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使用儿童性虐待后父母支持量表的二元报告:心理测量学及与创伤后应激障碍症状的关联

Dyadic Reports Using the Parental Support after Child Sexual Abuse Measure: Psychometrics and Associations with Post-Traumatic Stress Disorder Symptoms.

作者信息

Asgeirsdottir Bryndis Bjork, Huffhines Lindsay, Sigurvinsdottir Rannveig, Wherry Jeffrey N

机构信息

Department of Psychology, Reykjavik University, Reykjavik, Iceland.

Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA Bradley/Hasbro Children's Research Center, E. P. Bradley Hospital, East Providence, Rhode Island, USA.

出版信息

Child Abuse Rev. 2021 Nov-Dec;30(6):576-593. doi: 10.1002/car.2722. Epub 2021 Nov 25.

Abstract

This study assessed the psychometric properties of a new measure, the Parental Support after Child Sexual Abuse (PSCSA) survey, and tested the association between parents' and children's parental support reports and children's post-traumatic stress disorder (PTSD) symptoms. A total of 99 Icelandic children (86.5% girls, 6-18 years old, = 13.9 years) starting therapy for child sexual abuse (CSA) and 98 non-offending parents (90.6% mothers, 23-58 years old, = 41.2 years) participated in the study. Participants completed questionnaires on parental support (PSCSA) and children's PTSD symptom severity (University of California at Los Angeles Post-Traumatic Stress Disorder Reaction Index for the Diagnostic and Statistical Manual of Mental Disorders, fourth edition). A total of 18 items were considered for the PSCSA parent version and nine for the PSCSA child version. Five reliable factors emerged for the parent version (Emotional support, Instrumental support, Self-blame, Child blame and Disbelief) using 16 items and one factor (combined Emotional and instrumental support) emerged for the child's version using eight items. On average, ratings for both Emotional and Instrumental support were higher for parents than their children. Emotional support reported by both parents and children was negatively associated with PTSD symptom severity. The PSCSA survey is a promising dyadic measure for future research and clinical use in children's advocacy centres.

摘要

本研究评估了一项新测量工具——儿童性虐待后父母支持(PSCSA)调查问卷的心理测量特性,并检验了父母与子女关于父母支持的报告之间的关联以及子女的创伤后应激障碍(PTSD)症状。共有99名开始接受儿童性虐待(CSA)治疗的冰岛儿童(86.5%为女孩,6 - 18岁,平均年龄 = 13.9岁)和98名非犯罪方父母(90.6%为母亲,23 - 58岁,平均年龄 = 41.2岁)参与了该研究。参与者完成了关于父母支持(PSCSA)和儿童PTSD症状严重程度的问卷(加利福尼亚大学洛杉矶分校针对《精神障碍诊断与统计手册》第四版的创伤后应激障碍反应指数)。PSCSA父母版共考虑了18个项目,儿童版有9个项目。父母版使用16个项目得出了五个可靠因素(情感支持、工具性支持、自责、责备孩子和怀疑),儿童版使用8个项目得出了一个因素(情感和工具性支持合并)。平均而言,父母在情感支持和工具性支持方面的评分都高于他们的孩子。父母和孩子报告的情感支持与PTSD症状严重程度均呈负相关。PSCSA调查问卷对于儿童维权中心未来的研究和临床应用是一种很有前景的二元测量工具。

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