40 participants (49.4%) lived in rural or regional areas, or in a different state. In addition, 24 parents (29.6%) were in (continued) Key Points Question Is an acceptance and commitment therapy-based group intervention, delivered using videoconferencing, effective in reducing posttraumatic stress symptoms in parents of very ill children? Findings This randomized clinical trial found that videoconference-based acceptance and commitment therapy (compared with a waiting list) was effective in reducing posttrauma...

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The mutual prospective influence of child and parental post‐traumatic stress symptoms in pediatric patients

Abstract: This study highlights the long-term influence of parental PTSS on the child's recovery after trauma and calls for a family systems approach and for early interventions in the treatment of traumatized pediatric patients.

Cited by 154 publications

References 25 publications

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

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

A holistic exploration of paediatric partial thickness burn care in the outpatient setting

Effect of a Videoconference-Based Online Group Intervention for Traumatic Stress in Parents of Children With Life-threatening Illness

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