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Parent and Child Adjustment to Pediatric Burn Injuries
Adam Morris, PhD, Dylan Stewart, MD, Susan Ziegfeld, CRNP, Taryn Allen, PhD, Julie Michael, PhD and Carisa Perry-Parrish, PhD, Johns Hopkins University School of Medicine, Baltimore MD

Abstract: The intensity of PTSD symptoms (PTSS) is strongly associated with quality of life (QOL) in children with burn injuries. In more general trauma samples, parent symptomatic distress (i.e. PTSD and depression) is strongly associated with PTSD symptoms in children. Currently, it is unclear how parental symptomatic distress might influence child adjustment and overall quality of life. In this study, we examine the relationship between parent-level variables and child QOL over time. We present data drawn from a recent retrospective case review of pediatric patients and parents (n = 103) seen by a multidisciplinary burn team in an urban academic medical center from September 2014 to April 2015. All consecutive patients and families were screened by a pediatric psychologist, who administered a brief 10-item scale that assesses multiple domains of quality of life related to difficulties of particular relevance to skin problems, including pruritis/pain, treatment, social, leisure, academic, and interpersonal functioning (Lewis-Jones & Finlay, 1995). Parents also completed the Short PTSD Rating Interview (SPRINT), modified with an additional item to assess depressed mood. Preliminary results highlight a strong relationship between parent symptomatic distress and overall child quality of life at the initial time point (r=.44, p<.001) and at follow-up (r=.44, p<.05). Subsequent analyses will focus on this relationship over time with control variables. Findings will be discussed in terms of their application to intervention in families of children with burn injuries.

Objective: Demonstrate and discuss the impact of parent symptomatic distress on the Quality of Life (QOL) of children with burn injuries

Objective Content: At the end of the presentation, the learner will be able to understand the role and impact of parent distress on the Quality of Life (QOL) of children with burn injuries, and understand how these factors relate to the child's overall treatment.

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