title: Posttraumatic Stress Reactions in Parents of Children Esophageal Atresia.
abstract: OBJECTIVE
  The aim of this study was to investigate psychological stress in parents of children with esophageal atresia and to explore factors associated with the development of Posttraumatic Stress disorder (PTSD).
  
  
  METHODS
  Self-report questionnaires were administered to parents of children with EA. Domains included: (1) sociodemographic data, current personal difficulties, assessment scales for the quality of life and for the global health status of the child (2) French-validated versions of the Perinatal Posttraumatic Stress disorder Questionnaire and of the State-Trait Anxiety Inventory. Associations between PTSD and severity of the neonatal course, presence of severe sequelae at 2 years of age, and quality of life and global health status of children according to their parents' perception were studied.
  
  
  METHODS
  A Tertiary care University Hospital.
  
  
  RESULTS
  Among 64 eligible families, 54 parents of 38 children (59%) participated to the study. PTSD was present in 32 (59%) parents; mothers were more frequently affected than fathers (69 vs 46%, p = 0.03). Four mothers (8%) had severe anxiety. PTSD was neither associated with neonatal severity nor with severe sequelae at 2 years. Parents with PTSD rated their child's quality of life and global health status significantly lower (7.5 vs 8.6; p = 0.01 and 7.4 vs 8.3; p = 0.02 respectively).
  
  
  CONCLUSIONS
  PTSD is frequent in parents of children with esophageal atresia, independently of neonatal severity and presence of severe sequelae at 2 years of age. Our results highlight the need for a long-term psychological support of families.
authors.affiliation: AP-HP, Hôpital Universitaire Necker-Enfants malades, Service de Pédiatrie Générale, Paris, France.|Université Paris Descartes, Faculté de médecine, Paris, France.
authors.forename: Morgane
authors.initials: M
authors.lastname: Le Gouëz
authors.affiliation: AP-HP, Hôpital Universitaire Necker-Enfants malades, CPDPN, Paris, France.
authors.forename: Luis
authors.initials: L
authors.lastname: Alvarez
authors.affiliation: AP-HP, Hôpital Universitaire Necker-Enfants malades, Service de Chirurgie Pédiatrique, Paris, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Rousseau
authors.affiliation: Université Paris Descartes, Faculté de médecine, Paris, France.|AP-HP, Hôpital Universitaire Necker-Enfants malades, Service de Réanimation Pédiatrique, Paris, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Hubert
authors.affiliation: AP-HP, Hôpital Universitaire Necker-Enfants malades, Service de Pédiatrie Générale, Paris, France.|Université Paris Descartes, Faculté de médecine, Paris, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Abadie
authors.affiliation: Université Paris Descartes, Faculté de médecine, Paris, France.|AP-HP, Hôpital Universitaire Necker-Enfants malades, Service de Néonatologie, Paris, France.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Lapillonne
authors.affiliation: Université Paris Descartes, Faculté de médecine, Paris, France.|AP-HP, Hôpital Universitaire Necker-Enfants malades, Service de Néonatologie, Paris, France.
authors.forename: Elsa
authors.initials: E
authors.lastname: Kermorvant-Duchemin
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D004933:Esophageal Atresia / Q000453:epidemiology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D010290:Parents / Q000523:psychology*; D011788:Quality of Life; D057566:Self Report; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology*; D013315:Stress, Psychological