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Journal of Pediatric Psychology Advance Access originally published online on March 23, 2005
Journal of Pediatric Psychology 2006 31(4):403-412; doi:10.1093/jpepsy/jsj016
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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

Posttraumatic Stress Symptoms in Parents of Children with Acute Burns

Erin Hall, MA1, Glenn Saxe, MD1, Frederick Stoddard, MD2, Julie Kaplow, PhD3, Karestan Koenen, PhD4, Neharika Chawla, MA5, Carlos Lopez, MD5, Lynda King, PhD6 and Daniel King, PhD6

1 Boston Medical Center, Boston University, 2 Shriner’s Burns Hospital, Harvard Medical School, 3 University of Medicine and Dentistry of New Jersey, 4 Harvard School of Public Health, 5 Boston Medical Center, and 6 VA Boston Healthcare System, Boston University

All correspondence concerning this article should be addressed to Erin Hall, Child and Adolescent Psychiatry, Boston Medical Center, Dowling 1 North, 1 Boston Medical Center Place, Boston, Massachusetts 02118. E-mail: erin.hall{at}bmc.org.

Received May 17, 2004; revisions received February 11, 2005; accepted February 11, 2005

Objective To develop a model of risk factors for posttraumatic stress disorder (PTSD) symptoms in parents of children with burns. Methods Immediately following the burn and 3 months later, parents reported on their children’s and their own psychological functioning and traumatic stress responses. Results Approximately 47% of the parents reported experiencing significant posttraumatic stress symptoms 3 months after the burn. Our model indicates three independent pathways to PTSD symptoms (i.e., parent–child conflict, parents’ dissociation, and children’s PTSD symptoms). Additionally, parents’ anxiety predicted increased parent–child conflict, conflict with extended family and size of the burn predicted parents’ dissociation, and size of the burn and children’s dissociation predicted children’s PTSD symptoms. Conclusions This study suggests that many parents of children with burns suffer from posttraumatic stress symptoms. Interventions that target factors such as family conflict, children’s symptoms, and parents’ acute anxiety and dissociation may diminish the risk for PTSD.

Key words: burns; Parents; PTSD.


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