Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Current Psychiatry Reports
Erschienen in: Current Psychiatry Reports 6/2016

01.06.2016 | Child and Family Disaster Psychiatry (B Pfefferbaum, Section Editor)

The Role of Parents, Parenting and the Family Environment in Children’s Post-Disaster Mental Health

verfasst von: Vanessa E. Cobham, Brett McDermott, Divna Haslam, Matthew R. Sanders

Erschienen in: Current Psychiatry Reports | Ausgabe 6/2016

Einloggen, um Zugang zu erhalten

Abstract

There is widespread support for the hypothesis that, post-disaster, children’s mental health is impacted—at least in part—via the impact on parents, parenting, parent-child interactions, and the family environment. To some degree, the enthusiasm with which this hypothesis is held outstrips the evidence examining it. The current paper critically evaluates the empirical evidence for this hypothesis and concludes that although limited (both in terms of number of existing studies and methodological flaws), the extant literature indicates some parent-related variables, as well as some aspects of the family environment are likely to constitute risk or protective factors for children. Given that parenting is modifiable, it is proposed that the identified parent- and family-related factors represent important therapeutic targets, and a universal post-disaster parenting intervention (Disaster Recovery Triple P) is described.
Fußnoten
1
This term is used to refer to all caregivers.
 
Literatur
1.
Silverman WK, La Greca AM, Silverman WK, La Greca AM. Children experiencing disasters: definitions, reactions, and predictors of outcomes. In: Greca AML, Silverman WK, Vernberg EM, Roberts MC, Greca AML, Silverman WK, Vernberg EM, Roberts MC, editors. Helping children cope with disasters and terrorism. Washington, DC, US: American Psychological Association; 2002. p. 11–33.CrossRef
2.
Bonanno GA, Brewin CR, Kaniasty K, La Greca AM. Weighing the costs of disaster: consequences, risks, and resilience in individuals, families, and communities. Psychol Sci Public Interest. 2010;11:1–49.CrossRefPubMed
3.
La Greca AM, Silverman WK, Vernberg EM, Prinstein MJ. Symptoms of posttraumatic stress in children after Hurricane Andrew: a prospective study. J Consult Clin Psychol. 1996;64:712–23.CrossRefPubMed
4.
Weems CF, Overstreet S. Child and adolescent mental health research in the context of Hurricane Katrina: an ecological needs-based perspective and introduction to the special section. J Clin Child Adolesc Psychol. 2008;37:487–894.CrossRefPubMed
5.
Trickey D, Siddaway AP, Meiser-Stedman R, Serpell L, Field AP. A meta-analysis of risk factors for post-traumatic stress disorder in children and adolescents. Clin Psychol Rev. 2012;32:122–38.CrossRefPubMed
6.
Cobham VE, McDermott B, Sanders MR. Disaster Recovery Triple P: parenting seminar. Queensland: Australia., Parenting and Family Support Centre, University of Queensland; 2011.
7.
Sartor CE, Grant JD, Lynskey MT, McCutcheon VV, Waldron M, Statham DJ, et al. Common heritable contributions to low-risk trauma, high-risk trauma, posttraumatic stress disorder, and major depression. Arch Gen Psychiatry. 2012;69:293–9.CrossRefPubMedPubMedCentral
8.
Afifi TO, Asmundson GJG, Taylor S, Jang KL. The role of genes and environment on trauma exposure and posttraumatic stress disorder symptoms: a review of twin studies. Clin Psychol Rev. 2010;30:101–12.CrossRefPubMed
9.•
Cobham VE, McDermott B. Perceived parenting change and child posttraumatic stress following a natural disaster. J Child Adoles Psychopharmacol. 2014;24:18–23. In this study of 874 children exposed to a storm disaster, altered parenting (more anxious) post-disaster had a significant unique relationship with children’s self-reported PTSS when parents reported higher levels of storm-related behaviours and cognitions.CrossRef
10.
Mowder BA, Guttman M, Rubinson F, Sossin KM. Parents, children, and trauma: parent role perceptions and behaviors related to the 9/11 tragedy. J Child Fam Stud. 2006;15:733–43.CrossRef
11.
Masten AS, Narayan AJ. Child development in the context of disaster, war, and terrorism: pathways of risk and resilience. Annu Rev Psychol. 2012;63:227–57.CrossRefPubMed
12.
