An investigation of trauma narrative characteristics and the development of posttraumatic stress symptoms in very young children

幼儿创伤叙事特征和创伤后应激症状发展的调查

基本信息

批准号：
2741427
负责人：
金额：
--
依托单位：
University of Cambridge
依托单位国家：
英国
项目类别：
Studentship
财政年份：
2022
资助国家：
英国
起止时间：
2022 至无数据
项目状态：
未结题

来源：
https://gtr.ukri.org/projects?ref=studentship-2741427
关键词：
investigation trauma narrative characteristics development

项目摘要

Cognitive models of posttraumatic stress disorder (PTSD) suggest that the way in which an individual remembers atraumatic event may be a key factor underlying the development and maintenance of posttraumatic stress symptoms(PTSS). In particular, trauma narratives that are disorganised and have more sensory and emotional content areassociated with increased PTSS. To date, this has not been explored in very young children despite increased focus onthe identification and treatment of PTSD in children aged 6 and under. This study aims to develop a developmentallyappropriate narrative elicitation exercise, using child-led play and drawing techniques, to assess memory characteristicsin young children (aged 3-8), and investigate the relationship between trauma memory narratives and the developmentand maintenance of PTSS. Study 1 will develop a narrative elicitation exercise in a community sample of young children,and explore differences in recall of positive, neutral and negative events according to organisation and sensoryemotional features. Study 2 will use the narrative elicitation exercise in a sample of trauma-exposed children to explorethe association between trauma narrative features and PTSS at 1 month and 6 months post-trauma, and whether certaincharacteristics of trauma narratives predict PTSD development in young children. This project aims to increaseunderstanding of the applicability of current cognitive models of PTSD in young children.

创伤后应激障碍（PTSD）的认知模型表明，纪念荒谬事件的方式可能是创伤后应激症状（PTSS）发展和维持的关键因素。特别是，杂乱无章的创伤叙事，并具有更多的感官和情感内容领域，与PTS相关。迄今为止，尽管对6岁及以下儿童的PTSD识别和治疗的重点增加了，但尚未在很小的孩子中探索这一点。这项研究旨在使用儿童主导的游戏和绘画技巧来开发一种发展上适当的叙事启发练习，以评估幼儿的记忆特征（3-8岁），并研究创伤记忆叙事与PTSS的发展和维持之间的关系。研究1将在一个幼儿的社区样本中开发叙事启发练习，并根据组织和感觉媒体特征探索正面，中性和负面事件的回忆差异。研究2将在暴露于创伤的儿童样本中使用叙事启发练习来探索创伤叙事特征与创伤后1个月和6个月的PTSS之间的关联，以及创伤性叙事的某些表现是否可以预测幼儿PTSD的发展。该项目旨在增加对PTSD当前认知模型在幼儿中的适用性的理解。