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Parental Responses to Child Trauma: the Role of Trauma Specific Behaviours and Parenting Style in Facilitating Child Psychological Adjustment

父母对儿童创伤的反应：创伤特定行为和养育方式在促进儿童心理调整中的作用

基本信息

批准号：
ES/K006290/1
负责人：
Sarah Halligan
金额：
$ 44.46万
依托单位：
University of Bath
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2014
资助国家：
英国
起止时间：
2014 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=ES%2FK006290%2F1
关键词：
Parental Responses Child Trauma Role

项目摘要

A significant proportion of children in the UK are exposed to potentially traumatic experiences (e.g., accidents, assaults) which are associated with the development of psychological difficulties. In particular, children are vulnerable to developing post-traumatic stress symptoms following trauma, including vivid and intrusive memories of the event, avoidance of reminders of the trauma, and broader problems with anxiety and mood. Such problems affect a significant proportion of UK children. For example, approximately 80,000 children are involved in motor vehicle accidents in the UK annually, and research suggests that approximately one third of these children will develop post-traumatic stress disorder (PTSD) as a consequence. The proposed research will help us to understand what factors influence child psychological adjustment following trauma, and particularly why some children and not others develop the symptoms of PTSD. To date, research has focused on understanding individual characteristics that might contribute to child difficulties following trauma. Some important factors have been identified, including a particularly negative interpretation of the trauma (e.g., as a sign that the world is extremely dangerous, or the self is highly vulnerable), a disjointed and incomplete memory for the event, and problematic ways of coping (e.g., by suppressing thoughts of the trauma, or dwelling on it). In addition to these individual factors, the way in which children are supported by their parents is likely to be important, but has not been systematically studied. This omission is significant, as for most children their families are their main source of support following trauma. At present, there isn't sufficient evidence available to inform how parents can best support their child following a traumatic experience. The proposed research will examine parental factors that influence child psychological adjustment following trauma. Based on the existing literature on relevant child processes, the following behaviours will be investigated: parental engagement in co-recollection of the trauma with the child; the parent's own interpretations of the trauma, and the extent to which they communicate these to the child; and parental support for or discouragement of problematic coping styles in the child. More generally, the degree to which parenting is characterised by a restrictive style that limits child autonomy will be examined, as this has previously been linked problems with anxiety in children.We will conduct a detailed study of children and their parents, which tracks their psychological adjustment in the months following trauma. Children aged 7-12 years will be recruited through hospital accident and emergency departments, and will complete assessments with their parents immediately following the trauma, and 3- and 6-months later. Detailed assessments of how parents interact with children following trauma will be completed, and child PTSD symptoms will be assessed. In this way, we will identify parental behaviours that contribute to later child adjustment, even once initial child reactions to the trauma are taken into account. In addition to this intensive, observational study we will also conducted a larger study based on parent and child questionnaires, which will provide additional evidence regarding key parental processes, and will also allow specific links between parental and child processes to be identified. Based on the preceding studies, we will develop preliminary guidance for parents on how to support their child following trauma

在英国，很大一部分儿童都有潜在的创伤经历（例如，事故、袭击），这与心理问题的发展有关。特别是，儿童在遭受创伤后容易出现创伤后应激障碍症状，包括对事件的生动和侵入性记忆，避免对创伤的提醒，以及更广泛的焦虑和情绪问题。这些问题影响了相当一部分英国儿童。例如，在英国，每年约有80，000名儿童卷入机动车事故，研究表明，这些儿童中约有三分之一将因此发展为创伤后应激障碍（PTSD）。这项研究将有助于我们了解哪些因素影响创伤后儿童的心理适应，特别是为什么有些儿童而不是其他儿童会出现创伤后应激障碍的症状。迄今为止，研究的重点是了解可能导致儿童创伤后困难的个人特征。已经确定了一些重要的因素，包括对创伤的特别负面的解释（例如，作为世界极其危险或自我高度脆弱的标志）、对事件的脱节和不完整的记忆，以及有问题的应对方式（例如，通过抑制对创伤的想法，或沉湎于它）。除了这些个人因素外，父母支持子女的方式可能也很重要，但尚未得到系统的研究。这一疏忽是很重要的，因为对大多数儿童来说，他们的家庭是他们遭受创伤后的主要支持来源。目前，还没有足够的证据来告知父母如何在创伤经历后最好地支持孩子。本研究将探讨父母因素对创伤后儿童心理适应的影响。基于现有的文献相关的儿童过程中，以下行为将进行调查：父母参与共同回忆的创伤与儿童;父母自己的解释的创伤，并在何种程度上，他们沟通这些孩子;和父母的支持或劝阻有问题的应对方式的儿童。更普遍的是，我们将研究父母的限制性风格在多大程度上限制了孩子的自主性，因为这以前与孩子的焦虑问题有关。我们将对孩子和他们的父母进行详细的研究，跟踪他们在创伤后几个月的心理调整。7-12岁的儿童将通过医院事故和急诊部门招募，并将在创伤后立即与父母一起完成评估，并在3个月和6个月后完成评估。将完成对父母如何在创伤后与儿童互动的详细评估，并评估儿童PTSD症状。通过这种方式，我们将确定父母的行为，有助于以后的孩子调整，即使最初的孩子对创伤的反应被考虑在内。除了这项密集的观察性研究，我们还将进行一项基于父母和孩子问卷的更大规模的研究，这将提供有关关键父母过程的额外证据，并将允许确定父母和孩子过程之间的特定联系。基于上述研究，我们将为父母提供初步指导，指导他们如何在创伤后支持孩子

项目成果

期刊论文数量（8）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A Longitudinal Examination of the Relationship between Trauma-Related Cognitive Factors and Internalising and Externalising Psychopathology in Physically Injured Children.

DOI：
10.1007/s10802-018-0477-8
发表时间：
2019-04
期刊：
Journal of abnormal child psychology
影响因子：
3.6
作者：
Hiller RM;Creswell C;Meiser-Stedman R;Lobo S;Cowdrey F;Lyttle MD;Ehlers A;Halligan SL
通讯作者：
Halligan SL

Child posttraumatic stress symptoms in an acute injury sample: Patterns of associations among child report, parent report, and child heart rate parameters.

急性损伤样本中的儿童创伤后应激症状：儿童报告、家长报告和儿童心率参数之间的关联模式。