Parent-child discrepancy in reporting children's post-traumatic stress reactions after a traffic accident

Parent-child discrepancy in reporting children's post-traumatic stress reactions after a traffic accident
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DOI:
10.1080/08039480310002660
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发表时间:
2003-09-01
影响因子:
1.8
通讯作者:
Aarseth, J
Aarseth, J
中科院分区:
医学4区
文献类型:
--
作者:
Dyb, G;Holen, A;Aarseth, J

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本研究探讨交通事故后儿童创伤后应激反应报告中可能存在的亲子差异。本研究采用儿童创伤后应激反应指数(CPTS-RI),分别在事故发生后5周和6个月对16名遭遇相同交通事故的儿童进行创伤后应激反应的访谈。独立地,父母在CPTS-RI:父母问卷上报告了他们孩子的创伤后应激反应程度,在相同的两次。临床医生还在儿童总体评估量表上评估了儿童的一般功能水平。孩子们报告的创伤后应激反应比他们的父母在事故发生4周后观察到的明显更多。这种亲子差异在年龄较小的孩子中更为明显。儿童自我报告的创伤后应激反应水平从第一次评估到第二次评估显著下降。在事故发生6个月后的第二次评估中,没有观察到明显的亲子差异。尽管孩子们有创伤后应激反应,但他们表现出了正常的功能水平。报告的亲子差异表明,有关儿童事故后创伤后应激反应的信息最好直接从儿童那里获得。
This study examines possible parent-child discrepancies in the reporting of post-traumatic stress reactions in children after a traffic accident. Sixteen children exposed to the same traffic accident were interviewed about post-traumatic stress reactions at 5 weeks and at 6 months after the event, utilizing the Child Posttraumatic Stress Reaction Index (CPTS-RI). Independently, the parents' reported their child's degree of post-traumatic stress reactions on the CPTS-RI: Parent questionnaire, at the same two times. Clinicians also assessed the children's level of general functioning on the Children's Global Assessment Scale. The children reported significantly more post-traumatic stress reactions than observed by their parents 4 weeks after the accident. The parent-child discrepancy was more pronounced among younger children. The level of children's self-reported post-traumatic stress reactions decreased significantly from the first to the second assessment. At the second assessment, 6 months after the accident, there was no significant parent-child discrepancy observed. The children showed a normal level of functioning despite their post-traumatic stress reactions. The reported parent-child discrepancy indicates that information about children's post-traumatic stress reactions after an accident is best obtained directly from the children.