Parent-adolescent interactions after traumatic brain injury: their relationship to family adaptation and adolescent adjustment.
Parent-adolescent interactions after traumatic brain injury: their relationship to family adaptation and adolescent adjustment.
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创伤性脑损伤后父母与青少年的互动：与家庭适应和青少年适应的关系。
DOI：
10.1097/00001199-200303000-00007
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
Minich,NoriM
中科院分区：
文献类型：
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作者：
Wade,ShariL;Taylor,HGerry;Drotar,Dennis;Stancin,Terry;Yeates,KeithOwen;Minich,NoriM
目的：探讨创伤性脑损伤（TBI）后亲子互动的变化及其与亲子适应的关系。设计：同期队列，横断面研究。方差分析用于检验组间差异，回归分析用于评估相互作用措施与同步调整之间的关联。环境：俄亥俄州中北部的四家医院。参与者：患有严重TBI(25)，中度TBI（22）和骨科损伤（35）的青少年及其父母。主要观察指标：亲子互动观察者评分、冲突行为问卷（CBQ）、家庭伤害负担访谈（FBII）、简短症状量表（BSI）、家庭评估量表（FAD）、儿童行为检查表、Vineland适应行为量表、儿童抑郁量表。结果：在亲子互动评分和亲子CBQ评分上没有发现组间差异。然而，观察到的批评/冷漠和自评冲突与严重TBI组的FBII、BSI和FAD的关联比骨科损伤组更强，这表明冲突在TBI后更具破坏性。批评/冷漠的评分以及父母和青少年的CBQ分数也与父母和青少年的适应有关。结论：结果支持在评估脑外伤后二元相互作用的观察措施的效用。儿童创伤性脑损伤（TBI）会给儿童及其照顾者带来广泛的不良后果，包括：受伤儿童的认知和行为问题，照顾者负担和痛苦水平升高，以及家庭功能障碍。虽然不是先前调查的重点，但TBI也可能导致亲子互动中的批评和冲突增加。
Objective:To examine changes in parent-adolescent interactions after traumatic brain injury (TBI) and their relationship to parent and adolescent adjustment.Design:Concurrent cohort, cross-sectional study. Analysis of variance was used to examine group differences and regression analysis to assess associations between interactional measures and concurrent adjustment.Setting:Four hospitals in north-central Ohio.Participants:Adolescents with severe TBI (25), moderate TBI (22), and orthopedic injuries (35) and their parents.Main outcome measures:Observer ratings of parent-adolescent interactions, Conflict Behavior Questionnaire (CBQ), Family Burden of Injury Interview (FBII), Brief Symptom Inventory (BSI), Family Assessment Device (FAD), Child Behavior Checklist, Vineland Adaptive Behavior Scale, and Children's Depression Inventory.Results:No group differences were found on ratings of parent-adolescent interaction or the parent or child CBQ. However, observed criticism/coldness and self-rated conflict had stronger associations with the FBII, BSI, and FAD in the severe TBI group than in the orthopedic injury group, suggesting that conflict is more disruptive after TBI. Ratings of criticism/coldness and parent and adolescent CBQ scores were also associated with parent and adolescent adjustment.Conclusions:Results support the utility of observational measures in assessing dyadic interactions after TBI.TRAUMATIC BRAIN injury (TBI) in children leads to a wide range of adverse consequences for children and their caregivers, including: cognitive and behavior problems in the injured child, elevated levels of caregiver burden and distress, and family dysfunction. 1–12 Although not the focus of previous investigations, TBI may also contribute to increased criticism and conflict in parent-child interactions.