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Journal of Pediatric Psychology 13(1) pp. 87-99, 1988
© 1988 Society of Pediatric Psychology

research-article

Depression and Stress Responses in Parents of Burned Children1

David F. Cella2, Samuel W. Perry, Molly E. Poag, Robert Amand and Cleon Goodwin

New York Hospital, Cornell Burn Center

2A11 correspondence should be sent to David F. Cella, Department of Psychology and Social Sciences, Rush-Presbyterian-St. Luke's Medical Center, 1653 West Congress Parkway, Chicago, Illinois 60612

Parents of children hospitalized for acute burns (n =36) and parents of children hospitalized for other procedures (n =22) were interviewed and assessed with standardized psychological tests within the first week of their children's hospitalization. The two groups were similar demographically, and both groups were highly distressed on measures of state anxiety and general distress. However, depression, hopelessness, and stress response symptoms of intrusion and avoidance were significantly more prominent in the parents of burned children. When social support was entered as a covariate, the difference between groups in hopelessness was explained, but not the differences in depression or stress response symptoms. These data indicate that the parental response to hospitalization of a burned child is quantitatively and qualitatively different than parental response to hospitalization for other procedures. Psychotherapeutic interventions should involve specific methods to reduce depression andposttraumatic intrusive and avoidant stress responses. The theoretical relevance of these data with respect to the development of stress response syndromes in parents of burned children in discussed.

Key words: depression; stress; burns; parents.


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