Williamson Victoria, Hiller Rachel M, Meiser-Stedman Richard, Creswell Cathy, Dalgleish Tim, Fearon Pasco, Goodall Ben, McKinnon Anna, Smith Patrick, Wright Isobel, Halligan Sarah L
Department of Psychology, University of Bath, Bath, UK.
School of Psychology and Clinical Language Sciences, University of Reading, Reading, UK.
Eur J Psychotraumatol. 2018 Jun 20;9(1):1478583. doi: 10.1080/20008198.2018.1478583. eCollection 2018.
: Following a child's experience of trauma, parental response is thought to play an important role in either facilitating or hindering their psychological adjustment. However, the ability to investigate the role of parenting responses in the post-trauma period has been hampered by a lack of valid and reliable measures. : The aim of this study was to design, and provide a preliminary validation of, the Parent Trauma Response Questionnaire (PTRQ), a self-report measure of parental appraisals and support for children's coping, in the aftermath of child trauma. : We administered an initial set of 78 items to 365 parents whose children, aged 2-19 years, had experienced a traumatic event. We conducted principal axis factoring and then assessed the validity of the reduced measure against a standardized general measure of parental overprotection and via the measure's association with child post-trauma mental health. : Factor analysis generated three factors assessing parental maladaptive appraisals: (i) permanent change/damage, (ii) preoccupation with child's vulnerability, and (iii) self-blame. In addition, five factors were identified that assess parental support for child coping: (i) behavioural avoidance, (ii) cognitive avoidance, (iii) overprotection, (iv) maintaining pre-trauma routines, and (v) approach coping. Good validity was evidenced against the measure of parental overprotection and child post-traumatic stress symptoms. Good test-retest reliability of the measure was also demonstrated. : The PTRQ is a valid and reliable self-report assessment of parenting cognitions and coping in the aftermath of child trauma.
儿童经历创伤后,父母的反应被认为在促进或阻碍其心理调适方面起着重要作用。然而,由于缺乏有效且可靠的测量方法,对创伤后父母反应所起作用的研究能力受到了阻碍。
本研究的目的是设计并初步验证《父母创伤反应问卷》(PTRQ),这是一种针对儿童创伤后父母对孩子应对方式的评估和支持的自我报告测量工具。
我们向365名孩子年龄在2至19岁且经历过创伤事件的父母发放了最初包含78个条目的问卷。我们进行了主轴因子分析,然后通过与父母过度保护的标准化通用测量工具对比以及该测量工具与儿童创伤后心理健康的关联来评估简化后测量工具的有效性。
(i)永久性改变/损害,(ii)对孩子脆弱性的过度关注,以及(iii)自我责备。此外,还确定了五个评估父母对孩子应对方式支持的因子:(i)行为回避,(ii)认知回避,(iii)过度保护,(iv)维持创伤前的日常习惯,以及(v)积极应对。在与父母过度保护测量工具和儿童创伤后应激症状的对比中,该问卷显示出良好的有效性。同时也证明了该测量工具具有良好的重测信度。
《父母创伤反应问卷》是一种有效且可靠的自我报告评估工具,用于评估儿童创伤后父母的认知和应对方式。