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当父母遭受获得性脑损伤时:对儿童情绪困扰的调查。

When a parent suffers ABI: Investigation of emotional distress in children.

作者信息

Redolfi A, Bartolini G, Gugliotta M, Maietti A, Pietrapiana P, Sapienza S, D'Amato A, Mazzucchi A

机构信息

a IRCCS Santa Maria Nascente, Fondazione Don Gnocchi , Milan , Italy.

b Cooperativa Terzo Tempo , Turin , Italy.

出版信息

Brain Inj. 2017;31(8):1050-1060. doi: 10.1080/02699052.2017.1297486. Epub 2017 May 8.

DOI:10.1080/02699052.2017.1297486
PMID:28481652
Abstract

PRIMARY OBJECTIVE

To investigate the type of emotional and behavioural impact that having a parent with a severe acquired brain injury (ABI) has on children during the first period of adjustment.

METHODS AND PROCEDURE

The study involved 25 couples in which one of the spouses was affected by ABI, and their 35 children (3-14 years). The children attended three sessions with a psychologist aimed at identifying their spontaneous playing and relational behaviour by means of a grid created on the basis of ICD-10 criteria. Both members of each parental couple attended a session with the psychologist, and were administered the Dyadic Adjustment Scale, the 36-item Health Survey and the Caregiver Burden Inventory.

RESULTS

63% of the children showed signs of emotional suffering, the presence of which was underestimated by their parents on the basis of the psychologist's assessments. The variables that correlated most closely with the children's psychological condition were related to the quality of their parents' relationship.

CONCLUSIONS

Our findings confirm the need for early interventions aimed at both parents and their children in order to investigate the children's emotional-affective situation, and favour an understanding of their discomfort by their parents.

摘要

主要目的

调查在最初的适应期,父母一方患有严重后天性脑损伤(ABI)对孩子产生的情绪和行为影响类型。

方法与步骤

该研究涉及25对夫妻,其中一方配偶患有ABI,以及他们的35名子女(3至14岁)。孩子们参加了与一名心理学家进行的三次 sessions,目的是通过基于国际疾病分类第10版(ICD - 10)标准创建的网格来识别他们自发的玩耍和社交行为。每对父母双方都与心理学家进行了一次session,并接受了二元调整量表、36项健康调查和照顾者负担量表的测试。

结果

63%的孩子表现出情绪痛苦的迹象,根据心理学家的评估,父母低估了这种情况的存在。与孩子心理状况最密切相关的变量与他们父母关系的质量有关。

结论

我们的研究结果证实,需要针对父母及其子女进行早期干预,以便调查孩子的情绪情感状况,并促进父母对他们不适的理解。

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