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The relationship between behavioural problems in preschool children and parental distress after a paediatric burn event

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Abstract

This study examines mother- and father-rated emotional and behaviour problems in and worries about 0- to 5-year-old children at 3 and 12 months after a burn event and the relation with parental distress. Mothers (n = 150) and fathers (n = 125) representing 155 children participated in this study. Child emotional and behaviour problems and parental worries about the child were assessed with the Child Behavior Checklist at both time points. Parents’ level of acute subjective distress was assessed within the first month after the burn event with the Impact of Event Scale. Mothers and fathers held comparable views of their child’s emotional and behaviour problems, which were generally within the normal limits. Parents’ own acute stress reactions were significantly related to parent-rated child behaviour problems at 3 and 12 months postburn. A substantial part of mothers’ and fathers’ worries about the child concerned physical and emotional aspects of the burn trauma, and potential future social problems. Parents with high acute stress scores more often reported burn-related concerns about their child at 3 and 12 months postburn. Health-care professionals should be informed that parents’ distress in the subacute phase of their child’s burn event may be related to subsequent worries about their child and to (parent-observed) child emotional and behaviour problems. The authors recommend a family perspective, with particular attention for the interplay between parents’ distress and parent-reported child behaviour problems and worries, in each phase of paediatric burn care.

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Acknowledgments

The Dutch Burns Foundation funded this study (grant number 07.107). This work resulted from collaborative efforts from our research team (M. Bremer, G. Bakker, A. Boekelaar, A. van de Steenoven, H. Hofland, L. Braem, A. Goemanne, H. Hendrickx; K. Maertens) in the respective burn centres in the Netherlands (Groningen, Beverwijk, Rotterdam) and Belgium (Antwerp, Neder-over-Heembeek, Gent, Leuven). We thank all parents for their participation.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Dutch Burn Centres, P. O. Box 1015, 1940 EA, Beverwijk, The Netherlands

    Anne Bakker & Nancy E. E. Van Loey

  2. Department of Methodology and Statistics, Faculty of Social Sciences, Utrecht University, Utrecht, The Netherlands

    Peter G. M. van der Heijden & Rens van de Schoot

  3. Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands

    Maarten J. M. van Son & Nancy E. E. Van Loey

  4. Optentia Research Program, Faculty of Humanities, North-West University, Vanderbijlpark, South Africa

    Rens van de Schoot

  5. University Hospital Leuven, Leuven, Belgium

    Ann Helsen

  6. Military Hospital Neder-over-Heembeek, Brussels, Belgium

    Els Vandermeulen

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  1. Anne Bakker
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  7. Nancy E. E. Van Loey
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Correspondence to Anne Bakker.

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Bakker, A., van der Heijden, P.G.M., van Son, M.J.M. et al. The relationship between behavioural problems in preschool children and parental distress after a paediatric burn event. Eur Child Adolesc Psychiatry 23, 813–822 (2014). https://doi.org/10.1007/s00787-014-0518-y

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  • DOI: https://doi.org/10.1007/s00787-014-0518-y

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