Overbeek Mathilde M, Koren-Karie Nina, de Schipper J Clasien, van Delft Ivanka, Schuengel Carlo
Section of Clinical Child and Family Studies, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
J Child Adolesc Trauma. 2021 Jul 28;15(2):201-208. doi: 10.1007/s40653-021-00381-x. eCollection 2022 Jun.
Children exposed to traumatic events are at increased risk for developing symptoms of a Post-Traumatic Stress Disorder. Children often discuss emotional, and therefore also traumatic, events in their lives with their parents, and the quality of these discussions can facilitate coping and further development. The study aim was 1) to explore whether the association between the quality of dialogue between mothers and children about emotional events and children's posttraumatic stress symptoms (PTSS) might be indirectly linked through children's adaptive coping skills, and 2) whether this association differed when discussing different negative emotions. 169 mother-child dyads with interpersonal trauma-exposure (86% domestic violence, 14% mother and/or child sexually abused) participated in the Autobiographical Emotional Events Dialogue (AEED). Quality of mother-child emotion dialogue, captured in maternal sensitive guidance and child cooperation, and approach-oriented coping were coded from transcripts. PTSS was measured with the Child Behavior Checklist. Lower quality of mother-child emotion dialogue was associated with less approach-oriented coping and more symptoms of posttraumatic stress. There was an indirect effect of approach-oriented coping with angry feelings linking quality of mother-child emotion dialogue and child PTSS. Children's symptoms of posttraumatic stress were reflected in the quality of mother-child dialogues about traumatic and other emotional events. Findings support that dialogues about emotional events may be a promising target for intervention with children exposed to trauma.
遭受创伤性事件的儿童患创伤后应激障碍症状的风险会增加。儿童经常与父母谈论他们生活中的情感事件，因此也包括创伤性事件，而这些讨论的质量有助于应对和进一步成长。该研究的目的是：1）探讨母亲与孩子之间关于情感事件的对话质量与孩子的创伤后应激症状（PTSS）之间的关联是否可能通过孩子的适应性应对技能产生间接联系；2）在讨论不同的负面情绪时，这种关联是否存在差异。169对遭受人际创伤的母子（86%为家庭暴力，14%为母亲和/或孩子遭受性虐待）参与了自传性情感事件对话（AEED）。从记录中对母子情感对话的质量（以母亲的敏感引导和孩子的配合来衡量）以及面向问题的应对方式进行编码。使用儿童行为清单来测量PTSS。母子情感对话质量较低与较少的面向问题的应对方式以及更多的创伤后应激症状相关。在处理愤怒情绪时，面向问题的应对方式对母子情感对话质量和孩子的PTSS之间存在间接影响。孩子的创伤后应激症状反映在关于创伤性和其他情感事件的母子对话质量中。研究结果支持，关于情感事件的对话可能是对遭受创伤儿童进行干预的一个有前景的目标。
