title: Prevalence, comorbidity and course of trauma reactions in young burn-injured children.
abstract: BACKGROUND
  Infants, toddlers and preschoolers are the highest risk group for burn injury. However, to date this population has been largely neglected. This study examined the prevalence, onset, comorbidity and recovery patterns of posttrauma reactions in young children with burns.
  
  
  METHODS
  Parents of 130 unintentionally burned children (1-6 years) participated in the study. The Diagnostic Infant Preschool Assessment was conducted with parents at 1 and 6 months postinjury.
  
  
  RESULTS
  The majority of children were resilient. However, 35% were diagnosed with at least one psychological disorder, there was a high rate of comorbidity with posttraumatic stress disorder, and 8% of children did not experience recovery in distress levels over the course of 6 months.
  
  
  CONCLUSIONS
  These outcomes are likely to have serious repercussions for a young child's medical and psychosocial recovery as well as their normal developmental trajectories. It is recommended that screening, prevention and early intervention resources are incorporated into paediatric health care settings to optimise children's psychological adjustment following burn injury.
authors.affiliation: School of Psychology and Centre of National Research on Disability and Rehabilitation Medicine, University of Queensland, Herston, Qld, Australia. adeyoung@uq.edu.au
authors.forename: Alexandra C
authors.initials: AC
authors.lastname: De Young
authors.forename: Justin A
authors.initials: JA
authors.lastname: Kenardy
authors.forename: Vanessa E
authors.initials: VE
authors.lastname: Cobham
authors.forename: Roy
authors.initials: R
authors.lastname: Kimble
mesh_terms: D000223:Adaptation, Psychological; D001315:Australia / Q000453:epidemiology; D002056:Burns / Q000453:epidemiology* / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000523:psychology; D016017:Odds Ratio; D015995:Prevalence; D055500:Resilience, Psychological; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000523:psychology; D013315:Stress, Psychological / Q000453:epidemiology* / Q000523:psychology