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支持患有具有临床意义的创伤后应激障碍儿童的父母经历:对接受心理服务家庭的定性研究

Parental Experiences of Supporting Children with Clinically Significant Post-Traumatic Distress: a Qualitative Study of Families Accessing Psychological Services.

作者信息

Williamson Victoria, Creswell Cathy, Butler Ian, Christie Hope, Halligan Sarah L

机构信息

1Department of Psychology, University of Bath, Bath, BA2 7AY UK.

2School of Psychology and Clinical Language Sciences, University of Reading, Reading, RG6 6UA UK.

出版信息

J Child Adolesc Trauma. 2017 Jun 19;12(1):61-72. doi: 10.1007/s40653-017-0158-8. eCollection 2019 Mar.

Abstract

The aim of this study was to investigate the experiences of parents in providing support to their child following trauma exposure in cases where children are experiencing clinically significant levels of post-traumatic distress. Qualitative interviews were conducted with parents whose child was exposed to a trauma and referred for psychological treatment. Parents reported considerable anxiety in coping with their child's post-traumatic distress. Avoidance of trauma-related discussions was encouraged due to concerns that non-avoidant approaches may worsen children's post-trauma difficulties. Nonetheless, parents were often sensitive to their child's distress and offered reassurance and other forms of support. Many barriers existed to accessing psychological treatment, and perceptions of inadequate guidance from therapists on supporting child adjustment contributed to parental distress. The results illustrate the strategies used by parents in supporting their child post-trauma and may assist mental health professionals in providing acceptable guidance to parents following child trauma.

摘要

本研究的目的是调查在儿童遭受创伤后出现具有临床意义的创伤后应激水平的情况下,父母在为其子女提供支持方面的经历。对其子女遭受创伤并被转介接受心理治疗的父母进行了定性访谈。父母报告称,在应对孩子的创伤后应激方面存在相当大的焦虑。由于担心非回避性方法可能会加剧孩子的创伤后困难,因此鼓励避免与创伤相关的讨论。尽管如此,父母通常对孩子的痛苦很敏感,并给予安慰和其他形式的支持。获得心理治疗存在许多障碍,而且认为治疗师在支持孩子适应方面的指导不足加剧了父母的痛苦。研究结果说明了父母在孩子创伤后支持孩子所采用的策略,可能有助于心理健康专业人员在儿童创伤后为父母提供可接受的指导。

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