Short and Long-Term Parental Posttraumatic Stress After a Child's Accident: Prevalence and Associated Factors

Child Psychiatry Hum Dev. 2020 Apr;51(2):200-208. doi: 10.1007/s10578-019-00924-2.

Abstract

Studies on the long-term prevalence of parental posttraumatic stress symptoms (PTSS) following child accidental injury are scarce, and findings on risk factors vary. In this follow-up study (T2, n = 69) we determined the prevalence of parental PTSS 2-4 years after accidental injury of their child, compared with 3 months after the accident (T1, n = 135). Additionally, we examined the association between parental and child factors and PTSS severity. Children were 8-18 years old at the time of the accident. Parent and child PTSS was assessed by self-report. Other data were retrieved from medical records and a telephone interview. Parental PTSS was 9.6% at T1 and 5.8% at T2. Acute parental stress as measured within 2 weeks of the child's accident was significantly associated with parental PTSS severity (T1 and T2), as was the child's hospitalization of more than 1 day at T1 and the child's permanent physical impairment at T2. To prevent adverse long-term psychological consequences we recommend identifying and monitoring parents at risk and offering them timely treatment.

Keywords: Accident; Children and adolescents; Injury; Parent; Posttraumatic stress.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents / psychology*
  • Adolescent
  • Adult
  • Child
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Parents / psychology*
  • Prevalence
  • Risk Factors
  • Stress Disorders, Post-Traumatic / epidemiology*
  • Stress Disorders, Post-Traumatic / psychology
  • Time Factors