Why Family Communication Matters: the Role of Co-rumination and Topic Avoidance in Understanding Post-Disaster Mental Health.
Why Family Communication Matters: the Role of Co-rumination and Topic Avoidance in Understanding Post-Disaster Mental Health.
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DOI：
10.1007/s10802-020-00688-7
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发表时间：
2020-11
影响因子：
3.6
通讯作者：
Garber A
中科院分区：
文献类型：
--
作者：
Felix ED;Afifi TD;Horan SM;Meskunas H;Garber A
尽管家庭可以成为灾后支持的来源，但取决于他们如何表达压力，他们的支持尝试可能是有益的，也可能是有害的。这项研究以 485 名亲子二人组为样本，探讨了德克萨斯州发生严重洪水后回避话题和共同思考对灾后心理健康 (MH) 的调节作用。父母（69.0% 为女性）和年龄在 10-19 岁之间的最大孩子（M = 13.75 岁，SD = 2.56）在洪水发生后大约一年完成了在线调查。参与者报告了他们的洪水暴露情况、灾难后的生活压力源、回避话题、共同反思和 MH 症状（创伤后应激症状 [PTSS]、抑郁、焦虑）。结构方程模型测试了沟通过程是否调节洪水暴露和生活压力因素对 MH 的关联的调节中介模型。他们没有调节洪水暴露与 PTSS 的关联，但确实对抑郁和焦虑有调节作用。在话题回避水平较低的情况下，洪水暴露与儿童焦虑或抑郁之间没有关联。然而，在平均和高水平的话题回避下，洪水暴露与儿童焦虑和抑郁之间存在显着的正相关关系。共同反思对父母和孩子都有影响。对于父母来说，当共同反思较低或平均水平时，洪水暴露与抑郁或焦虑之间没有关联。然而，洪水暴露增加了在高度共同思考时抑郁和焦虑的风险。儿童也出现了类似的模式。生活压力源的结果是微妙的。总体而言，这表明沟通可以影响灾后的 MH。
Although families can be a source of support post-disaster, depending on how they communicate about their stress, their attempts at support can be helpful or harmful. This study explored the moderating role of topic avoidance and co-rumination on post-disaster mental health (MH) in a sample of 485 parent-child dyads following severe floods affecting Texas. Parents (69.0% female) and their oldest child between the ages of 10–19 years (M = 13.75 years, SD = 2.56) completed online surveys approximately one-year post-flooding. Participants reported their flood exposure, life stressors since the disaster, topic avoidance, co-rumination, and MH symptoms (posttraumatic stress symptoms [PTSS], depression, anxiety). Structural equation models tested a moderated-mediation model of whether communication processes moderated the associations of flood exposure and life stressors on MH. They did not moderate the association of flood exposure to PTSS, but did have a moderating role for depression and anxiety. At low levels of topic avoidance, there was no association between flood exposure and child anxiety or depression. However, at mean and high levels of topic avoidance, there was a significant, positive association between flood exposure and child anxiety and depression. Co-rumination impacted both parents and children. For parents, there was no association between flood exposure and depression or anxiety when co-rumination was low or mean-level. However, flood exposure increased risk for depression and anxiety at high levels of co-rumination. A similar pattern emerged for children. Results for life stressors were nuanced. Overall, this suggests that communication can influence post-disaster MH.
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DOI：
10.1002/bs.3830190102
发表时间：
1974-01-01
期刊：
BEHAVIORAL SCIENCE
影响因子：
--
作者：
DEROGATIS, LR;LIPMAN, RS;COVI, L
通讯作者：
COVI, L
影响因子：
3.2
作者：
Donovan-Kicken, Erin;Caughlin, John P.
通讯作者：
Caughlin, John P.
影响因子：
4.7
作者：
Houston, J. Brian;Franken, Noah J.
通讯作者：
Franken, Noah J.
影响因子：
2.5
作者：
Afifi, T. D.;Afifi, W. A.;Hamrick, K.
通讯作者：
Hamrick, K.
影响因子：
3.3
作者：
Felix, Erika D.;Nylund-Gibson, Karen;Terzieva, Antoniya
通讯作者：
Terzieva, Antoniya