Egberts Marthe R, van de Schoot Rens, Geenen Rinie, Van Loey Nancy E E
Association of Dutch Burn Centres.
Department of Methodology and Statistics, Faculty of Social and Behavioral Sciences, Utrecht University.
Health Psychol. 2017 May;36(5):419-428. doi: 10.1037/hea0000448. Epub 2016 Dec 8.
This prospective study examined the course and potential predictors of parents' posttraumatic stress symptoms (PTSS) after burn injury in their child (Age 8 to 18 years).
One hundred eleven mothers and 91 fathers, representing 118 children, participated in the study. Within the first month after the burn event and subsequently at 3, 12, and 18 months postburn, both parents completed the Impact of Event Scale (IES). Parental emotions related to the burn event and appraisal of threat to the child's life were assessed, which were investigated in a multilevel regression model.
Within the first month postburn, 48% of the mothers and 26% of the fathers reported clinically significant PTSS (IES ≥26), which decreased to, respectively, 19% and 4% 18 months postburn. Symptoms of intrusion were mainly individually experienced, whereas parents within a couple were more similar in terms of their avoidance symptoms. The perceived life threat and feelings of guilt and anger linked to the burn event were significantly related to parental PTSS, especially in mothers.
The results indicate that a burn event to a child has a severe (acute) psychological impact on parents and that clinical levels of PTSS may persist in a subgroup of parents. The findings underline the need to incorporate parent support in burn care, especially for mothers with a strong emotional response during the first months after the burn event. (PsycINFO Database Record
本前瞻性研究调查了儿童（8至18岁）烧伤后父母创伤后应激症状（PTSS）的病程及潜在预测因素。
111名母亲和91名父亲（代表118名儿童）参与了本研究。在烧伤事件发生后的第一个月内，以及随后在烧伤后3个月、12个月和18个月时，父母双方均完成事件影响量表（IES）。评估了与烧伤事件相关的父母情绪以及对孩子生命威胁的评估，并在多水平回归模型中进行了研究。
在烧伤后的第一个月内，48%的母亲和26%的父亲报告有临床显著的PTSS（IES≥26），烧伤后18个月时分别降至19%和4%。侵入症状主要是个体经历的，而夫妻双方的父母在回避症状方面更为相似。与烧伤事件相关的感知到的生命威胁以及内疚和愤怒感与父母的PTSS显著相关，尤其是在母亲中。
结果表明，儿童烧伤事件对父母有严重的（急性）心理影响，并且PTSS的临床水平可能在一部分父母中持续存在。研究结果强调了在烧伤护理中纳入父母支持的必要性，特别是对于在烧伤事件后的头几个月有强烈情绪反应的母亲。（PsycINFO数据库记录）