Morris A, Gabert-Quillen C, Delahanty D. The association between parent PTSD/depression symptoms and child PTSD symptoms: a meta-analysis. J Pediatr Psychol. 2012;37:1076–88.CrossRefPubMed
13.
Conway A, McDonough SC, MacKenzie MJ, Follett C, Sameroff A. Stress‐related changes in toddlers and their mothers following the attack of September 11. Am J Orthopsychiatry. 2013;83:536–44.CrossRefPubMed
14.
Furr JM, Comer JS, Edmunds JM, Kendall PC. Disasters and youth: a meta-analytic examination of posttraumatic stress. J Consult Clin Psychol. 2010;78:765–80.CrossRefPubMed
15.
Leen-Feldner EW, Feldner MT, Knapp A, Bunaciu L, Blumenthal H, Amstadter AB. Offspring psychological and biological correlates of parental posttraumatic stress: review of the literature and research agenda. Clin Psychol Rev. 2013;33:1106–33.CrossRefPubMed
16.
Spell AW, Kelley ML, Wang J, Self-Brown S, Davidson KL, Pellegrin A, et al. The moderating effects of maternal psychopathology on children’s adjustment post-Hurricane Katrina. J Clin Child Adolesc Psychol. 2008;37:553–63.CrossRefPubMed
17.
Proctor LJ, Fauchier A, Oliver PH, Ramos MC, Rios MA, Margolin G. Family context and young children’s responses to earthquake. J Child Psychol Psychiatry. 2007;48:941–9.CrossRefPubMed
18.
Li X, Huang X, Tan H, Liu A, Zhou J, Yang T. A study on the relationship between posttraumatic stress disorder in flood victim parents and children in Hunan, China. Aust N Z J Psychiatry. 2010;44:543–50.PubMed
19.
Polusny MA, Ries BJ, Meis LA, DeGarmo D, McCormick-Deaton CM, Thuras P, et al. Effects of parents’ experiential avoidance and PTSD on adolescent disaster-related posttraumatic stress symptomatology. J Fam Psychol. 2011;25:220–9.CrossRefPubMed
20.
Fairbrother G, Stuber J, Galea S, Fleischman AR, Pfefferbaum B. Posttraumatic stress reactions in new York City children after the September 11, 2001, terrorist attacks. Ambul Pediatr. 2003;3:304–11.CrossRefPubMed
21.
Chemtob CM, Nomura Y, Rajendran K, Yehuda R, Schwartz D, Abramovitz R. Impact of maternal posttraumatic stress disorder and depression following exposure to the September 11 attacks on preschool children’s behavior. Child Dev. 2010;81:1129–41.CrossRefPubMedPubMedCentral
22.
Kerns CE, Elkins RM, Carpenter AL, Chou T, Green JG, Comer JS. Caregiver distress, shared traumatic exposure, and child adjustment among area youth following the 2013 Boston Marathon bombing. J Affect Disord. 2014;167:50–5.CrossRefPubMedPubMedCentral
23.
Koplewicz HS, Vogel JM, Solanto MV, Morrissey RF, Alonso CM, Abikoff H, et al. Child and parent response to the 1993 World Trade Center bombing. J Trauma Stress. 2002;15:77–85.CrossRefPubMed
24.
Levine LJ, Whalen CK, Henker B, Jamner LD. Looking back on September 11, 2001: appraised impact and memory for emotions in adolescents and adults. J Adolesc Res. 2005;20:497–523.CrossRef
25.•
Juth V, Silver RC, Seyle DC, Widyatmoko CS, Tan ET. Post-disaster mental health among parent–child dyads after a major earthquake in Indonesia. J Abnorm Child Psychol. 2015;43:1309–18. This study examined the direction of post-disaster interdependent parent-child mental health outcomes using the Actor-Partner Interdependence Model (which treats the dyad as the unit of analysis) and found a unidirectional spill over effect from parent PTSS to child general distress.CrossRefPubMedPubMedCentral
26.
Scheeringa MS, Myers L, Putnam FW, Zeanah CH. Maternal factors as moderators or mediators of PTSD symptoms in very young children: a two-year prospective study. J Fam Violence. 2015;30:633–42.CrossRefPubMed
27.
Kronenberg ME, Hansel TC, Brennan AM, Osofsky HJ, Osofsky JD, Lawrason B. Children of Katrina: lessons learned about postdisaster symptoms and recovery patterns. Child Dev. 2010;81:1241–59.CrossRefPubMed
28.
Cryder CH, Kilmer RP, Tedeschi RG, Calhoun LG. An exploratory study of posttraumatic growth in children following a natural disaster. Am J Orthopsychiatry. 2006;76:65–9.CrossRefPubMed
29.•
