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Journal of Pediatric Psychology Advance Access originally published online on August 24, 2005
Journal of Pediatric Psychology 2006 31(6):608-618; doi:10.1093/jpepsy/jsj066
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Pediatric Head Trauma: Parent, Parent–Child, and Family Functioning 2 Weeks After Hospital Discharge

JoAnne M. Youngblut, PhD, RN, FAAN and Dorothy Brooten, PhD, RN, FAAN

School of Nursing, Florida International University

All correspondence concerning this article should be addressed to JoAnne M. Youngblut, PhD, RN, FAAN, School of Nursing, Florida International University, 11200 SW 8th St, HLS II, Rm 568, Miami, FL 33199. E-mail: youngblu{at}fiu.edu/drjmy3{at}aol.com.

Received September 17, 2004; revisions received March 12, 2005 and June 9, 2005; accepted July 22, 2005

Objective To investigate effects of pediatric head trauma on parent mental health, parent–child relationship and family functioning 2 weeks after discharge. Methods Ninety-seven mothers and 37 fathers of 106 preschool children hospitalized with head injury completed Mental Health Inventory (MHI), Parenting Stress Index, Family Adaptability and Cohesion Evaluation Scales II (FACES II) and Multidimensional Scale of Perceived Social Support (MSPSS) 2 weeks after discharge, and perceived injury severity, Parental Concerns Scale (PCS), Parental Stressors Scale: Pediatric Intensive Care Unit (PSS: PICU), and MHI 24–48 h after hospital admission. Results Mental health after discharge was related to social support and baseline mental health. Mothers’ parental distress was related to perceived injury severity and social support. Greater family cohesion was related to baseline mental health, social support, and being in a two-parent family for mothers, and to social support for fathers. Conclusions Parents’ mental health and social support were important for parent mental health and family cohesion after discharge. Perceived injury severity and parent reactions to hospitalization also played a role.

Key words: family functioning; head injury; parent mental health; preschool children.


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