Hambrick Erin P, Vernberg Eric M, Greenhoot Andrea F, Hendrickson Michelle L
1Department of Psychology, University of Missouri-Kansas City, 309 Cherry Hall, 5030 Cherry Street, Kansas City, MO 64110 USA.
2Clinical Child Psychology Program, Departments of Psychology and Applied Behavioral Science, University of Kansas, Lawrence, KS USA.
J Child Adolesc Trauma. 2017 Nov 17;11(2):227-239. doi: 10.1007/s40653-017-0199-z. eCollection 2018 Jun.
Trauma recollections often contain trauma-related cognitive and emotional processing. Research examining indicators of such processing in children's trauma recollections and their association with mental health symptoms is limited. Fifty 8 to 12-year-old children provided two open-ended recollections about (1) challenging/"bad" things and (2) positive/ "good" things that happened to them 1-year post experiencing an EF-5 tornado. Children completed exposure and mental health symptom measures (PTSD, anxiety, depression). Transcripts were coded for indicators of processing: coherence, positive and negative emotion terms, and resolutions. Age, gender, SES, family tornado-related discussion frequency, verbal ability, tornado-specific psychotherapy receipt, and exposure were controlled. Coherence and positive emotion were positively associated and resolutions were negatively associated with mental health symptoms when children discussed the "bad" things. Children's processing and mental health symptoms were unrelated when children discussed the "good" things. The measured indicators of children's processing may reflect children's meaning-making efforts and have implications for adjustment.
创伤回忆通常包含与创伤相关的认知和情感处理过程。研究儿童创伤回忆中此类处理过程的指标及其与心理健康症状之间的关联的研究有限。五十名8至12岁的儿童提供了两份开放式回忆，内容分别是（1）经历EF-5级龙卷风一年后发生在他们身上的具有挑战性的/“糟糕的”事情，以及（2）积极的/“美好的”事情。孩子们完成了暴露和心理健康症状测量（创伤后应激障碍、焦虑、抑郁）。对访谈记录进行编码，以获取处理过程的指标：连贯性、积极和消极情绪词汇以及解决方案。控制了年龄、性别、社会经济地位、家庭与龙卷风相关的讨论频率、语言能力、龙卷风特定心理治疗的接受情况以及暴露程度。当孩子们讨论“糟糕的”事情时，连贯性和积极情绪与心理健康症状呈正相关，而解决方案与心理健康症状呈负相关。当孩子们讨论“美好的”事情时，他们的处理过程与心理健康症状无关。所测量的儿童处理过程指标可能反映了儿童的意义构建努力，并对适应有影响。
