Abel Madelaine R, Vernberg Eric M, Lochman John E, McDonald Kristina L, Jarrett Matthew A, Powell Nicole
Child Cognitive Behavioral Therapy Program, Massachusetts General Hospital.
Clinical Child Psychology Program, University of Kansas.
J Clin Child Adolesc Psychol. 2023 Nov 30:1-15. doi: 10.1080/15374416.2023.2286588.
This study examined the association between youth post-disaster stress responses and co-rumination in conversations with a parent several years after a devastating tornado.
Adolescents ( = 200) drawn from an ongoing study for aggressive youth (ages 13 to 17; 80% African American) and their parents experienced an EF-4 tornado in 2011 and then provided joint recollections about their tornado experiences approximately 5 years later. Recollections were coded for the four components of co-rumination: rehashing problems, dwelling on negative affect, mutual encouragement of problem talk, and speculating about problems. Parent-rated post-traumatic stress symptoms (PTSS) and youth resting respiratory sinus arrhythmia (RSA) were measured approximately 6-months and 1-year post-tornado, respectively.
Results indicated that co-rumination could be identified, and reliably measured, in the tornado conversations. Resting RSA moderated the association between post-disaster PTSS and the co-rumination component dwelling on negative affect, such that youth PTSS was associated with higher levels of dwelling on negative affect but only at lower levels of resting RSA (an index of physiological dysregulation). There was no association between youth PTSS and dwelling on negative affect at high resting RSA (an index of better physiological regulation). Youth PTSS and resting RSA were unrelated to the other three co-rumination components. No gender differences were found.
Results provide preliminary evidence establishing the co-rumination coding scheme in a sample of disaster-exposed parents and adolescents. Results also indicated that PTSS and resting RSA are important youth-level factors that relate to how parents and adolescents discuss their disaster experiences even years post-exposure.
本研究调查了在一场毁灭性龙卷风发生数年之后,青少年灾后应激反应与和父母交谈时共同反复思考之间的关联。
从一项针对有攻击性行为青少年(年龄13至17岁;80%为非裔美国人)及其父母的 ongoing 研究中选取了200名青少年,他们在2011年经历了一场EF - 4级龙卷风,然后在大约5年后提供了关于他们龙卷风经历的共同回忆。对共同回忆进行编码,以分析共同反复思考的四个组成部分:反复讨论问题、纠结于负面影响、相互鼓励谈论问题以及猜测问题。分别在龙卷风发生后约6个月和1年测量父母评定的创伤后应激症状(PTSS)以及青少年静息时的呼吸性窦性心律不齐(RSA)。
结果表明,在龙卷风相关对话中能够识别并可靠测量共同反复思考。静息RSA调节了灾后PTSS与纠结于负面影响这一共同反复思考组成部分之间的关联,即青少年PTSS与更高水平的纠结于负面影响相关,但仅在静息RSA较低水平(生理失调指标)时如此。在静息RSA较高水平(更好的生理调节指标)时,青少年PTSS与纠结于负面影响之间无关联。青少年PTSS和静息RSA与其他三个共同反复思考组成部分无关。未发现性别差异。
研究结果提供了初步证据,在经历灾难的父母和青少年样本中确立了共同反复思考编码方案。结果还表明,PTSS和静息RSA是重要的青少年层面因素,即使在接触灾难数年之后,仍与父母和青少年讨论他们的灾难经历方式有关。