Child posttraumatic stress symptoms in an acute injury sample: Patterns of associations among child report, parent report, and child heart rate parameters.
Child posttraumatic stress symptoms in an acute injury sample: Patterns of associations among child report, parent report, and child heart rate parameters.
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急性损伤样本中的儿童创伤后应激症状：儿童报告、家长报告和儿童心率参数之间的关联模式。
DOI：
10.1002/jts.22913
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发表时间：
2023
影响因子：
3.3
通讯作者：
Bailey M
中科院分区：
文献类型：
--
作者：
Bailey M
对于儿童创伤后应激障碍（PTSD）的测量方法，父母与孩子的共识充其量是中等程度的，对这种差异的理解是有限的。为了解决这个问题，我们进行了一项亲子症状一致性的项目级调查，以检验父母创伤后应激症状（PTSS）对父母报告其子女创伤后应激障碍的潜在影响。我们还检查了心率（HR）指数作为儿童创伤后应激障碍的可能独立指标，检查了与父母与儿童报告的关联模式。在儿童因急性单次创伤事件而入院后，父母-子女二人组（N= 132，儿童年龄：6-13岁，91.7%为白人）被招募。在创伤后1个月，对儿童ptsd（自我和父母报告）和父母ptsd进行问卷调查。对于一部分参与者（n= 70），在创伤叙述任务中获得儿童的HR记录并进行分析。父母与子女对儿童ptsd的报告呈弱正相关，r= 0.25。与儿童自己的症状报告相比，父母的创伤后应激障碍是父母报告儿童创伤后应激障碍的更强的正预测因子（β = 0.60比β = 0.14），并且与父母报告的儿童创伤后应激障碍相关。最后，儿童自我报告的创伤后应激障碍与人力资源指数相关，而家长报告则不相关，βs = - 0.33 -。30 vs. βs = - 0.15 - 0.01。综上所述，儿童自我报告的创伤后应激障碍可能比父母报告的更准确地反映了他们的创伤后生理困扰。父母创伤后应激障碍对他们对孩子症状的看法的潜在影响值得进一步考虑。
Parent–child agreement on measures of child posttraumatic stress disorder (PTSD) is moderate at best, and understanding of this discrepancy is limited. To address this, we conducted an item‐level investigation of parent–child symptom agreement to examine the potential influence of parental posttraumatic stress symptoms (PTSS) on parents’ reports of their child's PTSS. We also examined heart rate (HR) indices as possible independent indicators of child PTSD, examining patterns of association with parent versus child report. Parent–child dyads (N= 132, child age: 6–13 years, 91.7% White) were recruited after the child's hospital admission following an acute, single‐incident traumatic event. At 1‐month posttrauma, questionnaires assessing children's PTSS (self‐ and parental reports) and parental PTSS were administered. For a subset of participants (n= 70), children's HR recordings were obtained during a trauma narrative task and analyzed. Parent and child reports of child PTSS were weakly positively correlated,r= .25. Parental PTSS were found to be stronger positive predictors of parental reports of child PTSS than the children's own symptom reports, β = 0.60 vs. β = 0.14, and were associated with higher parent‐reported child PTSS relative to child reports. Finally, children's self‐reported PTSS were associated with HR indices, whereas parent reports were not, βs = −.33–.30 vs. βs = −.15–.01. Taken together, children's self‐reported PTSS could be a more accurate reflection of their posttrauma physiological distress than parent reports. The potential influence of parental PTSS on their perceptions of their child's symptoms warrants further consideration.