Perceived Parenting Change and Child Posttraumatic Stress Following a Natural Disaster
Perceived Parenting Change and Child Posttraumatic Stress Following a Natural Disaster
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DOI：
10.1089/cap.2013.0051
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发表时间：
2014-02-01
影响因子：
1.9
通讯作者：
McDermott, Brett
中科院分区：
文献类型：
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作者：
Cobham, Vanessa E.;McDermott, Brett
目的：最近的研究表明，不仅父母的精神病理学，但也养育的做法，发挥了作用，在儿童创伤后应激症状（PTSS）的发展后，自然灾害。本研究旨在探讨自然灾害后父母对子女教养方式的认知与儿童PTSS之间的关系。研究方法：一个横断面设计被用来探讨儿童PTSS之间的关联，父母的看法改变（更焦虑）的养育方式，和父母的灾难相关的困扰（改变认知和行为）在874名小学儿童（8-12岁）和他们的父母在一个严重的风暴气旋比例。经家长同意，在风暴发生3个月后，在受影响社区进行了以学校为基础的筛查。孩子们完成了一份筛查问卷，包括儿童创伤筛查问卷（CTSQ;用于识别有创伤后应激障碍[PTSD]风险的儿童），以及一系列评估灾难暴露和威胁感知的问题。家长们完成了有关他们对风暴以来养育子女变化的看法的问题，以及两个与他们自己与灾害有关的痛苦有关的项目。结果如下：独立的其他显着协会与儿童PTSS（如年龄，性别和灾害暴露），高水平的父母认为改变养育似乎把儿童PTSS的风险增加3个月后的灾难。然而，当样本分层的存在或不存在改变父母的认知和行为的风暴后，改变父母被发现有一个独特的关系，只有当父母报告改变灾害相关的认知和行为与儿童PTSS。结论：当父母报告与灾难相关的认知和行为时，他们对父母行为改变的感知（变得更具保护性，更少的自主权，以及传达当前危险感）与儿童PTSS相关。虽然这是不可能得出结论的方向，这些关系，这项研究确定了父母的做法，可能构成重要的干预目标。
Objective: Recent research suggests that not only parental psychopathology, but also parenting practices, have a role to play in the development of child posttraumatic stress symptoms (PTSS) following a natural disaster. The current study aimed to investigate the relationship between parents' perceptions of their parenting in the aftermath of a natural disaster, and child PTSS. Methods: A cross-sectional design was used to explore the associations among child PTSS, parents' perceptions of altered (more anxious) parenting, and parental disaster-related distress (altered cognitions and behaviors) in 874 elementary school children (ages 8-12 years) and their parents following a severe storm of cyclonic proportions. With parental consent, school-based screening was conducted in impacted communities 3 months after the storm. Children completed a screening questionnaire consisting of the Child Trauma Screening Questionnaire (CTSQ; used for identifying children at risk for posttraumatic stress disorder [PTSD]), as well as a range of questions assessing disaster exposure and threat perception. Parents completed questions relating to their perceptions of changes in their parenting since the storm, as well as two items relating to their own disaster-related distress. Results: Independent of other significant associations with child PTSS (such as age, gender, and disaster exposure), a high level of parent-perceived altered parenting appeared to put children at increased risk for PTSS 3 months after the disaster. However, when the sample was stratified for the presence or absence of altered parent cognitions and behaviors following the storm, altered parenting was found to have a unique relationship with child PTSS only when parents reported altered disaster-related cognitions and behaviors. Conclusions: When parents report disaster-related cognitions and behaviors, their perception of altered parenting practices (becoming more protective, less granting of autonomy, and communicating a sense of current danger) is associated with child PTSS. Although it is not possible to draw conclusions about the direction of these relationships, this study identifies parenting practices that may constitute important targets for intervention.