A longitudinal investigation of the role of parental responses in predicting children's post-traumatic distress.

A longitudinal investigation of the role of parental responses in predicting children's post-traumatic distress.
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DOI:
10.1111/jcpp.12846
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发表时间:
2018-07
期刊:
Journal of child psychology and psychiatry, and allied disciplines
影响因子:
--
通讯作者:
Halligan SL
Halligan SL
中科院分区:
其他
文献类型:
--
作者:
Hiller RM;Meiser-Stedman R;Lobo S;Creswell C;Fearon P;Ehlers A;Murray L;Halligan SL

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虽然父母的创伤后支持在理论上被认为对儿童适应很重要,但关于父母反应的具体方面的经验证据影响儿童创伤后痛苦,或任何此类影响发生的过程,是非常有限的。我们进行了一项纵向研究,研究父母的创伤后评估、创伤特定支持方式和一般养育方式是否能预测创伤后儿童创伤后应激症状的严重程度(PTSS);以及这些影响是否通过儿童自己的评估和应对方式来发挥作用。我们招募了132对父母-孩子对儿童的急性创伤的经验。我们检查了在创伤后1个月评估的父母反应是否预测了6个月随访时的儿童PTSS。通过自我报告和直接观察评估父母创伤特异性评价和反应以及一般养育方式。使用儿童报告问卷评估PTSS和潜在介质。最初的父母负面评价和鼓励回避应对与6个月随访时儿童报告的PTSS较高相关。即使在控制初始儿童症状水平时,预测效果也保持不变。观察性评估广泛支持自我报告的结论。有证据表明,父母的影响可能部分地通过影响孩子自己的评价和应对反应来发挥作用。相反,没有证据表明更多的“适应性”支持或一般的父母教养方式对儿童PTSS的影响。研究结果提供了重要的洞察社会支持的元素可能会影响儿童创伤后的结果。
While parental post‐trauma support is considered theoretically important for child adjustment, empirical evidence concerning the specific aspects of parental responding that influence child post‐traumatic distress, or the processes via which any such impacts occur, is extremely limited. We conducted a longitudinal examination of whether parental post‐trauma appraisals, trauma‐specific support style and general parenting style predicted child post‐traumatic stress symptom severity (PTSS) following trauma; and whether such influences operated via the child's own appraisals and coping style. We recruited 132 parent–child pairs following children's experience of acute trauma. We examined whether parental responses assessed at 1‐month post‐trauma, predicted child PTSS at 6‐month follow‐up. Parental trauma‐specific appraisals and responses, and general parenting style, were assessed via both self‐report and direct observations. Child‐report questionnaires were used to assess PTSS and potential mediators. Initial parent negative appraisals and encouragement of avoidant coping were associated with higher child‐reported PTSS at 6‐month follow‐up. Predictive effects were maintained even when controlling for initial child symptom levels. Observational assessments broadly supported conclusions from self‐report. There was evidence that parental influences may operate, in part, by influencing the child's own appraisals and coping responses. In contrast, there was no evidence for an influence of more “adaptive” support or general parenting style on child PTSS. Findings provide important insight into how elements of social support may influence child post‐trauma outcomes.
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DOI: 10.1111/jcpp.12566
发表时间: 2016-08
期刊: Journal of child psychology and psychiatry, and allied disciplines
影响因子: --
作者:
Hiller RM;Meiser-Stedman R;Fearon P;Lobo S;McKinnon A;Fraser A;Halligan SL
通讯作者: Halligan SL