Children's National Hospital.
Fam Syst Health. 2022 Sep;40(3):322-331. doi: 10.1037/fsh0000703. Epub 2022 May 12.
Pediatric burn injuries are common injuries that are traumatic for the child and their families. Although many families report high amounts of distress soon after injury, most are resilient and do not continue to experience prolonged psychosocial problems. The aim was to identify factors associated with parent resilience after pediatric burn injury.
Fifty-seven parents of young children (< 5 years old) enrolled in a longitudinal assessment study. Baseline evaluations were conducted within 1 week of injury and included a medical chart review and parent self-report measures of resilience, social support, family functioning, and coping. Follow-up measurement of parent traumatic stress was measured 3 months after injury. We examined baseline resilience, positive emotionality, social support, family functioning, and problem-solving coping behaviors for relationships to traumatic stress.
Parent resilience at baseline was associated with lower rates of parent traumatic stress symptoms at follow-up. Lower rates of traumatic stress were more common in parents of older children with more trait-level resilience, more social support, and more planning problem-solving behaviors at baseline.
Baseline resilience characteristics are associated with less traumatic stress for parents several months after the injury. Findings can be used to develop screening strategies and interventions that address planning and problem-solving and emphasize social support. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
儿科烧伤是对儿童及其家庭具有创伤性的常见伤害。尽管许多家庭在受伤后不久就报告了大量的痛苦,但大多数家庭都有恢复力,不会继续经历长期的心理社会问题。本研究旨在确定与儿科烧伤后父母恢复力相关的因素。
57 名幼儿(<5 岁)的父母参与了一项纵向评估研究。基线评估在受伤后 1 周内进行,包括病历回顾和父母自我报告的恢复力、社会支持、家庭功能和应对方式的测量。在受伤后 3 个月时测量父母创伤后应激的随访测量。我们检查了基线恢复力、积极情绪、社会支持、家庭功能和问题解决应对行为与创伤后应激的关系。
基线时父母的恢复力与随访时父母创伤后应激症状的发生率较低有关。在基线时具有较高特质水平的恢复力、更多的社会支持和更多的计划问题解决行为的年龄较大的儿童的父母中,创伤后应激发生率较低。
受伤后几个月,基线时的恢复力特征与父母的创伤后应激程度较低有关。研究结果可用于制定筛查策略和干预措施,重点关注计划和问题解决,并强调社会支持。