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Original article
Efficacy of an interventional educational programme in mitigating post-traumatic stress in parents who have witnessed a febrile seizure: a pilot before-and-after study
  1. Flora Frascari1,
  2. Isabelle Dreyfus2,
  3. Yves Chaix1,3,
  4. Camille Tison-Chambellan1
  1. 1 Department of Pediatric Neurology, Children Hospital, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
  2. 2 Department of Dermatology, CHU Larrey, Centre Hospitalier Universitaire de Toulouse, Toulouse, France
  3. 3 Toulouse NeuroImaging Center (TONIC), UMR 1214, Université Toulouse 3 (UT3), Toulouse, Midi-Pyrénées, France
  1. Correspondence to Dr Flora Frascari, Department of Pediatric NeurologyChildren Hospital, Centre Hospitalier Universitaire de ToulouseToulouseFrance; frascari.flora{at}gmail.com

Abstract

Objectives To measure post-traumatic stress in parents who have witnessed their child’s first simple febrile seizure and to assess the impact of workshops where information is dispensed, proper reactions are demonstrated and dialogue is encouraged on the mitigation of parental stress.

Design A pilot before-and-after study, with control group, using self-reported measures from the Impact of Event Scale-Revised.

Setting Data from two French participating centres.

Participants A total of 50 parents who witnessed their child’s first simple febrile seizure.

Intervention Parents selected themselves into either group 1: attending a workshop (intervention group), or group 2: no further management (control group).

Primary and secondary outcome measures (1) Parental post-traumatic stress was assessed by the Impact of Event Scale-Revised a minimum of 4 weeks after the seizure (before any workshop if applicable). A high risk of developing post-traumatic stress disorder was indicated by a score ≥33. (2) To assess the efficacy of workshops on the mitigation of parental stress, all parents self-completed the Impact of Event Scale-Revised a second time at a minimum of 10 weeks after the seizure (after any workshop if applicable).

Results Four weeks after the seizure, 76% of the total parents presented an Impact of Event Scale-Revised score ≥33. At 10 weeks after the seizure, the scores were 18.1 points lower (95% CI 11.66 to 24.61, P<0.0001) in group 1 versus only 5.51 points lower (95% CI 2.76 to 8.27, P=0.0003) in group 2 (intragroup comparison), and were significantly lower in group 1 compared with group 2 (intergroup comparison), P=0.02.

Conclusions Parents who have witnessed their child’s first simple febrile seizure are at high risk of developing post-traumatic stress disorder 4 weeks after the seizure. Our innovative workshops are associated with a significant mitigation of the parental post-traumatic stress.

  • neurology
  • psychology
  • multidisciplinary team-care
  • general paediatrics

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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Footnotes

  • Contributors FF: participated in design and coordination of the study, contributed to the acquisition and interpretation of data, participated in statistical analyses, drafted the initial manuscript and approved the final submitted manuscript. ID: performed the statistical analyses, co-wrote the manuscript and approved the final submitted manuscript. YC: contributed to the acquisition and interpretation of data, co-wrote the manuscript and approved the final submitted manuscript. CT-C: co-designed and co-coordinated the study, contributed to the acquisition and interpretation of data, co-wrote the manuscript and approved the final submitted manuscript.

  • Competing interests None declared.

  • Ethics approval Ethics Committee of Toulouse University Hospital.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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