Young Children’s Acute Stress After a Burn Injury: Disentangling the Role of Injury Severity and Parental Acute Stress

Haag, Ann‐Christin; Landolt, Markus A.

doi:10.1093/jpepsy/jsx059

Cited by 27 publications

(22 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The second sample included 154 children aged 1–4 years ( M age = 2.71 years, SD = 0.07; 63.6% male) who were medically treated at the University Children's Hospital Zurich (Zurich, Switzerland) in the aftermath of burn injury (Haag & Landolt, ). The sample was part of a randomized controlled trial (RCT) testing the effectiveness of an early psychological intervention for preschool children and their parents following accidental burn injury (De Young, Haag, Kenardy, Kimble, & Landolt, ).…”

Section: Methodsmentioning

confidence: 99%

Posttraumatic Stress Disorder in Very Young Children: Diagnostic Agreement Between ICD‐11 and DSM‐5

Vasileva

Haag

Landolt

et al. 2018

Journal of Traumatic Stress

Self Cite

View full text Add to dashboard Cite

The prevalence of posttraumatic stress disorder (PTSD) in very young children depends on the diagnostic criteria. Thus far, studies have investigated the International Classification of Diseases (11th rev.; ICD-11) criteria for PTSD only in samples of children older than 6 years of age. The aim of this study was to test the diagnostic agreement between the ICD-11 and the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) criteria for children who are 6 years old and younger. Caregivers of children aged 3-6 years in foster care in Germany (N = 147) and parents of children aged 1-4 years who had attended a hospital in Switzerland following burn injuries (N = 149) completed a questionnaire about children's PTSD. Rates of PTSD were calculated according to ICD-11 (considering a specific and a more general conceptualization of intrusive memories) and DSM-5 criteria and were compared using McNemar's tests and Cohen's kappa. The proportion of children who met the ICD-11 criteria was 0.6-25.8% lower than the proportion of PTSD cases according to the DSM-5 criteria. The diagnostic agreement between each ICD-11 algorithm and DSM-5 was moderate, κ = 0.52-0.66. A systematic investigation of adaptions of the ICD-11 avoidance cluster identified alternative symptom combinations leading to higher agreement with the DSM-5 requirements. Furthermore, DSM-5 had higher predictive power for functional impairment than the ICD-11 algorithms. In conclusion, the findings suggest that the ICD-11 criteria show less sensitivity in very young children, which can be explained by the more stringent avoidance cluster.

show abstract

Section: Methodsmentioning

confidence: 99%

Posttraumatic Stress Disorder in Very Young Children: Diagnostic Agreement Between ICD‐11 and DSM‐5

Vasileva

Haag

Landolt

et al. 2018

Journal of Traumatic Stress

Self Cite

View full text Add to dashboard Cite

show abstract

“…While most previous research has studied the effects of camp on the children with burn injuries themselves, it is acknowledged that adult family members are also dealing with the trauma and can exhibit clinically significant levels of psychosocial distress following the injury (Haag & Landolt, 2017). Siblings are also affected, often experiencing a number of difficulties relating to the burn, such as the teasing of their brother or sister by others, and feeling excluded or ignored while parents/carers focus on their injured sibling (Phillips, Fussell, & Rumsey, 2007).…”

mentioning

confidence: 99%

Using Photo-Elicitation to Explore Families’ Experiences of Burn Camp

et al. 2018

View full text Add to dashboard Cite

A qualitative study using photo-elicitation was conducted to investigate the experiences of family members attending a residential burn camp. Six families were provided with cameras and asked to take photographs of their time at camp. They were subsequently interviewed about their experiences of camp, using their photographs as prompts. Thematic analysis of interview transcripts identified three main themes: benefits for the family as a whole (new activities and experiences and lasting impacts), benefits for the child (having fun without feeling different), and benefits for the parent/carer (support from those who understand). This is the first study to specifically investigate the experience of the whole family at a burn camp and suggests that attendance may offer a number of benefits for parents/carers and children. Photo-elicitation was an effective method for encouraging participants to recall and discuss their time at camp, and should be considered in future burns research.

show abstract

“…Another possible explanation is the low injury severity in the current study. While injury severity is not a good predictor of PTSS, some studies have reported significant associations (i.e., Haag & Landolt, 2017), which may have influenced the low rates of PTSS. Furthermore the small sample size might have made it difficult to detect PTSD, which is already understood to be a small percentage of the population.…”

Section: Discussionmentioning

confidence: 98%

“…Children are particularly watchful for information from parents regarding situational safety during a traumatic event (Hornik & Gunnar, 1988;van der Kolk, 1987). Regarding pediatric injury, young children appear to react to their injury severity indirectly through their mother's (but not father's) psychological distress reactions (Haag & Landolt, 2017). Two studies have investigated maternal sensitivity during immunizations for infants and toddlers (Din, Pillai Riddell, & Gordner, 2009;Pillai Riddell et al, 2011).…”

Section: Parental Sensitivitymentioning

confidence: 99%

“…Of particular interest, some research found variables associated to procedural distress (i.e., in-hospital pain) predicted psychological impairment, which suggests further investigation of procedural distress is required. Young et al, 2014;Drake et al, 2006;Graf et al, 2011), burn extent (Saxe, Stoddard, Chawla, et al, 2005;Saxe, Stoddard, Hall, et al, 2005), severity (Haag & Landolt, 2017) Injury severity (Vollrath & Landolt, 2005) Burn severity (Bakker et al, 2010;Hall et al, 2006;Rizzone et al, 1994), permanent…”

Section: Predictors Of Parent and Child Psychological Impairmentmentioning

confidence: 99%

See 1 more Smart Citation

Psychological and procedural distress following a young child’s burn injury

Brown¹

View full text Add to dashboard Cite

Aim. The aim of this thesis is to understand the parent's role in pediatric procedural distress and recovery following a burn injury. Understanding how parents influence their child can inform future work to reduce pediatric procedural distress and improve recovery outcomes. Literature Review. Following a pediatric burn injury, the associated wound care procedures can be potentially traumatic events that are often painful and distressing. Children under 6-years-old are particularly at risk of sustaining a burn injury, yet their pain-related procedural distress is also difficult to manage because of their young developmental level. Acute child and parental distress during the first weeks following a burn injury might impact the child's physical recovery, and the child and parent's ongoing psychological distress. There is some evidence to indicate that parents influence their child through their own psychological distress, and through parenting behavior. A review of the broader procedural distress empirical and theoretical literature led to the development of a new theoretical model for understanding the relationship between parent and child distress during medical procedures. The review also identified current gaps in the literature regarding current assessment tools and investigating the impact of procedural distress on long-term physical and psychological recovery. Therefore, the studies in this thesis aim to 1) develop and evaluate an appropriate observational assessment tool; 2) test the proposed theoretical model in a sample of parents and young children (1-6-years-old) during pediatric burn wound care; 3) investigate the

show abstract

Young Children’s Acute Stress After a Burn Injury: Disentangling the Role of Injury Severity and Parental Acute Stress

Abstract: Our findings confirm mothers' crucial role in the posttraumatic adjustment of young children. Clinically, mothers' acute stress should be monitored.

Cited by 27 publications

References 35 publications

Posttraumatic Stress Disorder in Very Young Children: Diagnostic Agreement Between ICD‐11 and DSM‐5

Posttraumatic Stress Disorder in Very Young Children: Diagnostic Agreement Between ICD‐11 and DSM‐5

Using Photo-Elicitation to Explore Families’ Experiences of Burn Camp

Psychological and procedural distress following a young child’s burn injury

Contact Info

Product

Resources

About