McDonald Catherine C, Deatrick Janet A
Center for Health Equity Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
J Child Adolesc Psychiatr Nurs. 2011 Feb;24(1):38-50. doi: 10.1111/j.1744-6171.2010.00258.x.
Youth face trauma that can cause posttraumatic stress (PTS).
(1) To identify the family phenomena used in youth PTS research; and(2) to critically examine the research findings regarding the relationship between family phenomena and youth PTS.
Systematic literature review in PsycInfo, PILOTS, CINAHL, and MEDLINE. Twenty-six empirical articles met inclusion criteria.
Measurement of family phenomena included family functioning,support, environment, expressiveness, relationships, cohesion, communication, satisfaction, life events related to family, parental style of influence, and parental bonding. Few studies gave clear conceptualization of family or family phenomena. Empirical findings from the 26 studies indicate inconsistent empirical relationships between family phenomena and youth PTS, although a majority of the prospective studies support a relationship between family phenomena and youth PTS. Future directions for leadership by psychiatric nurses in this area of research and practice are recommended.
青少年面临的创伤可能导致创伤后应激障碍（PTS）。
（1）确定青少年创伤后应激障碍研究中所使用的家庭现象；（2）批判性地审视有关家庭现象与青少年创伤后应激障碍之间关系的研究结果。
对心理学文摘数据库（PsycInfo）、护理学与健康领域数据库（PILOTS）、护理学与健康领域数据库（CINAHL）和医学文献数据库（MEDLINE）进行系统的文献综述。26篇实证性文章符合纳入标准。
家庭现象的测量包括家庭功能、支持、环境、表达性、关系、凝聚力、沟通、满意度、与家庭相关的生活事件、父母的影响方式以及父母与子女的情感联系。很少有研究对家庭或家庭现象给出清晰的概念界定。这26项研究的实证性结果表明，家庭现象与青少年创伤后应激障碍之间的实证关系并不一致，尽管大多数前瞻性研究支持家庭现象与青少年创伤后应激障碍之间存在关联。建议精神科护士在该研究及实践领域发挥引领作用的未来方向。
