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照顾者-青少年共同回忆和青少年对毁灭性龙卷风的个人回忆:与持久的创伤后应激症状的关联。

Caregiver-adolescent co-reminiscing and adolescents' individual recollections of a devastating tornado: Associations with enduring posttraumatic stress symptoms.

机构信息

Jackson Behavioral Health Hospital, Miami, FL, USA.

University of Kansas, Clinical Child Psychology Program, Lawrence, KS, USA.

出版信息

Dev Psychopathol. 2020 Feb;32(1):151-161. doi: 10.1017/S0954579418001487.

Abstract

Although disaster-related posttraumatic stress symptoms (PTSS) typically decrease in intensity over time, some youth continue to report elevated levels of PTSS many years after the disaster. The current study examines two processes that may help to explain the link between disaster exposure and enduring PTSS: caregiver emotion socialization and youth recollection qualities. One hundred and twenty-two youth (ages 12 to 17) and their female caregivers who experienced an EF-4 tornado co-reminisced about the event, and adolescents provided independent recollections between 3 and 4 years after the tornado. Adolescent individual transcripts were coded for coherence and negative personal impact, qualities that have been found to contribute to meaning making. Parent-adolescent conversations were coded for caregiver egocentrism, a construct derived from the emotion socialization literature to reflect the extent to which the caregiver centered the conversation on her own emotions and experiences. Egocentrism predicted higher youth PTSS, and this association was mediated by the coherence of adolescents' narratives. The association between coherence and PTSS was stronger for youth who focused more on the negative personal impacts of the tornado event during their recollections. Results suggest that enduring tornado-related PTSS may be influenced in part by the interplay of caregiver emotion socialization practices and youth recollection qualities.

摘要

尽管与灾难相关的创伤后应激症状(PTSS)通常随着时间的推移强度会降低,但一些年轻人在灾难发生多年后仍会报告高度的 PTSS。本研究考察了两个可能有助于解释灾难暴露与持续的 PTSD 之间联系的过程:照顾者情绪社会化和青年回忆质量。122 名(年龄在 12 至 17 岁)经历 EF-4 龙卷风的青少年及其女性照顾者共同回忆了该事件,而青少年在龙卷风发生 3 至 4 年后提供了独立的回忆。青少年的个体转录本被编码为连贯性和消极的个人影响,这些特质被发现有助于形成意义。父母与青少年的对话被编码为照顾者自我中心主义,这一概念源自情绪社会化文献,反映了照顾者在多大程度上将对话集中在自己的情绪和经历上。自我中心主义预测青少年 PTSD 更高,这种关联被青少年叙述的连贯性所中介。对于在回忆中更关注龙卷风事件对个人负面影响的青少年来说,连贯性与 PTSD 之间的关联更强。研究结果表明,持续的与龙卷风相关的 PTSD 可能部分受到照顾者情绪社会化实践和青年回忆质量相互作用的影响。

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