Mothers’ emotions after pediatric burn injury: longitudinal associations with posttraumatic stress- and depressive symptoms 18 months postburn
Mothers’ emotions after pediatric burn injury: longitudinal associations with posttraumatic stress- and depressive symptoms 18 months postburn
Background: various emotions are implicated in posttraumatic stress disorder (PTSD). Longitudinal studies examining temporal associations between emotions and posttraumatic stress may reveal who is at risk of chronic psychological problems. This study examined the longitudinal relationships of mothers’ trauma-related emotions with posttraumatic stress and depressive symptoms after pediatric burn injury.
Methods: data from two cohort studies were used (n = 296). Mothers reported the intensity of burn-related emotions within the first month (T1) and 12 months postburn (T2). The Impact of Event Scale (IES) and the Hospital and Anxiety Depression Scale (HADS-D; depression subscale) were administered at T1 and 18 months postburn (T3).
Results: based on two exploratory factor analyses, emotion variables were combined into acute and long-term basic emotions (fear, sadness, horror, anger) and self-conscious emotions (guilt, shame). The path model showed a positive relationship between acute and long-term basic emotions. Higher long-term basic emotions were related to persistence of posttraumatic stress and depressive symptoms. Acute self-conscious emotions showed associations with posttraumatic stress and depressive symptoms at T1 and were longitudinally related to depressive, but not posttraumatic stress, symptoms.
Limitations: the posttraumatic stress measure was not based on DSM-5 PTSD criteria and results require replication using these criteria.
Conclusions: this study suggests that mothers’ acute self-conscious and long-term basic emotions in relation to their child's burn injury are involved in the development of posttraumatic stress and depressive symptoms. Clinically, assessing and monitoring parents’ early posttraumatic stress, depressive symptoms and burn-related emotions may be useful to identify parents at risk.
Depression, Emotions, PTSD, Trauma
463-471
Egberts, Marthe R.
8dde450d-0fc5-42c3-be47-775c0953159f
Engelhard, Iris M.
e3a884a5-f9bb-4ff0-8da6-f5fcd2efb8f9
van de Schoot, Rens
070a0045-96cd-405c-a700-30a8541f7d59
Bakker, Anne
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Geenen, Rinie
fa2cb0d2-ff4c-4e5b-96e5-9754f5071b67
Van Der Heijden, Peter
85157917-3b33-4683-81be-713f987fd612
Van Loey, Nancy E. E.
665e076b-a909-45a6-875d-b9223d88494a
15 February 2020
Egberts, Marthe R.
8dde450d-0fc5-42c3-be47-775c0953159f
Engelhard, Iris M.
e3a884a5-f9bb-4ff0-8da6-f5fcd2efb8f9
van de Schoot, Rens
070a0045-96cd-405c-a700-30a8541f7d59
Bakker, Anne
60ca2466-c0bd-4f98-ae89-d6eb02984c86
Geenen, Rinie
fa2cb0d2-ff4c-4e5b-96e5-9754f5071b67
Van Der Heijden, Peter
85157917-3b33-4683-81be-713f987fd612
Van Loey, Nancy E. E.
665e076b-a909-45a6-875d-b9223d88494a
Egberts, Marthe R., Engelhard, Iris M., van de Schoot, Rens, Bakker, Anne, Geenen, Rinie, Van Der Heijden, Peter and Van Loey, Nancy E. E.
(2020)
Mothers’ emotions after pediatric burn injury: longitudinal associations with posttraumatic stress- and depressive symptoms 18 months postburn.
Journal of Affective Disorders, 263, .
(doi:10.1016/j.jad.2019.11.140).
Abstract
Background: various emotions are implicated in posttraumatic stress disorder (PTSD). Longitudinal studies examining temporal associations between emotions and posttraumatic stress may reveal who is at risk of chronic psychological problems. This study examined the longitudinal relationships of mothers’ trauma-related emotions with posttraumatic stress and depressive symptoms after pediatric burn injury.
Methods: data from two cohort studies were used (n = 296). Mothers reported the intensity of burn-related emotions within the first month (T1) and 12 months postburn (T2). The Impact of Event Scale (IES) and the Hospital and Anxiety Depression Scale (HADS-D; depression subscale) were administered at T1 and 18 months postburn (T3).
Results: based on two exploratory factor analyses, emotion variables were combined into acute and long-term basic emotions (fear, sadness, horror, anger) and self-conscious emotions (guilt, shame). The path model showed a positive relationship between acute and long-term basic emotions. Higher long-term basic emotions were related to persistence of posttraumatic stress and depressive symptoms. Acute self-conscious emotions showed associations with posttraumatic stress and depressive symptoms at T1 and were longitudinally related to depressive, but not posttraumatic stress, symptoms.
Limitations: the posttraumatic stress measure was not based on DSM-5 PTSD criteria and results require replication using these criteria.
Conclusions: this study suggests that mothers’ acute self-conscious and long-term basic emotions in relation to their child's burn injury are involved in the development of posttraumatic stress and depressive symptoms. Clinically, assessing and monitoring parents’ early posttraumatic stress, depressive symptoms and burn-related emotions may be useful to identify parents at risk.
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Accepted/In Press date: 29 November 2019
e-pub ahead of print date: 30 November 2019
Published date: 15 February 2020
Keywords:
Depression, Emotions, PTSD, Trauma
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Local EPrints ID: 436382
URI: http://eprints.soton.ac.uk/id/eprint/436382
ISSN: 0165-0327
PURE UUID: 5cdc4030-2af8-4a56-a577-427949fc3412
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Date deposited: 09 Dec 2019 17:30
Last modified: 17 Mar 2024 05:06
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Contributors
Author:
Marthe R. Egberts
Author:
Iris M. Engelhard
Author:
Rens van de Schoot
Author:
Anne Bakker
Author:
Rinie Geenen
Author:
Nancy E. E. Van Loey
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