A longitudinal investigation of the role of parental responses in predicting children's post-traumatic distress / Rachel M. HILLER in Journal of Child Psychology and Psychiatry, 59-7 (July 2018)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 59-7 (July 2018) . - p.781-789 Titre : A longitudinal investigation of the role of parental responses in predicting children's post-traumatic distress Type de document : texte imprimé Auteurs : Rachel M. HILLER, Auteur ; Richard MEISER-STEDMAN, Auteur ; Sarah LOBO, Auteur ; Cathy CRESWELL, Auteur ; Pasco FEARON, Auteur ; Anke EHLERS, Auteur ; Lynne MURRAY, Auteur ; Sarah L. HALLIGAN, Auteur Article en page(s) : p.781-789 Langues : Anglais (eng) Mots-clés : Longitudinal  child  cognitive behavioural  parenting  post-traumatic stress disorder Index. décimale : PER Périodiques Résumé : BACKGROUND: While parental post-trauma support is considered theoretically important for child adjustment, empirical evidence concerning the specific aspects of parental responding that influence child post-traumatic distress, or the processes via which any such impacts occur, is extremely limited. We conducted a longitudinal examination of whether parental post-trauma appraisals, trauma-specific support style and general parenting style predicted child post-traumatic stress symptom severity (PTSS) following trauma; and whether such influences operated via the child's own appraisals and coping style. METHOD: We recruited 132 parent-child pairs following children's experience of acute trauma. We examined whether parental responses assessed at 1-month post-trauma, predicted child PTSS at 6-month follow-up. Parental trauma-specific appraisals and responses, and general parenting style, were assessed via both self-report and direct observations. Child-report questionnaires were used to assess PTSS and potential mediators. RESULTS: Initial parent negative appraisals and encouragement of avoidant coping were associated with higher child-reported PTSS at 6-month follow-up. Predictive effects were maintained even when controlling for initial child symptom levels. Observational assessments broadly supported conclusions from self-report. There was evidence that parental influences may operate, in part, by influencing the child's own appraisals and coping responses. In contrast, there was no evidence for an influence of more "adaptive" support or general parenting style on child PTSS. CONCLUSIONS: Findings provide important insight into how elements of social support may influence child post-trauma outcomes. En ligne : http://dx.doi.org/10.1111/jcpp.12846 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368 [article] A longitudinal investigation of the role of parental responses in predicting children's post-traumatic distress [texte imprimé] / Rachel M. HILLER, Auteur ; Richard MEISER-STEDMAN, Auteur ; Sarah LOBO, Auteur ; Cathy CRESWELL, Auteur ; Pasco FEARON, Auteur ; Anke EHLERS, Auteur ; Lynne MURRAY, Auteur ; Sarah L. HALLIGAN, Auteur . - p.781-789. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 59-7 (July 2018) . - p.781-789 Mots-clés : Longitudinal  child  cognitive behavioural  parenting  post-traumatic stress disorder Index. décimale : PER Périodiques Résumé : BACKGROUND: While parental post-trauma support is considered theoretically important for child adjustment, empirical evidence concerning the specific aspects of parental responding that influence child post-traumatic distress, or the processes via which any such impacts occur, is extremely limited. We conducted a longitudinal examination of whether parental post-trauma appraisals, trauma-specific support style and general parenting style predicted child post-traumatic stress symptom severity (PTSS) following trauma; and whether such influences operated via the child's own appraisals and coping style. METHOD: We recruited 132 parent-child pairs following children's experience of acute trauma. We examined whether parental responses assessed at 1-month post-trauma, predicted child PTSS at 6-month follow-up. Parental trauma-specific appraisals and responses, and general parenting style, were assessed via both self-report and direct observations. Child-report questionnaires were used to assess PTSS and potential mediators. RESULTS: Initial parent negative appraisals and encouragement of avoidant coping were associated with higher child-reported PTSS at 6-month follow-up. Predictive effects were maintained even when controlling for initial child symptom levels. Observational assessments broadly supported conclusions from self-report. There was evidence that parental influences may operate, in part, by influencing the child's own appraisals and coping responses. In contrast, there was no evidence for an influence of more "adaptive" support or general parenting style on child PTSS. CONCLUSIONS: Findings provide important insight into how elements of social support may influence child post-trauma outcomes. En ligne : http://dx.doi.org/10.1111/jcpp.12846 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368

