探讨儿童烧伤后 12 个月内父母创伤后应激障碍和创伤后应激症状的发生率:系统评价。

Exploring the Prevalence of Post-traumatic Stress Disorder and Post-traumatic Stress Symptoms in Parents Within 12 Months of Child Burn Injury: A Systematic Review.

机构信息

Département de médecine sociale et préventive, Faculté de médecine, Université Laval, Québec, G1V 5C3, Canada.

Centre de recherche du CHU de Québec-Université Laval, Québec, G1S 4L8, Canada.

出版信息

J Burn Care Res. 2024 Aug 6;45(4):1051-1059. doi: 10.1093/jbcr/irae033.

Abstract

Our systematic review aimed to investigate the prevalence of post-traumatic stress symptoms (PTSS) and post-traumatic stress disorder (PTSD) among parents within 12 months of their child's burn injury. A literature search was conducted in PubMed, Embase, Web of Science, Psychinfo, and CINAHL on January 6, 2023, for quantitative studies reporting the prevalence of PTSD and/or PTSS in parents within 12 months following their child's burn injury. The risk of bias was assessed using the Mixed Methods Appraisal Tool version 2018. A narrative synthesis of prevalence was presented. We identified 15 articles that met our inclusion criteria. The prevalence of PTSS within 12 months following the burn injury ranged from 6% to 49%. Prevalence estimates of PTSD within the 12 months following a burn injury were limited, ranging from 4.4% to 22%. Our findings highlight the significant impact of burn injuries on parental mental health, with a considerable proportion of parents experiencing PTSS within 12 months following their child's burn injury. Prevalence estimates for PTSD were limited and warrant further investigation. Our review also underscores the need for standardization of PTSS/PTSD terminology. Timely and targeted psychological support is needed for parents in the aftermath of their child's burn injury.

摘要

我们的系统综述旨在调查儿童烧伤后 12 个月内父母创伤后应激症状(PTSS)和创伤后应激障碍(PTSD)的患病率。我们于 2023 年 1 月 6 日在 PubMed、Embase、Web of Science、Psychinfo 和 CINAHL 上进行了文献检索,以寻找定量研究报告儿童烧伤后 12 个月内父母 PTSD 和/或 PTSS 的患病率。使用混合方法评估工具版本 2018 评估偏倚风险。采用叙述性综合方法呈现患病率。我们确定了符合纳入标准的 15 篇文章。烧伤后 12 个月内 PTSS 的患病率为 6%至 49%。烧伤后 12 个月内 PTSD 的患病率估计有限,范围为 4.4%至 22%。我们的研究结果强调了烧伤对父母心理健康的重大影响,相当一部分父母在孩子烧伤后 12 个月内出现 PTSS。 PTSD 的患病率估计有限,需要进一步研究。我们的综述还强调了 PTSD/PTSS 术语标准化的必要性。儿童烧伤后,父母需要及时和有针对性的心理支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5332/11303126/b176f9d09f71/irae033_fig1.jpg

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