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Journal of Pediatric Psychology Advance Access published online on March 23, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj016
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Journal of Pediatric Psychology © 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
Received May 17, 2004
Revised February 11, 2005
Accepted February 11, 2005

Article

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

* To whom correspondence should be addressed.
Erin Hall, E-mail: erin.hall{at}bmc.org


  Abstract

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.

Keywords: burns, Parents, PTSD.
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