Stover Carla Smith, Hahn Hilary, Im Jamie J Y, Berkowitz Steven
Yale University Child Study Center, 230 S. Frontage Road, New Haven, CT 06520.
Psychol Trauma. 2010 Sep;2(3):159-168a. doi: 10.1037/a0019156.
Exposure to violence and potentially traumatic events (PTE) is a common experience among children and youth. The assessment of necessary intervention relies upon parental acknowledgement of exposure and recognition of their child's distress. Early interventions and treatment are most effective when parents are aware of the nature of the traumatic exposure, understand their child's symptomatic response, and are intimately involved in the treatment process. The present study investigated concordance between parents and exposed children on child trauma history, the subjective report of the impact of the traumas experienced, and presence of PTSD symptoms. Agreement between parent and child report of traumas experienced was non-significant for serious accidents, separation from significant others, and physical assaults. Non-significant agreement was also found for avoidance and hyperarousal symptoms of PTSD. Correlations were not significant between parent and child report of the impact of traumas both at the time of the incident and at the time of the interview. Recommendations are suggested for helping parents improve their capacity to understand the potential impact of exposure on the child's psychological functioning.
接触暴力和潜在创伤性事件（PTE）在儿童和青少年中是一种常见经历。必要干预措施的评估依赖于父母对孩子接触此类事件的认知以及对孩子痛苦的识别。当父母了解创伤性接触的性质、理解孩子的症状反应并密切参与治疗过程时，早期干预和治疗最为有效。本研究调查了父母与遭受创伤的孩子在儿童创伤史、所经历创伤影响的主观报告以及创伤后应激障碍（PTSD）症状方面的一致性。在严重事故、与重要他人分离和身体攻击方面，父母与孩子所报告的经历创伤情况之间的一致性不显著。在PTSD的回避和过度警觉症状方面也发现一致性不显著。在事件发生时和访谈时，父母与孩子所报告的创伤影响之间的相关性也不显著。文中提出了一些建议，以帮助父母提高理解接触创伤对孩子心理功能潜在影响的能力。
