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An investigation of trauma narrative characteristics and the development of posttraumatic stress symptoms in very young children

幼儿创伤叙事特征和创伤后应激症状发展的调查

基本信息

批准号：
2741427
负责人：
金额：
--
依托单位：
University of Cambridge
依托单位国家：
英国
项目类别：
Studentship
财政年份：
2022
资助国家：
英国
起止时间：
2022 至无数据
项目状态：
未结题

来源：
https://gtr.ukri.org/projects?ref=studentship-2741427
关键词：
investigation trauma narrative characteristics development

项目摘要

Cognitive models of posttraumatic stress disorder (PTSD) suggest that the way in which an individual remembers atraumatic event may be a key factor underlying the development and maintenance of posttraumatic stress symptoms(PTSS). In particular, trauma narratives that are disorganised and have more sensory and emotional content areassociated with increased PTSS. To date, this has not been explored in very young children despite increased focus onthe identification and treatment of PTSD in children aged 6 and under. This study aims to develop a developmentallyappropriate narrative elicitation exercise, using child-led play and drawing techniques, to assess memory characteristicsin young children (aged 3-8), and investigate the relationship between trauma memory narratives and the developmentand maintenance of PTSS. Study 1 will develop a narrative elicitation exercise in a community sample of young children,and explore differences in recall of positive, neutral and negative events according to organisation and sensoryemotional features. Study 2 will use the narrative elicitation exercise in a sample of trauma-exposed children to explorethe association between trauma narrative features and PTSS at 1 month and 6 months post-trauma, and whether certaincharacteristics of trauma narratives predict PTSD development in young children. This project aims to increaseunderstanding of the applicability of current cognitive models of PTSD in young children.

创伤后应激障碍（PTSD）的认知模型表明，个体记忆非创伤性事件的方式可能是创伤后应激症状（PTSS）发展和维持的关键因素。特别是，创伤叙述是混乱的，有更多的感官和情感内容与PTSS增加。到目前为止，这还没有在非常年幼的儿童中进行探索，尽管越来越多的关注6岁及以下儿童PTSD的识别和治疗。本研究采用儿童主导的游戏和绘画技术，设计了一种适合儿童发展的叙事启发练习，以评估3-8岁儿童的记忆特征，并探讨创伤记忆叙事与PTSS发展和维持之间的关系。研究1将开发一个叙事启发练习，在社区样本的幼儿，并探讨在回忆积极的，中性的和消极的事件，根据组织和sensoryemotional功能的差异。研究2将在创伤暴露儿童样本中使用叙事启发练习，探讨创伤后1个月和6个月创伤叙事特征与PTSS之间的关联，以及创伤叙事的某些特征是否可以预测幼儿的PTSD发展。该项目旨在增加对当前PTSD认知模型在幼儿中的适用性的理解。