Kent L, King H, Cochrane R
Department of Psychiatry, University of Birmingham, Queen Elizabeth Psychiatric Hospital, Mindelsohn Way, Edgbaston, Birmingham, UK.
Burns. 2000 Jun;26(4):317-22. doi: 10.1016/s0305-4179(99)00172-2.
It is a commonly held belief that many children suffer psychological sequelae following burn injury. This six month controlled, prospective, follow up study was designed to investigate psychological sequelae in children and their mothers following paediatric burn injury. The study employed a sample of 40 children with burn injuries, and their mothers with three control groups, each of 40 children and their mothers: an acutely ill group, a fracture group and a non ill/injured group. Measures at initial contact and 6 month follow up included the Child Behaviour Checklist and the Hospital Anxiety and Depression Scale. The results demonstrated higher initial maternal anxiety scores in the burn, compared to the fracture and non ill/injured groups, which remained comparatively high 6 months later even though they decreased over time. Children with burn injuries, of the type included in this study, did not appear to develop significant psychological or behavioural sequelae. Following paediatric burn injury mothers appear to be at higher risk than children for developing psychological sequelae, which may have longer term implications for the child's outcome such as affecting compliance with treatment.
人们普遍认为，许多儿童在烧伤后会出现心理后遗症。这项为期六个月的对照前瞻性随访研究旨在调查小儿烧伤后儿童及其母亲的心理后遗症。该研究选取了40名烧伤儿童及其母亲作为样本，并设置了三个对照组，每组40名儿童及其母亲：急性病组、骨折组和非患病/受伤组。初次接触时和随访6个月时的测量指标包括儿童行为量表和医院焦虑抑郁量表。结果显示，与骨折组和非患病/受伤组相比，烧伤组母亲最初的焦虑得分更高，尽管随着时间推移有所下降，但6个月后仍相对较高。本研究中所纳入类型的烧伤儿童似乎并未出现明显的心理或行为后遗症。小儿烧伤后，母亲出现心理后遗症的风险似乎高于儿童，这可能会对儿童的治疗结果产生长期影响，比如影响治疗依从性。
