照料者痛苦对儿科创伤受害者儿童急性创伤后应激障碍纵向发展的影响。
The impact of caregiver distress on the longitudinal development of child acute post-traumatic stress disorder symptoms in pediatric injury victims.
机构信息
Department of Psychology, Western Kentucky University, Bowling Green, KY 42101-1030, USA.
出版信息
J Pediatr Psychol. 2011 Aug;36(7):806-15. doi: 10.1093/jpepsy/jsq113. Epub 2011 Jan 23.
Abstract
OBJECTIVE
The present study prospectively examined the development of child PTSD symptoms (PTSS) and the impact of caregiver PTSS on child PTSS following injury.
METHODS
One hundred and eighteen ED patients and their caregivers were interviewed in-hospital and 2- and 6-weeks posttrauma. Structural equation modeling and hierarchical linear regressions examined the development of PTSS.
RESULTS
A model combining child and caregiver 2-week PTSS into one latent family PTSS variable provided the best fit to the data. Child in-hospital avoidance symptoms predicted higher levels of 2-week family PTSS. Two-week family PTSS predicted child 6-week PTSS. Post hoc analyses revealed an interaction between in-hospital caregiver avoidance symptoms and child reexperiencing symptoms in predicting 6-week child PTSS.
CONCLUSIONS
Results highlight the dynamic development of child PTSS. Different symptom clusters may be related to higher PTSS at differing times posttrauma and may inform the development of time-sensitive methods of assessment and intervention for injury victims.
摘要
目的
本研究前瞻性地考察了儿童创伤后应激症状（PTSS）的发展，以及受伤后照顾者 PTSS 对儿童 PTSS 的影响。
方法
118 名 ED 患者及其照顾者在受伤后立即、2 周和 6 周进行访谈。结构方程模型和分层线性回归用于检验 PTSS 的发展。
结果
将儿童和照顾者的 2 周 PTSS 结合到一个潜在的家庭 PTSS 变量中，该模型为数据提供了最佳拟合。儿童入院时的回避症状预测了更高水平的 2 周家庭 PTSS。2 周家庭 PTSS 预测了儿童 6 周的 PTSS。事后分析显示，入院时照顾者的回避症状和儿童再体验症状之间存在交互作用，预测了 6 周时儿童的 PTSS。
结论
结果强调了儿童 PTSS 的动态发展。不同的症状群可能与创伤后不同时间的更高 PTSS 有关，并为创伤受害者提供了时间敏感的评估和干预方法的发展提供了信息。
相似文献
1
The impact of caregiver distress on the longitudinal development of child acute post-traumatic stress disorder symptoms in pediatric injury victims.照料者痛苦对儿科创伤受害者儿童急性创伤后应激障碍纵向发展的影响。
J Pediatr Psychol. 2011 Aug;36(7):806-15. doi: 10.1093/jpepsy/jsq113. Epub 2011 Jan 23.
2
Brief report: the impact of maternal posttraumatic stress disorder symptoms and child gender on risk for persistent posttraumatic stress disorder symptoms in child trauma victims.简短报告：母亲创伤后应激障碍症状及儿童性别对儿童创伤受害者持续性创伤后应激障碍症状风险的影响
J Pediatr Psychol. 2007 Apr;32(3):338-42. doi: 10.1093/jpepsy/jsl003. Epub 2006 May 22.
3
Examining the association of medical complications and posttraumatic stress symptoms in pediatric solid organ transplant patients and their caregivers.研究小儿实体器官移植患者及其照顾者的医学并发症与创伤后应激症状之间的关联。
Pediatr Transplant. 2021 Sep;25(6):e14030. doi: 10.1111/petr.14030. Epub 2021 Jun 2.
4
The utility of hair cortisol concentrations in the prediction of PTSD symptoms following traumatic physical injury.创伤性身体损伤后毛发皮质醇浓度在预测创伤后应激障碍症状中的效用。
Soc Sci Med. 2017 Feb;175:228-234. doi: 10.1016/j.socscimed.2016.12.046. Epub 2017 Jan 19.
5
Parental posttraumatic stress symptoms as a moderator of child's acute biological response and subsequent posttraumatic stress symptoms in pediatric injury patients.父母创伤后应激症状作为儿科损伤患者儿童急性生物学反应及随后创伤后应激症状的调节因素。
J Pediatr Psychol. 2007 Apr;32(3):309-18. doi: 10.1093/jpepsy/jsl005. Epub 2006 Jun 8.
6
The mutual prospective influence of child and parental post-traumatic stress symptoms in pediatric patients.儿童和父母创伤后应激症状的相互前瞻性影响。
J Child Psychol Psychiatry. 2012 Jul;53(7):767-74. doi: 10.1111/j.1469-7610.2011.02520.x. Epub 2011 Dec 29.
7
Maladaptive cognitive appraisals mediate the evolution of posttraumatic stress reactions: A 6-month follow-up of child and adolescent assault and motor vehicle accident survivors.适应不良的认知评估中介了创伤后应激反应的演变：对儿童和青少年遭受袭击和机动车事故幸存者的 6 个月随访。
J Abnorm Psychol. 2009 Nov;118(4):778-87. doi: 10.1037/a0016945.
8
The Role of Youth Coping Strategies and Caregiver Psychopathology in Predicting Posttraumatic Stress Symptoms in Pediatric Burn Survivors.青少年应对策略和照顾者精神病理学在预测小儿烧伤幸存者创伤后应激症状中的作用。
J Burn Care Res. 2019 Aug 14;40(5):620-626. doi: 10.1093/jbcr/irz067.
