自然灾害很常见,对个人有潜在的有害影响,以及家庭成员之间的关系(亚当斯等人。,2015;保罗,2015).此外,看护人-,offspring-,和家庭层面的结果通常在灾难后相关。
因此,需要进行纵向工作,以澄清严重灾害后此类结构之间的前瞻性关联。
目前的研究包括1,271名青少年,调查了灾难暴露是否会影响青少年创伤后应激障碍(PTSD)症状。父母的痛苦,家庭亲子冲突和沟通,以及这些因素是否/如何随着时间的推移相互影响。这项研究使用了动态级联模型,包括2011年密苏里州和阿拉巴马州龙卷风的青少年(12-17岁)和护理人员。这些参与者是涉及基于网络的干预的更大研究的一部分。
超过和超过协变量(即,青少年年龄,性别,种族,治疗,先前的创伤,青少年饮酒和抑郁症状,和家庭收入),灾难暴露更严重的家庭有青少年报告更多基线PTSD症状,护理人员在基线时报告更多痛苦.
提供有形资源(例如,住房,食物,交通运输,基本财产)灾后家庭可以减少父母的痛苦和青少年PTSD症状。此外,减少青少年PTSD症状可能会改善父母与青少年之间的关系.
Natural disasters are common and have potentially deleterious impacts on individuals, as well as on the relationships among family members (Adams et al., 2015; Paul, 2015). Additionally, caregiver-, offspring-, and family-level outcomes are often correlated following disaster.
Thus, longitudinal work is needed to clarify the prospective associations among such constructs following severe disasters.
The current study included 1,271 adolescents and investigated whether disaster exposure impacted adolescent posttraumatic stress disorder (PTSD) symptoms, parent distress, and family parent-child conflict and communication, as well as whether/how these factors influenced one another over time. This study used a dynamic cascade model and included adolescents (ages 12-17) and caregivers present for tornadoes in Missouri and Alabama in 2011. These participants were part of a larger study involving a web-based intervention.
Over and above covariates (i.e., adolescent age, gender, race, treatment, prior trauma, adolescent alcohol use and depressive symptoms, and household income), families who experienced greater severity of disaster exposure had adolescents who reported more baseline PTSD symptoms and caregivers who reported more distress at baseline.
Providing tangible resources (e.g., housing, food, transportation, essential possessions) to families post-disaster may reduce parent distress and adolescent PTSD symptoms. Additionally, reducing adolescent PTSD symptoms may prospectively improve relationships between parents and adolescents.