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高冲突离婚家庭中父母冲突与儿童创伤后应激障碍

Parental Conflicts and Posttraumatic Stress of Children in High-Conflict Divorce Families.

作者信息

Lange Aurelie M C, Visser Margreet M, Scholte Ron H J, Finkenauer Catrin

机构信息

Department of Psychiatry, Section of Medical Psychology & Psychotherapy, Erasmus Medical Center, Rotterdam, Netherlands.

Viersprong Institute for Studies On Personality Disorders, Halsteren, Netherlands.

出版信息

J Child Adolesc Trauma. 2021 Oct 27;15(3):615-625. doi: 10.1007/s40653-021-00410-9. eCollection 2022 Sep.

Abstract

UNLABELLED

Parental conflicts consistently predict negative outcomes for children. Research suggests that children from high-conflict divorces (HCD) may also experience post-traumatic stress symptoms (PTSS), yet little is known about the association between parental conflicts in HCD families and child PTSS. We investigated this association, hypothesizing that parental conflicts would predict child PTSS. We also tested the moderating role of interparental contact frequency, hypothesizing that frequent contact would intensify the association between parental conflicts and child PTSS. This study was part of an observational study on the outcomes of No Kids in the Middle (NKM), a multi-family group intervention for HCD families. A total of 107 children from 68 families participated in the study with at least one parent. We used pre- (T1) and post-intervention (T2) data. Research questions were addressed cross-sectionally, using regression analyses to predict PTSS at T1, and longitudinally, using a correlated change (T1 to T2) model. The cross-sectional findings suggested that mother- and child-reported conflicts, but not father-reported conflicts, were related to the severity of child PTSS. Longitudinally, we found that change in father-reported conflicts, but not change in child- or mother-reported conflicts, were related to change in child PTSS. The estimated associations for the different informants were not significantly different from one another. The frequency of contact between ex-partners did not moderate the relationship between parental conflicts and child PTSS. We conclude that there is a positive association between parental conflicts and child PTSS in HCD families independent of who reports on the conflicts.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40653-021-00410-9.

摘要

未标注

父母冲突一直预示着孩子会出现负面结果。研究表明,来自高冲突离婚家庭(HCD)的孩子也可能经历创伤后应激症状(PTSS),但对于HCD家庭中父母冲突与孩子PTSS之间的关联却知之甚少。我们调查了这种关联,假设父母冲突会预示孩子的PTSS。我们还测试了父母间接触频率的调节作用,假设频繁接触会强化父母冲突与孩子PTSS之间的关联。本研究是一项关于“不让孩子夹在中间”(NKM)这一针对HCD家庭的多家庭团体干预结果的观察性研究的一部分。共有来自68个家庭的107名孩子与至少一位家长参与了该研究。我们使用了干预前(T1)和干预后(T2)的数据。研究问题通过横断面分析来解决,使用回归分析预测T1时的PTSS,并通过纵向分析,使用相关变化(从T1到T2)模型。横断面研究结果表明,母亲和孩子报告的冲突与孩子PTSS的严重程度相关,而父亲报告的冲突则不然。纵向来看,我们发现父亲报告的冲突变化与孩子PTSS的变化相关,而孩子或母亲报告的冲突变化则不然。不同信息提供者的估计关联彼此之间没有显著差异。前伴侣之间的接触频率并未调节父母冲突与孩子PTSS之间的关系。我们得出结论,在HCD家庭中,无论谁报告冲突,父母冲突与孩子PTSS之间都存在正相关。

补充信息

在线版本包含可在10.1007/s40653-021-00410-9获取的补充材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10e9/9360253/3643a07ad9e9/40653_2021_410_Fig1_HTML.jpg

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