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Journal of Pediatric Psychology Advance Access published online on September 21, 2007
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsm088
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Brief Report: Quality of Life Is Impaired in Pediatric Burn Survivors with Posttraumatic Stress Disorder

Markus A. Landolt, PhD1, Claudia Buehlmann, MSc2, Tanja Maag, MSc2 and Clemens Schiestl, MD3

1Department of Psychosomatics and Psychiatry, University Children's Hospital Zurich, Switzerland, 2Department of Social and Health Psychology, Institute of Psychology, University of Zurich, Switzerland, and 3Pediatric Burn Center, Plastic and Reconstructive Surgery, University Children's Hospital Zurich, Switzerland

All correspondence concerning this article should be addressed to Dr Markus A. Landolt, Department of Psychosomatics and Psychiatry, University Children's Hospital, Steinwiesstrasse 75, CH-8032 Zurich, Switzerland. E-mail: markus.landolt{at}kispi.uzh.ch


  Abstract

Objective This study assessed health-related quality of life (HRQOL) and posttraumatic stress disorder (PTSD) in pediatric burn survivors and examined associations between PTSD and HRQOL. Methods Forty-three burn survivors, ages 7–16 years, were interviewed at an average of 4.4 years after their accident using the Clinician-Administered PTSD Scale for Children and Adolescents and the TNO-AZL Child Quality of Life Questionnaire. Results Eight children (18.6%) met DSM-IV criteria for current PTSD. While most dimensions of HRQOL were within normal limits, social functioning was impaired. Severity of PTSD was significantly associated with physical, cognitive, and emotional dimensions of HRQOL. Children with PTSD reported an impaired overall HRQOL and limited physical (e.g., more bodily complaints) and emotional functioning (e.g., more feelings of sadness). Conclusions This study provides tentative evidence for a considerably high prevalence of PTSD in pediatric burn survivors and for a negative association between PTSD and HRQOL.

Key words: child; posttraumatic stress disorder; quality of life.

Received April 12, 2007; revision received August 17, 2007; accepted August 28, 2007


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