Affiliation:
1. Department of Psychology University of Bath Bath United Kingdom
2. Department of Clinical Psychology and Psychological Therapies Norwich Medical School University of East Anglia United Kingdom
3. Division of Psychology & Language Sciences University College London London United Kingdom
4. Anna Freud National Centre for Children & Families London United Kingdom
5. Department of Psychiatry and Mental Health University of Cape Town Cape Town South Africa
Abstract
AbstractParent–child agreement on measures of child posttraumatic stress disorder (PTSD) is moderate at best, and understanding of this discrepancy is limited. To address this, we conducted an item‐level investigation of parent–child symptom agreement to examine the potential influence of parental posttraumatic stress symptoms (PTSS) on parents’ reports of their child's PTSS. We also examined heart rate (HR) indices as possible independent indicators of child PTSD, examining patterns of association with parent versus child report. Parent–child dyads (N = 132, child age: 6–13 years, 91.7% White) were recruited after the child's hospital admission following an acute, single‐incident traumatic event. At 1‐month posttrauma, questionnaires assessing children's PTSS (self‐ and parental reports) and parental PTSS were administered. For a subset of participants (n = 70), children's HR recordings were obtained during a trauma narrative task and analyzed. Parent and child reports of child PTSS were weakly positively correlated, r = .25. Parental PTSS were found to be stronger positive predictors of parental reports of child PTSS than the children's own symptom reports, β = 0.60 vs. β = 0.14, and were associated with higher parent‐reported child PTSS relative to child reports. Finally, children's self‐reported PTSS were associated with HR indices, whereas parent reports were not, βs = −.33–.30 vs. βs = −.15–.01. Taken together, children's self‐reported PTSS could be a more accurate reflection of their posttrauma physiological distress than parent reports. The potential influence of parental PTSS on their perceptions of their child's symptoms warrants further consideration.
Funder
Economic and Social Research Council
Subject
Psychiatry and Mental health,Clinical Psychology
Reference41 articles.
1. Use of structured interviews by psychiatrists in real clinical settings: Results of an open‐question survey;Aboraya A.;Psychiatry (Edgmont),2009
2. Building child trauma theory from longitudinal studies: A meta-analysis
3. Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: meta-analysis
4. American Psychiatric Association. (1994).Diagnostic and statistical manual of mental disorders(4th ed.).
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献