PROMOTING MASTERY IN CHILDREN AFTER TRAUMA

促进创伤后儿童的掌握

• 批准号: 3392262
• 负责人: Madelon Baranoski
• 金额: $ 20.32万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-06-01 至 1994-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3392262
• 关键词: accidents; anxiety; child (0-11); clinical trials; cognitive behavior therapy; coping; depression; emergency care; emotional crisis; human subject; longitudinal human study; nurse patient relations; nursing intervention; parent offspring interaction; pediatric nursing; placebos; posthospitalization care; psychological shock; psychological stressor; psychological tests; sleep disorders; social support network; statistics /biometry; trauma

Children with traumatic injury account for the second largest cohort of hospitalized children and yet there is little research on the psychological sequelae of such hospitalization or on interventions to help them master the sudden trauma. Previous work on psychological preparation of hospitalized children has focused primarily on planned hospitalization and on advance preparation for procedures. This study will build on previous research and will test an intervention designed for children who experience emergency admission for accidental trauma. 300 children, 7-11, will be randomly assigned to one of 5 groups after they are medically stable. Group I will receive a working-through intervention which will promote mastery of the event through accurate information, cognitive desensitization, directed recall and reframing. The intervention will have 4 components: Joining (establishment of empathetic rapport and supportive relationship); revisiting (structured review of the event); and integration (directed generalization and future implications). Children will receive this intervention during hospitalization and at 2 post-discharge sessions. In Group II, the parents will be instructed and supported as they guide the working-through process with their child. Group III will serve as a placebo control for the supportive relationship in the Group I intervention while Group IV will serve the same function for the Group II intervention. Group V will be the control group with no contact with the Investigator. Eight outcome measures (repeated during hospitalization and after discharge) will evaluate the interventions: Demographic and Life Events Measure for Children and Parents; Child Depression Inventory; Impact of Event Inventory for Child and Parent; Human Figure Drawings; Nurses' Ratings of Upset; Recovery Inventory; Length of Stay; and Post-Hospital Checklist. Parents will be asked to complete the Beck Depression Inventory, the Spielberger State-Trait Anxiety Scale and the Ways of Coping Checklist. A 2 factor (treatment by parental anxiety) repeated measures ANOVA will evaluate effectiveness. Pearson Product Moment Corrections will assess relationships among measures and child, parent, and event factors. The numbers of children involved in accidents and the potential impact of nursing on their paradigm for future research on promoting mastery for children experiencing different forms of trauma and violence.

创伤性伤害的儿童是第二大队列的 住院的孩子，但是关于心理的研究很少 这种住院或干预措施的后遗症，以帮助他们掌握 突然的创伤。 以前关于心理准备的工作 住院儿童主要集中于计划的住院和 预先准备程序。 这项研究将基于以前的 研究并将测试为经验的儿童设计的干预措施 意外创伤紧急入场。 300名儿童，7-11岁 在医学上稳定后，将它们随机分配给5组之一。 我将获得一项工作干预措施，以促进 通过准确的信息，认知掌握事件的掌握 脱敏，定向召回和重塑。 干预将有 4个组件：加入（建立善解人意的融洽和支持 关系）;重新访问（事件的结构化审查）；和集成 （指导概括和未来影响）。 孩子们会收到 住院期间的干预措施和两次入院后会议。 在第二组中，将指导和支持父母在指导他们指导时 与孩子一起工作。 第三组将作为 第一组干预中的支持关系的安慰剂控制 IV组将在II组干预中发挥相同的功能。 V组将是对照组，没有与研究人员接触。 八项结局指标（在住院期间和之后重复 出院）将评估干预措施：人口统计和生活事件 衡量儿童和父母；儿童抑郁症清单；影响 儿童和父母的活动清单；人物图纸；护士 沮丧的评分；恢复清单；住宿时间；和院后 清单。 将要求父母完成贝克抑郁症 库存，斯皮尔伯格州特征焦虑量表和应对方式 清单。 2因子（父母焦虑治疗）重复措施 方差分析将评估有效性。 皮尔逊产品矩校正将 评估措施以及儿童，父母和事件因素之间的关系。 涉及事故的儿童人数以及 护理他们的范式，以促进掌握的未来研究 儿童经历了不同形式的创伤和暴力。