"战争的孩子":检查战争暴露,母亲PTSD和以色列儿童PTSD持续创伤性压力之间的关联
Lilach Rachamim1, Roy Aloni2, Hila Mualem-Taylor1
1Donald J. Cohen & Irving B. Harris Resilience Center, Oti Association, Tel-Aviv, Israel.
Research on child and adolescent psychopathology
|April 24, 2025
概括
遭受战争创伤的儿童面临创伤后应激症状 (PTSS) 的高风险. 母亲PTSS影响学龄前儿童,而战争暴露影响到学龄儿童,需要特定年龄的干预措施.
科学领域:
- 心理学 心理学 心理学
- 儿童发展 儿童发展
- 创伤研究 创伤研究
背景情况:
- 战乱地区的儿童容易受到创伤后应激症状 (PTSS) 的影响.
- 母亲PTSS和持续创伤性压力 (CTS) 可以加剧儿童的PTSS.
- 战争暴露,母亲PTSS和CTS在不同儿科年龄组之间的相互作用存在有限的研究.
研究的目的:
- 调查战争暴露,以色列儿童的孕产妇PTSS,CTS和PTSS之间的关系.
- 根据年龄组区分这些关系:学龄前儿童 (3-7岁) 和学龄儿童 (8-12岁).
- 为经历创伤的儿童提供特定年龄的干预信息.
主要方法:
- 对220个寻求治疗10月7日袭击后儿童PTSS治疗的儿童-父母对象进行了临床评估.
- 利用了社会人口统计信息,并验证了自我报告和家长报告的PTSS问卷.
- 统计分析以确定儿童PTSS的预测因素以及母亲PTSS和CTS的作用.
主要成果:
- 可能患有PTSD的高患病率:在学龄前儿童中占69%,在学龄儿童中占49.2%,在母亲中占32.4%.
- 母亲PTSS在学龄前儿童中显著预测了PTSS (p < .01).
- 战争暴露显著预测了学龄儿童的PTSS (p < .05).
- 通过母亲的PTSS (95%CI [1.84,8.69]),CTS间接影响了学龄前儿童的PTSS.
结论:
- 早期干预必须解决受冲突影响的儿童对PTSS年龄特定的脆弱性.
- 提高家长的应对能力和培养孩子的恢复力对于减轻创伤至关重要.
- 建议对父母和孩子进行以创伤为重点的治疗,以防止症状恶化.
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