Research Review: Changes in the prevalence and symptom severity of child post-traumatic stress disorder in the year following trauma – a meta-analytic study / Rachel M. HILLER in Journal of Child Psychology and Psychiatry, 57-8 (August 2016)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 57-8 (August 2016) . - p.884-898 Titre : Research Review: Changes in the prevalence and symptom severity of child post-traumatic stress disorder in the year following trauma – a meta-analytic study Type de document : texte imprimé Auteurs : Rachel M. HILLER, Auteur ; Richard MEISER-STEDMAN, Auteur ; Pasco FEARON, Auteur ; Sarah LOBO, Auteur ; Anna MCKINNON, Auteur ; Abigail FRASER, Auteur ; Sarah L. HALLIGAN, Auteur Article en page(s) : p.884-898 Langues : Anglais (eng) Mots-clés : Child  adolescent  trauma  posttraumatic stress  meta-analysis  longitudinal Index. décimale : PER Périodiques Résumé : Background Understanding the natural course of child and adolescent posttraumatic stress disorder (PTSD) has significant implications for the identification of, and intervention for, at-risk youth. We used a meta-analytic approach to examine longitudinal changes in youth PTSD prevalence and symptoms over the first 12 months posttrauma. Methods We conducted a systematic review to identify longitudinal studies of PTSD in young people (5–18 years old), excluding treatment trials. The search yielded 27 peer-reviewed studies and one unpublished dataset for analysis of pooled prevalence estimates, relative prevalence reduction and standardised mean symptom change. Key moderators were also explored, including age, proportion of boys in the sample, initial prevalence of PTSD and PTSD measurement type. Results Analyses demonstrated moderate declines in PTSD prevalence and symptom severity over the first 3–6 months posttrauma. From 1 to 6 months posttrauma, the prevalence of PTSD reduced by approximately 50%. Symptoms also showed moderate decline, particularly across the first 3 months posttrauma. There was little evidence of further change in prevalence or symptom severity after 6 months, suggesting that it is unlikely a child would lose a PTSD diagnosis without intervention beyond this point. Conclusions The current findings provide key information about the likelihood of posttrauma recovery in the absence of intervention and have important implications for our understanding of child and adolescent PTSD. Results are discussed with reference to the timing of PTSD screening and the potential role of early interventions. Findings particularly highlight the importance of future research to develop our understanding of what factors prevent the action of normal recovery from the ‘acute’ posttrauma period. En ligne : http://dx.doi.org/10.1111/jcpp.12566 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=292 [article] Research Review: Changes in the prevalence and symptom severity of child post-traumatic stress disorder in the year following trauma – a meta-analytic study [texte imprimé] / Rachel M. HILLER, Auteur ; Richard MEISER-STEDMAN, Auteur ; Pasco FEARON, Auteur ; Sarah LOBO, Auteur ; Anna MCKINNON, Auteur ; Abigail FRASER, Auteur ; Sarah L. HALLIGAN, Auteur . - p.884-898. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 57-8 (August 2016) . - p.884-898 Mots-clés : Child  adolescent  trauma  posttraumatic stress  meta-analysis  longitudinal Index. décimale : PER Périodiques Résumé : Background Understanding the natural course of child and adolescent posttraumatic stress disorder (PTSD) has significant implications for the identification of, and intervention for, at-risk youth. We used a meta-analytic approach to examine longitudinal changes in youth PTSD prevalence and symptoms over the first 12 months posttrauma. Methods We conducted a systematic review to identify longitudinal studies of PTSD in young people (5–18 years old), excluding treatment trials. The search yielded 27 peer-reviewed studies and one unpublished dataset for analysis of pooled prevalence estimates, relative prevalence reduction and standardised mean symptom change. Key moderators were also explored, including age, proportion of boys in the sample, initial prevalence of PTSD and PTSD measurement type. Results Analyses demonstrated moderate declines in PTSD prevalence and symptom severity over the first 3–6 months posttrauma. From 1 to 6 months posttrauma, the prevalence of PTSD reduced by approximately 50%. Symptoms also showed moderate decline, particularly across the first 3 months posttrauma. There was little evidence of further change in prevalence or symptom severity after 6 months, suggesting that it is unlikely a child would lose a PTSD diagnosis without intervention beyond this point. Conclusions The current findings provide key information about the likelihood of posttrauma recovery in the absence of intervention and have important implications for our understanding of child and adolescent PTSD. Results are discussed with reference to the timing of PTSD screening and the potential role of early interventions. Findings particularly highlight the importance of future research to develop our understanding of what factors prevent the action of normal recovery from the ‘acute’ posttrauma period. En ligne : http://dx.doi.org/10.1111/jcpp.12566 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=292

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