Mother and Child Reports of Hurricane Related Stressors: Data from a Sample of Families Exposed to Hurricane Katrina.
Mother and Child Reports of Hurricane Related Stressors: Data from a Sample of Families Exposed to Hurricane Katrina.
复制标题
与飓风相关的压力源的母亲和儿童报告：暴露于卡特里娜飓风的家庭的数据。
DOI：
10.1007/s10566-014-9289-3
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发表时间：
2015-08
影响因子：
1.8
通讯作者：
Kelley ML
中科院分区：
文献类型：
--
作者：
Lai BS;Beaulieu B;Ogokeh CE;Self-Brown S;Kelley ML
遭受卡特里娜飓风等灾害的家庭面临着许多不利后果的风险。虽然以前的文献表明，灾难暴露的程度与经历的负面结果相对应，但尚不清楚父母和孩子是否报告了相似的灾难暴露水平。本研究的目的是检验受卡特里娜飓风影响的母子对灾难应激源的一致程度，并检验灾难应激源报告的差异是否与较高水平的创伤后应激（PTS）症状有关。这项研究的参与者包括353对母亲（年龄M = 38.79岁，SD = 7.52； 68%是非裔美国人）和儿童（52%女孩；年龄M = 11.61岁，SD = 1.57），他们暴露在卡特里娜飓风中。在灾后3 - 7个月和14 - 17个月两个时间点对父母和孩子进行评估。分析了家长和儿童对飓风相关应激源暴露和PTS症状的反应。对飓风相关暴露的一致性主要为轻微至中度，κ = 0.19至0.83。多项式回归分析显示，当母亲报告低水平的即时损失/中断压力源而儿童报告高水平的这些压力源时，儿童报告更高水平的时间2 PTS症状，b = - 0.72（.33), p = .03。总体而言，母婴反应一致性水平较低。母亲和儿童报告的差异预示着儿童PTS症状的较高水平。当与灾后家庭合作时，临床医生可能想询问父母和孩子关于他们的灾难经历。
Families exposed to disasters such as Hurricane Katrina are at risk for numerous adverse outcomes. While previous literature suggests that the degree of disaster exposure corresponds with experiencing negative outcomes, it is unclear if parents and children report similar levels of disaster exposure. The purpose of this paper was to examine levels of disaster stressor agreement among mother-child dyads affected by Hurricane Katrina, and to examine whether discrepancies in disaster stressor reports are associated with higher levels of posttraumatic stress (PTS) symptoms. Participants in this study consisted of 353 dyads of mothers (age M = 38.79 years, SD = 7.52; 68% African American) and children (52% girls; age M = 11.61 years, SD = 1.57) exposed to Hurricane Katrina. Parents and children were assessed at two timepoints, 3 – 7 months and 14 – 17 months postdisaster. Parent and child responses to items regarding hurricane related stressor exposure and PTS symptoms were analyzed. Agreement on hurricane related exposures was predominately slight to moderate, with kappas ranging from κ = .19 to κ = .83. Polynomial regression analyses revealed that when mothers reported low levels of Immediate Loss/Disruption stressors and children reported high levels of these stressors, children reported higher levels of Time 2 PTS symptoms, b = -.72 (.33), p = .03. Overall, levels of mother-child response agreement were low. Discrepancies in mother and child reports predicted higher levels of child PTS symptoms. Clinicians may want to query both parents and children about their disaster experiences when working with families postdisaster.