Corso Casey B, Hoppe Rebecca, Kliewer Wendy, Wike Traci, Winter Marcia A
Department of Psychology, Virginia Commonwealth University, 808 West Franklin St, Box 842018, Richmond, VA, 23284-2018, USA.
School of Social Work, Virginia Commonwealth University, Box 842027, Richmond, VA, 23284-2027, USA.
Child Psychiatry Hum Dev. 2024 Jun 14. doi: 10.1007/s10578-024-01728-9.
The COVID-19 pandemic comprises a mass trauma for children and families, and children may face particular vulnerability to post-traumatic stress symptoms (PTSS) through processes of parent and child emotional dysregulation, such as alexithymia. With 88 U.S. children (M = 9.94 years; 54.5% female; 59.1% White) and their parents/caregivers (68.2% female; 59.1% White), a path model was tested in which child alexithymia symptoms partially mediated the association between parent alexithymia symptoms and child COVID-19-related posttraumatic stress symptoms (PTSS). We also tested an alternative model in which child alexithymia symptoms moderated the association between parent alexithymia symptoms and child PTSS. The hypothesized mediation model was supported (β = 0.15, SE = 0.05, 95% CI: [0.07, 0.25], p < 0.001), whereas the hypothesized moderator model was not (β = 0.06, p = 0.44). Findings highlight the importance of parents' emotional understanding and regulation for child mental health during mass traumas such as pandemics.
新冠疫情对儿童及其家庭而言是一场巨大的创伤,儿童可能因亲子情绪失调过程(如述情障碍)而特别容易出现创伤后应激症状(PTSS)。研究选取了88名美国儿童(平均年龄9.94岁;54.5%为女性;59.1%为白人)及其父母/照料者(68.2%为女性;59.1%为白人),对一个路径模型进行了检验,其中儿童述情障碍症状部分介导了父母述情障碍症状与儿童新冠疫情相关创伤后应激症状(PTSS)之间的关联。我们还检验了另一个替代模型,即儿童述情障碍症状调节父母述情障碍症状与儿童PTSS之间的关联。假设的中介模型得到了支持(β = 0.15,标准误 = 0.05,95%置信区间:[0.07, 0.25],p < 0.001),而假设的调节模型则未得到支持(β = 0.06,p = 0.44)。研究结果凸显了在疫情等大规模创伤期间,父母的情绪理解和调节对儿童心理健康的重要性。