Adjustment among children with relatives who participated in the manhunt following the Boston Marathon attack.
Adjustment among children with relatives who participated in the manhunt following the Boston Marathon attack.
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DOI：
10.1002/da.22281
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发表时间：
2014-07
影响因子：
7.4
通讯作者：
Green, Jennifer Greif
中科院分区：
文献类型：
--
作者：
Comer, Jonathan S.;Kerns, Caroline E.;Elkins, R. Meredith;Edson, Aubrey L.;Chou, Tommy;Dantowitz, Annie;Miguel, Elizabeth;Brown, Bonnie;Coxe, Stefany;Green, Jennifer Greif
波士顿马拉松袭击事件发生后，非凡的跨机构搜捕和就地避难为当地家庭带来了真正前所未有的经历。尽管对波士顿青少年的研究发现，搜捕相关经历与袭击后功能之间存在密切联系，但此类工作几乎无法确定特别弱势群体（即有亲戚参与搜捕的儿童）的具体需求。了解这些年轻人的适应情况对于为临床工作提供信息至关重要。对波士顿地区家长/看护者 (N = 460) 的调查，报告其孩子的袭击/搜捕相关经历，以及袭击后前六个月的心理社会功能；分析比较了有或没有参与搜捕的执法人员或武装部队亲属的青少年。有亲属参加搜捕的青少年中，可能患有创伤后应激障碍的青少年比例是没有亲属参与搜捕的青少年的 5.7 倍。在考虑了儿童人口统计、爆炸暴露以及儿童自身暴露于搜捕事件（例如听到/看到枪声/爆炸、让警察进入/搜查家）之后，有亲属参与搜捕可以显着预测儿童的创伤后应激障碍（PTSD）症状、情绪症状和多动/注意力不集中。在搜捕过程中，对亲人可能受到伤害的恐惧介导了搜捕中是否有亲属与临床结果之间的关系；生活在追捕活动最频繁的区域并没有缓和观察到的关系。波士顿马拉松袭击事件后，有亲戚被要求参加史无前例的跨机构搜捕的儿童承受着特别沉重的心理健康负担。需要继续研究来明确有亲属从事高风险职业的青少年的临床需求。
Following the Boston Marathon attack, the extraordinary interagency manhunt and shelter-in-place made for a truly unprecedented experience for area families. Although research on Boston youth has found robust associations between manhunt-related experiences and post-attack functioning, such work does little to identify the specific needs of a particularly vulnerable population—i.e., children with a relative who participated in the manhunt. Understanding the adjustment of these youth is critical for informing clinical efforts. Survey of Boston-area parents/caretakers (N = 460) reporting on their child’s attack/manhunt-related experiences, as well as psychosocial functioning in the first six post-attack months; analyses compared youth with and without a relative in law enforcement or the armed services who participated in the manhunt. The proportion of youth with likely PTSD was 5.7 times higher among youth with relatives in the manhunt than among youth without. After accounting for child demographics, blast exposure, and children’s own exposure to manhunt events (e.g., hearing/seeing gunfire/explosions, having officers enter/search home), having a relative in the manhunt significantly predicted child PTSD symptoms, emotional symptoms, and hyperactivity/inattention. Fear during the manhunt that a loved one could be hurt mediated relationships between having a relative in the manhunt and clinical outcomes; living within the zone of greatest manhunt activity did not moderate observed relationships. Children with relatives called upon to participate in the unprecedented interagency manhunt following the Boston Marathon attack carried a particularly heavy mental health burden. Continued research is needed to clarify the clinical needs of youth with relatives in high-risk occupations.
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影响因子：
5.9
作者：
La Greca, AM;Silverman, WK;Wasserstein, SB
通讯作者：
Wasserstein, SB
影响因子：
--
作者：
Hoven, CW;Duarte, CS;Susser, E
通讯作者：
Susser, E
影响因子：
--
作者：
Copeland, William E.;Keeler, Gordon;Costello, E. Jane
通讯作者：
Costello, E. Jane
影响因子：
3.1
作者：
Clohessy, S;Ehlers, A
通讯作者：
Ehlers, A
影响因子：
6.6
作者：
Lai, Betty S.;La Greca, Annette M.;Auslander, Beth A.;Short, Mary B.
通讯作者：
Short, Mary B.