Association of Dutch Burn Centres.
Health Psychol. 2013 Oct;32(10):1076-83. doi: 10.1037/a0033983. Epub 2013 Aug 19.
This study examines traumatic stress reactions in couples that were followed prospectively for 18 months after a burn event to their child.
The participants included 186 mothers and 159 fathers of 198 preschool children. Parents' self-reported traumatic stress reactions were measured with the Impact of Event Scale (IES). Predictors included parental emotions and the perceived life-threatening character of the child's injury.
Rates for clinically significant symptoms (IES ≥ 26) decreased from 50% within the first month to 18% at 18 months postburn for mothers and from 27% to 6% for fathers. The decline in symptoms was not entirely linear. Mothers had higher scores than fathers, but the discrepancy in intrusion symptoms among couples diminished over the course of time. Early appraisal of life threat and emotions about the burn event were significant predictors.
Both mothers and fathers are seriously affected by a burn event of their young child. Despite a general decrease over time, a subgroup of parents is at risk for chronic symptoms. The results call for the integration of prolonged parent support in family centered pediatric burn aftercare programs.
本研究前瞻性地随访了 198 名学龄前儿童的烧伤事件后 18 个月的夫妇，考察了他们的创伤后应激反应。
参与者包括 186 名母亲和 159 名父亲。父母的创伤后应激反应通过事件影响量表（IES）进行自我报告评估。预测因素包括父母的情绪和孩子受伤的危及生命程度的感知。
在烧伤后第一个月内，母亲中出现临床显著症状（IES≥26）的比例从 50%降至 18%，父亲中从 27%降至 6%。症状的下降并非完全呈线性。母亲的得分高于父亲，但夫妻之间的侵入性症状差异随着时间的推移而缩小。早期对生命威胁的评估和对烧伤事件的情绪是重要的预测因素。
母亲和父亲都受到幼儿烧伤事件的严重影响。尽管随着时间的推移，症状总体上有所减轻，但仍有一部分父母存在慢性症状的风险。研究结果呼吁在以家庭为中心的儿科烧伤后护理计划中纳入长期的父母支持。