9
Longitudinal Associations Between Pain, Risk for Posttraumatic Stress Disorder, Posttraumatic Stress Symptoms, and Pain Characteristics in Children After Unintentional Injury.儿童意外伤后疼痛与创伤后应激障碍风险、创伤后应激症状及疼痛特征的纵向关联。
Clin J Pain. 2024 Jul 1;40(7):400-408. doi: 10.1097/AJP.0000000000001212.
10
The role of appraisals and coping in predicting posttraumatic stress following pediatric injury.评估与应对在预测儿童受伤后创伤后应激反应中的作用。
Psychol Trauma. 2016 Jul;8(4):495-503. doi: 10.1037/tra0000116. Epub 2016 Apr 11.
引用本文的文献
1
The role of family accommodation in child posttraumatic stress symptoms and functional impairment in the context of cognitive behavioral therapy.家庭环境对认知行为疗法中儿童创伤后应激症状和功能障碍的作用。
J Affect Disord. 2024 Feb 1;346:252-259. doi: 10.1016/j.jad.2023.10.144. Epub 2023 Nov 3.
2
Analysis of the Correlation between the Level of Posttraumatic Growth and Social Support among Caregivers of Children with Acute Leukemia.创伤后成长水平与急性白血病患儿照顾者社会支持的相关性分析。
Contrast Media Mol Imaging. 2022 Sep 7;2022:7456284. doi: 10.1155/2022/7456284. eCollection 2022.
3
Treatment processes and demographic variables as predictors of dropout from trauma-focused cognitive behavioral therapy (TF-CBT) for youth.治疗过程和人口统计学变量对青少年创伤聚焦认知行为疗法（TF-CBT）脱落的预测。
Behav Res Ther. 2018 Aug;107:10-18. doi: 10.1016/j.brat.2018.05.008. Epub 2018 May 23.
4
In-session caregiver behavior predicts symptom change in youth receiving trauma-focused cognitive behavioral therapy (TF-CBT).治疗过程中照顾者的行为可预测接受创伤聚焦认知行为疗法（TF-CBT）的青少年的症状变化。
J Consult Clin Psychol. 2016 Dec;84(12):1066-1077. doi: 10.1037/ccp0000147. Epub 2016 Sep 12.
5
Posttraumatic stress following acute medical trauma in children: a proposed model of bio-psycho-social processes during the peri-trauma period.儿童急性医疗创伤后的创伤后应激：创伤周围期生物-心理-社会过程的一种拟议模型
Clin Child Fam Psychol Rev. 2014 Dec;17(4):399-411. doi: 10.1007/s10567-014-0174-2.
本文引用的文献
1
Avoidant coping as a mediator between peritraumatic dissociation and posttraumatic stress disorder symptoms.回避应对作为创伤后应激障碍症状与创伤后解离之间的中介。
J Trauma Stress. 2011 Jun;24(3):317-25. doi: 10.1002/jts.20641. Epub 2011 May 25.
2
The course of posttraumatic stress in children: examination of recovery trajectories following traumatic injury.儿童创伤后应激的发展过程：创伤后随访研究中恢复轨迹的检验。
J Pediatr Psychol. 2010 Jul;35(6):637-45. doi: 10.1093/jpepsy/jsp050. Epub 2009 Jun 17.
3
The relationship between acute stress disorder and posttraumatic stress disorder in injured children.受伤儿童急性应激障碍与创伤后应激障碍之间的关系。
J Trauma Stress. 2007 Dec;20(6):1075-9. doi: 10.1002/jts.20282.
4
Acute child and mother psychophysiological responses and subsequent PTSD symptoms following a child's traumatic event.儿童创伤事件后儿童与母亲的急性心理生理反应及随后的创伤后应激障碍症状
J Trauma Stress. 2007 Oct;20(5):677-87. doi: 10.1002/jts.20286.
5
Brief report: children's responses to trauma- and nontrauma-related hospital admission: a comparison study.简短报告：儿童对创伤相关和非创伤相关住院的反应：一项比较研究。
J Pediatr Psychol. 2008 May;33(4):435-40. doi: 10.1093/jpepsy/jsm078. Epub 2007 Sep 10.
6
Screening for posttraumatic stress disorder in children after accidental injury.意外伤害后儿童创伤后应激障碍的筛查
Pediatrics. 2006 Sep;118(3):1002-9. doi: 10.1542/peds.2006-0406.
7
Parental posttraumatic stress symptoms as a moderator of child's acute biological response and subsequent posttraumatic stress symptoms in pediatric injury patients.父母创伤后应激症状作为儿科损伤患者儿童急性生物学反应及随后创伤后应激症状的调节因素。
J Pediatr Psychol. 2007 Apr;32(3):309-18. doi: 10.1093/jpepsy/jsl005. Epub 2006 Jun 8.
8
Brief report: the impact of maternal posttraumatic stress disorder symptoms and child gender on risk for persistent posttraumatic stress disorder symptoms in child trauma victims.简短报告：母亲创伤后应激障碍症状及儿童性别对儿童创伤受害者持续性创伤后应激障碍症状风险的影响
J Pediatr Psychol. 2007 Apr;32(3):338-42. doi: 10.1093/jpepsy/jsl003. Epub 2006 May 22.
9
An integrative model of pediatric medical traumatic stress.儿童医学创伤应激的综合模型。
J Pediatr Psychol. 2006 May;31(4):343-55. doi: 10.1093/jpepsy/jsj054. Epub 2005 Aug 10.
10
Heart rate and posttraumatic stress in injured children.受伤儿童的心率与创伤后应激
Arch Gen Psychiatry. 2005 Mar;62(3):335-40. doi: 10.1001/archpsyc.62.3.335.
Zotero 插件