The journey back to normality: Support systems and posttrauma needs following exposure to single-incident trauma among children and adolescents.
The journey back to normality: Support systems and posttrauma needs following exposure to single-incident trauma among children and adolescents.
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恢复正常的旅程：儿童和青少年遭受单一事件创伤后的支持系统和创伤后需求。
DOI：
10.1002/jts.22902
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发表时间：
2023
影响因子：
3.3
通讯作者：
Haag K
中科院分区：
文献类型：
--
作者：
Haag K
社会支持与儿童和青少年的创伤后适应有关，但良好支持的组成部分仍然定义不清。我们对30名7-16岁的青少年进行了定性访谈，他们在单一创伤事件（主要是受伤或疾病）后入院。目的是确定青少年的支援需要，并研究他们在不同康复阶段所获得的支援。主题分析显示，虽然参与者在住院期间感谢更多的关注和热情支持，但大多数人希望他们的生活很快恢复正常，并对实现这一目标的障碍感到沮丧。参与者从不同的来源获得支持，但父母和同龄人是最重要的情感支持提供者，也是这些人最经常参与创伤相关对话的人。此外，虽然学校必须敏感地认识到青少年在参与课程能力方面的潜在局限性，但教师的情感支持不太受重视。总体而言，本研究表明，生态模型结合多个相互作用的层捕捉青少年创伤后支持系统的结构很好。这些研究结果可用于定制创伤后干预更密切地儿童和青少年在不同的恢复阶段的需求，并强调有父母的重要性，并在可能的情况下，同龄人参与创伤后干预或预防计划。
Social support has been linked to posttrauma adjustment in children and adolescents, but the components of good support remain poorly defined. We conducted qualitative interviews with 30 youths aged 7–16 years after being admitted to a hospital following a single‐incident trauma, predominantly injury or illness. The aim was to identify youths’ support needs and examine the support they received across different recovery stages. Thematic analysis revealed that although participants appreciated increased attention and warm support during their hospital stay, most wanted their lives to return to normal soon afterward and were frustrated by barriers to achieving this. Participants received support from different sources, but parents and peers were the most important providers of emotional support and the people with whom these individuals most frequently engaged in trauma‐related conversations. Furthermore, although it was important that schools were sensitive to the youths’ potential limitations regarding their ability to engage with lessons, emotional support from teachers was less valued. Overall, this study implies that ecological models incorporating multiple interacting layers capture the structure of youths’ posttrauma support systems well. These findings may be used to tailor posttrauma interventions more closely to child and adolescent needs at different recovery stages and highlight the importance of having parents and, where possible, peers involved in posttrauma interventions or prevention programs.