关键词: PTSD attachment child abuse cultural contexts reporting/disclosure sexual assault support seeking treatment/intervention

Mesh : Humans Parent-Child Relations Child Communication Stress Disorders, Post-Traumatic / psychology Female Male Social Support Adolescent Parents / psychology

来  源:   DOI:10.1177/15248380231207906   PDF(Pubmed)

Abstract:
Social support plays an important role in children\'s well-being after experiencing a potentially traumatic event (PTE). One such source of support is the parent-child relationship, specifically by discussing the event. However, current literature provides no consensus on whether parents and children communicate about PTEs, in what way they might communicate and how this affects the child. Hence the goal of the current study is threefold, to explore: (a) whether parents and children communicate about PTEs, (b) what this communication looks like, and (c) how this affects children\'s well-being. These questions are answered by means of a systematic literature review. Articles were eligible for inclusion if it was an empirical study on communication between parents and children about a PTE that the child (under 18 years) had experienced. Initial searches in electronic databases provided 31,233 articles, of which 26 were deemed eligible for inclusion. Results show that most parents and children have discussed PTEs, but that this may depend on cultural background. What the parent-child communication looks like depends on various factors such as, age of the child, tone, and child\'s initiation of discussion. Parental post-traumatic stress symptoms seem to negatively impact communication. The results of the impact of communication are less clear-cut, but it seems to have a predominantly positive effect on the child\'s well-being, depending on parental sensitivity. Clinicians should be watchful for parental symptoms of post-traumatic stress disorder and can focus on promoting parental sensitivity and responsiveness when discussing PTEs with their child or on creating a joint narrative within families.
摘要:
社会支持在儿童经历潜在创伤事件(PTE)后的幸福感中起着重要作用。一个这样的支持来源是父子关系,特别是通过讨论事件。然而,目前的文献没有就父母和孩子是否就PTE进行沟通达成共识,他们可能以什么方式沟通,以及这如何影响孩子。因此,当前研究的目标是三个方面,探索:(A)父母和孩子是否就PTE进行沟通,(b)这份通讯是什么样子的,以及(c)这如何影响儿童的福祉。通过系统的文献综述来回答这些问题。如果是对父母与子女之间关于儿童(18岁以下)经历的PTE的交流的实证研究,则文章有资格被纳入。在电子数据库中的初步搜索提供了31,233篇文章,其中26人被认为有资格列入名单。结果表明,大多数父母和孩子都讨论过PTE,但这可能取决于文化背景。亲子沟通的样子取决于各种因素,例如,孩子的年龄,tone,和孩子开始讨论。父母的创伤后应激症状似乎对沟通产生负面影响。沟通影响的结果不太明确,但它似乎对孩子的幸福有积极的影响,取决于父母的敏感性。临床医生应警惕父母的创伤后应激障碍症状,并在与孩子讨论PTE或在家庭内部建立联合叙述时,可以专注于促进父母的敏感性和反应性。
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