Ann-Christin Haag1,2, Markus A Landolt1,2,3. 1. Department of Psychosomatics and Psychiatry. 2. Children's Research Center, University Children's Hospital Zurich. 3. Division of Child and Adolescent Health Psychology, Department of Psychology, University of Zurich.
Abstract
Objective: Although injury severity and parental stress are strong predictors of posttraumatic adjustment in young children after burns, little is known about the interplay of these variables. This study aimed at clarifying mediation processes between injury severity and mother's, father's, and young child's acute stress. Methods: Structural equation modeling was used to examine the relationships between injury severity and parental and child acute stress. Parents of 138 burn-injured children (ages 1-4 years) completed standardized questionnaires on average 19 days postinjury. Results: Sixteen children (11.7%) met Diagnostic and Statistical Manual of Mental Disorders, 5th edition, preschool criteria for posttraumatic stress disorder (excluding time criterion). The model revealed a significant mediation of maternal acute stress, with the effect of injury severity on a child's acute stress mediated by maternal acute stress. Paternal acute stress failed to serve as a mediating variable. Conclusions: Our findings confirm mothers' crucial role in the posttraumatic adjustment of young children. Clinically, mothers' acute stress should be monitored.
Objective: Although injury severity and parental stress are strong predictors of posttraumatic adjustment in young children after burns, little is known about the interplay of these variables. This study aimed at clarifying mediation processes between injury severity and mother's, father's, and young child's acute stress. Methods: Structural equation modeling was used to examine the relationships between injury severity and parental and childacute stress. Parents of 138 burn-injured children (ages 1-4 years) completed standardized questionnaires on average 19 days postinjury. Results: Sixteen children (11.7%) met Diagnostic and Statistical Manual of Mental Disorders, 5th edition, preschool criteria for posttraumatic stress disorder (excluding time criterion). The model revealed a significant mediation of maternal acute stress, with the effect of injury severity on a child's acute stress mediated by maternal acute stress. Paternal acute stress failed to serve as a mediating variable. Conclusions: Our findings confirm mothers' crucial role in the posttraumatic adjustment of young children. Clinically, mothers' acute stress should be monitored.
Authors: Alix Woolard; Nicole T M Hill; Matthew McQueen; Lisa Martin; Helen Milroy; Fiona M Wood; Indijah Bullman; Ashleigh Lin Journal: BMC Public Health Date: 2021-12-14 Impact factor: 3.295
Authors: Morgan Carlton; Joanne Voisey; Lee Jones; Tony J Parker; Chamindie Punyadeera; Leila Cuttle Journal: J Burn Care Res Date: 2022-05-17 Impact factor: 1.819