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对儿童灾难幸存者进行的基于访谈和回忆的研究:与参与相关的情绪变化以及对参与的认知

Interview and recollection-based research with child disaster survivors: Participation-related changes in emotion and perceptions of participation.

作者信息

Hambrick Erin P, O'Connor Bridget M, Vernberg Eric M

机构信息

Department of Psychiatry, Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, University of Colorado-Denver School of Medicine.

Clinical Child Psychology Program, University of Kansas.

出版信息

Psychol Trauma. 2016 Mar;8(2):165-71. doi: 10.1037/tra0000071. Epub 2015 Sep 21.

Abstract

Research suggests that some types of trauma research can be conducted safely with children ages 10 and older. The aim of this project was to learn more about potential risks or benefits of conducting research with younger children and with child disaster survivors, specifically about research that includes children providing trauma recollections. Fifty 8- to 12-year-old children who experienced a devastating tornado participated in an in-person interview that included both individual and joint (mother-child) recollections of their tornado experiences 1 year after exposure. These 50 children also rated 3 emotions at 3 time points and rated their perceptions (e.g., benefit and regret) of research post-participation. Children (N = 28) also participated in phone surveys 3 months later to assess persistent participation-related emotions and perceptions. Child reported that emotions worsened from pre- to during participation; however, reports of emotions returned to preparticipation levels post-participation and remained so at the 3-month follow-up. Sixty-four percent of children reported at least some participation benefit and no participation regret immediately postparticipation, as did 89.3% at the 3-month follow-up. Four percent of children reported some participation regret (no benefit) postparticipation, and 0% 3 months later. No children requested to stop participating, and none required postresearch connection with crisis services. Posttraumatic stress symptom severity, tornado exposure, and age were largely unrelated to child-reported emotions and perceptions of research. Results indicate that carefully planned and executed disaster-related research that includes children providing recollections can be conducted with preadolescents with little risk and some benefit.

摘要

研究表明,某些类型的创伤研究可以在10岁及以上的儿童中安全进行。本项目的目的是更多地了解对年幼儿童和儿童灾难幸存者进行研究的潜在风险或益处,特别是关于包括儿童提供创伤回忆的研究。50名8至12岁经历了毁灭性龙卷风的儿童参加了一次面对面访谈,其中包括在接触龙卷风1年后对他们龙卷风经历的个人和联合(母子)回忆。这50名儿童还在3个时间点对3种情绪进行了评分,并对他们参与研究后的看法(如益处和遗憾)进行了评分。3个月后,28名儿童还参加了电话调查,以评估持续存在的与参与相关的情绪和看法。儿童报告说,从参与前到参与期间情绪恶化;然而,参与后情绪报告恢复到参与前水平,并在3个月随访时保持如此。64%的儿童在参与后立即报告至少有一些参与益处且没有参与遗憾,3个月随访时这一比例为89.3%。4%的儿童在参与后报告有一些参与遗憾(无益处),3个月后为0%。没有儿童要求停止参与,也没有儿童需要在研究后与危机服务机构联系。创伤后应激症状严重程度、龙卷风暴露情况和年龄在很大程度上与儿童报告的情绪和对研究的看法无关。结果表明,精心规划和执行的与灾难相关的研究,包括让儿童提供回忆,可以在青春期前儿童中进行,风险很小且有一些益处。

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