Israeli preschool children under Scuds: A 30-month follow-up
Israeli preschool children under Scuds: A 30-month follow-up
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DOI：
10.1097/00004583-199703000-00013
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发表时间：
1997-03-01
影响因子：
13.3
通讯作者：
Cohen, DJ
中科院分区：
文献类型：
--
作者：
Laor, N;Wolmer, L;Cohen, DJ
目的：对遭受创伤事件的儿童进行的纵向研究表明，随着时间的推移，他们的症状发生变化，结果却截然不同。本研究报告了对遭受飞毛腿导弹袭击的学龄前儿童及其母亲进行的为期 30 个月的跟踪调查。方法：对海湾战争期间因导弹袭击受损而流离失所的家庭和房屋完好无损的对照组进行了采访，了解创伤后和一般症状、母亲控制图像的能力以及孩子的适应行为。结果：流离失所的儿童的压力症状有所减轻，但他们的母亲却没有减轻。两人都报告了比对照组更多的创伤后症状。没有观察到儿童的适应行为存在差异。流离失所儿童的创伤后症状与母亲的回避症状相关。母亲在随访中的回避症状可以通过母亲在战争期间的症状、她们的形象控制能力、流离失所的持续时间以及家庭的凝聚力来统计解释。结论：母亲的压力缓冲能力构成了儿童保护矩阵的核心要素，对于最大限度地减少受创伤的学龄前儿童的长期内部痛苦至关重要。
Objective: Longitudinal studies of children exposed to traumatic events show contrasting findings regarding their symptomatic change over time. The present study reports on a 30-month follow-up of preschool children and their mothers who had been exposed to Scud missile attacks. Method: Families displaced during the Gulf War after their homes had been damaged by the missile attack and a control group whose homes remained intact were interviewed about posttraumatic and general symptomatology, the mothers' capacity to control images, and the children's adaptive behavior. Results: Stress symptoms decreased in the displaced children but not in their mothers. Both reported more posttraumatic symptoms than did the control group. No differences in the children's adaptive behavior were observed. Posttraumatic symptoms of the displaced children correlated with the mothers' avoidant symptoms. The mothers' avoidant symptoms at follow-up were statistically explained by the mothers' symptoms during the war and their capacity for image control, the duration of displacement, and the cohesion of the family. Conclusions: The maternal stress-buffering capacity constitutes a central element in children's protective matrix and is crucial in minimizing long-term internal suffering of traumatized preschool children.