Haag Ann-Christin, Landolt Markus A
Department of Psychosomatics and Psychiatry.
Children's Research Center, University Children's Hospital Zurich.
J Pediatr Psychol. 2017 Sep 1;42(8):861-870. doi: 10.1093/jpepsy/jsx059.
Although injury severity and parental stress are strong predictors of posttraumatic adjustment in young children after burns, little is known about the interplay of these variables. This study aimed at clarifying mediation processes between injury severity and mother's, father's, and young child's acute stress.
Structural equation modeling was used to examine the relationships between injury severity and parental and child acute stress. Parents of 138 burn-injured children (ages 1-4 years) completed standardized questionnaires on average 19 days postinjury.
Sixteen children (11.7%) met Diagnostic and Statistical Manual of Mental Disorders, 5th edition, preschool criteria for posttraumatic stress disorder (excluding time criterion). The model revealed a significant mediation of maternal acute stress, with the effect of injury severity on a child's acute stress mediated by maternal acute stress. Paternal acute stress failed to serve as a mediating variable.
Our findings confirm mothers' crucial role in the posttraumatic adjustment of young children. Clinically, mothers' acute stress should be monitored.
尽管损伤严重程度和父母压力是幼儿烧伤后创伤后适应的有力预测因素，但对于这些变量之间的相互作用知之甚少。本研究旨在阐明损伤严重程度与母亲、父亲及幼儿急性应激之间的中介过程。
采用结构方程模型来检验损伤严重程度与父母及儿童急性应激之间的关系。138名烧伤儿童（1 - 4岁）的父母在受伤后平均19天完成了标准化问卷调查。
16名儿童（11.7%）符合《精神疾病诊断与统计手册》第5版中创伤后应激障碍的学龄前标准（不包括时间标准）。该模型显示母亲急性应激有显著的中介作用，损伤严重程度对儿童急性应激的影响通过母亲急性应激介导。父亲的急性应激未能作为中介变量。
我们的研究结果证实了母亲在幼儿创伤后适应中的关键作用。临床上，应监测母亲的急性应激。
