Association of Dutch Burn Centres, P.O. Box 1015, The Netherlands.
J Pediatr Psychol. 2012 Nov-Dec;37(10):1127-35. doi: 10.1093/jpepsy/jss083. Epub 2012 Jul 26.
This multicenter study examines acute stress reactions in couples following a burn event to their preschool child.
Participants were 182 mothers and 154 fathers, including 143 couples, of 193 children (0-4 years) with acute burns. Parents' self-reported acute stress reactions and emotions regarding the burn event were measured within the first month postburn.
More mothers than fathers reported clinically significant acute stress reactions. Multilevel analysis revealed that individual parent reactions were associated with parent gender and negative emotions about the burn event. Interestingly, avoidance symptoms overlapped to an important extent within couples, whereas intrusion symptoms were mainly intra-individual. Burn characteristics, such as burn size, contributed to acute stress within couples.
Mothers and fathers are seriously affected by their child's burn trauma and share a part of their acute stress reactions. These results emphasize the importance of a family-based approach to support adjustment after pediatric medical trauma.
本多中心研究调查了幼儿烧伤事件后夫妇的急性应激反应。
研究对象为 193 名（0-4 岁）急性烧伤儿童的 182 名母亲和 154 名父亲，包括 143 对夫妇。父母在烧伤后一个月内自我报告急性应激反应和对烧伤事件的情绪。
与父亲相比，更多的母亲报告了具有临床意义的急性应激反应。多水平分析表明，个体父母的反应与父母的性别和对烧伤事件的负面情绪有关。有趣的是，回避症状在夫妇之间有很大程度的重叠，而侵入症状主要是个体内的。烧伤特征，如烧伤面积，会导致夫妇之间出现急性应激。
母亲和父亲都受到孩子烧伤创伤的严重影响，并共同分担一部分急性应激反应。这些结果强调了以家庭为基础的方法在支持儿科医疗创伤后调整的重要性。
