Prospective study of posttraumatic stress disorder in parents of children with newly diagnosed type 1 diabetes.
OBJECTIVE
To determine the prevalence, course, and predictors of posttraumatic stress disorder (PTSD) in mothers and fathers of children with newly diagnosed type 1 diabetes.


METHODS
Forty-nine mothers and 48 fathers of 52 children (response rate 65%) with newly diagnosed diabetes (age 6.5-15 years) were assessed at 6 weeks, 6 months, and 12 months after the diagnosis with the Posttraumatic Diagnostic Scale.


RESULTS
The prevalence of current PTSD in mothers was 22.4% at 6 weeks, 16.3% at 6 months, and 20.4% at 12 months. In fathers, PTSD was found in 14.6%, 10.4%, and 8.3%, respectively. Mothers endorsed more symptoms of PTSD at all assessments. Multivariate analyses controlling for demographics, metabolic control, and threat appraisals revealed that in mothers, the number of preceding life events and PTSD symptoms at 6 months predicted PTSD at 12 months. In fathers, PTSD severity at 6 months was the only significant predictor for PTSD at 12 months.


CONCLUSIONS
The results suggest that the diagnosis and treatment of diabetes in their child constitute traumatic events for parents. The findings confirm the applicability of a posttraumatic stress model for investigating the psychological impact of diabetes on parents.
Landolt
Markus A
MA
Department of Psychosomatics and Psychiatry, University Children's Hospital, Zurich, Switzerland. markus.landolt@kispi.unizh.ch
Vollrath
Margarete
M
Laimbacher
Joseph
J
Gnehm
Hanspeter E
HE
Sennhauser
Felix H
FH
D000328:Adult; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents; D015995:Prevalence; D011446:Prospective Studies; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology