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Cognitive and non-cognitive factors associated with posttraumatic stress in mothers of children with T1DM Antje Horsch University Hospital Lausanne, Switzerland antje.horsch@chuv.ch Illness as Traumatic Stressor ã Learning that an one’s child has a life-threatening illness can trigger PTSD. ã Parents of children with cancer/leukemia, with severe burn injuries, with paediatric spinal cord injury, organ transplantation, hematopietic stem cell transplantation, meningitis and those undergoing bone
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   Antje Horsch   University Hospital Lausanne, Switzerland antje.horsch@chuv.ch  Cognitive and non-cognitive factors associated with posttraumatic stress in mothers of children with T1DM    Illness as Traumatic Stressor   ã Learning that an one’s child has a life -threatening illness can trigger PTSD. ã Parents of children with cancer/leukemia, with severe burn injuries, with paediatric spinal cord injury, organ transplantation, hematopietic stem cell transplantation, meningitis and those undergoing bone marrow transplantation. ã In these studies, up to 71% of parents were found to report significant levels of posttraumatic stress symptoms. ã So far, only a few studies have investigated the occurrence of PTSD in relation to a diagnosis of a chronic illness, such as diabetes. e.g. Best et al. (2011); Taieb et al. (2003); Kazak et al. (1998); Manne et al. (2000, 2004); Young et al. (2003); Shears et al. (2005)  Diabetes as Traumatic Stressor   ã T1DM has much in common with other chronic conditions ã Parental PTSD higher if child diagnosed with chronic illness compared with child having been involved in accident ã Immediacy and degree of life threat can vary considerably ã Potential for recurring traumatic events Horsch et al. (2007); Landolt et al. (2003)  Diabetes as Traumatic Stressor   1.The very onset may be traumatising   in some cases. Parents may be confronted with the threatened death of their child. 2. Previous research has demonstrated that parents of children with diabetes show moderate to high distress in the first months after diagnosis . 3.  Diabetes may be associated with morbidity , such as episodes of hypo- or hyperglycemia. 4. Administering the injections that are painful for the child and may be  perceived as a threat to the child’s physical integrity . 5. Witnessing one’s child undergoing aversive medical procedures can result in  parental PTSD. Horsch et al. (2007); Landolt et al. (2002); Boman et al. (2004); Streisand et al. (2005)
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