Banks DM, Weems CF. Family and peer social support and their links to psychological distress among hurricane-exposed minority youth. Am J Orthopsychiatry. 2014;84:341–52. In the concurrent arm of this study, family social support was uniquely associated with depressive symptoms but not anxiety or PTSS among 1098 primarily African-American youth assessed 36-65 months after Hurricane Katrina. In the prospective arm, family social support was not uniquely associated with PTSS, anxiety or depression at time 2.CrossRefPubMed
30.
Bokszczanin A. Parental support, family conflict, and overprotectiveness: predicting PTSD symptom levels of adolescents 28 months after a natural disaster. Anxiety Stress Coping. 2008;21:325–35.CrossRefPubMed
31.
Wasserstein SB, La Greca AM. Hurricane Andrew: parent conflict as a moderator of children’s adjustment. Hisp J Behav Sci. 1998;20:212–24.CrossRef
32.
McFarlane AC. Family functioning and overprotection following a natural disaster: the longitudinal effects of post-traumatic morbidity. Aust N Z J Psychiatry. 1987;21:210–8.CrossRefPubMed
33.
Green BL, Korol M, Grace MC, Vary MG, Leonard AC, Gleser GC, et al. Children and disaster: age, gender, and parental effects on PTSD symptoms. J Am Acad Child Adolesc Psychiatry. 1991;30:945–51.CrossRefPubMed
34.
Kiliç EZ, Özgüven HD, Sayil I. The psychological effects of parental mental health on children experiencing disaster: the experience of Bolu earthquake in Turkey. Fam Process. 2003;42:485–95.CrossRefPubMed
35.
McDermott BM, Cobham VE. Family functioning in the aftermath of a natural disaster. BMC Psychiatry. 2012;12.
36.
Tuicomepee A, Romano JL. Thai adolescent survivors 1 year after the 2004 tsunami: a mixed methods study. J Couns Psychol. 2008;55:308–20.CrossRef
37.
Sprague CM, Kia-Keating M, Felix E, Afifi T, Reyes G, Afifi W. Youth psychosocial adjustment following wildfire: the role of family resilience, emotional support, and concrete support. Child Youth Care Forum. 2015;44:433–50.CrossRef
38.
Chemtob CM, Carlson JG. Psychological effects of domestic violence on children and their mothers. Int J Stress Manag. 2004;11:209–26.CrossRef
39.
Leen-Feldner EW, Feldner MT, Bunaciu L, Blumenthal H. Associations between parental posttraumatic stress disorder and both offspring internalizing problems and parental aggression within the National Comorbidity Survey-Replication. J Anxiety Disord. 2011;25:169–75.CrossRefPubMed
40.
Kelley ML, Self-Brown S, Le B, Bosson JV, Hernandez BC, Gordon AT. Predicting posttraumatic stress symptoms in children following Hurricane Katrina: a prospective analysis of the effect of parental distress and parenting practices. J Trauma Stress. 2010;23:582–90.CrossRefPubMedPubMedCentral
41.
Hafstad GS, Haavind H, Jensen TK. Parenting after a natural disaster: a qualitative study of Norwegian families surviving the 2004 tsunami in Southeast Asia. J Child Fam Stud. 2012;21:293–302.CrossRefPubMedPubMedCentral
42.
Cohen M, Eid J. The effect of constant threat of terror on Israeli Jewish and Arab adolescents. Anxiety Stress Coping. 2007;20:47–60.CrossRefPubMed
43.
Stein BD, Jaycox LH, Elliott MN, Collins R, Berry S, Marshall GN, et al. The emotional and behavioral impact of terrorism on children: results from a national survey. Appl Dev Sci. 2004;8:184–94.CrossRef
44.
Cohen JA, Jaycox LH, Amaya‐Jackson L, Stein BD. Back to school: Review of school based interventions: comment on Rolfsness and Idsoe (2011). J Trauma Stress. 2011;24:760–1.CrossRefPubMed
45.•
Garfin DR, Silver RC, Gil-Rivas V, Guzmán J, Murphy JM, Cova F, et al. Children’s reactions to the 2010 Chilean earthquake: the role of trauma exposure, family context, and school-based mental health programming. Psychol Trauma. 2014;6:563–73. n this study, children’s reports of caregiver-child conflict and caregiver unavailability to discuss the earthquake disaster were positively associated with child PTSS.CrossRef
46.
Wilson AC, Lengua LJ, Meltzoff AN, Smith KA. Parenting and temperament prior to September 11, 2001, and parenting specific to 9/11 as predictors of children’s posttraumatic stress symptoms following 9/11. J Clin Child Adolesc Psychol. 2010;39:445–59.CrossRefPubMedPubMedCentral
47.
Gil-Rivas V, Silver RC, Holman EA, McIntosh DN, Poulin M. Parental response and adolescent adjustment to the September 11, 2001 terrorist attacks. J Trauma Stress. 2007;20:1063–8.CrossRefPubMed
48.•
Gil‐Rivas V, Kilmer RP. Children’s adjustment following Hurricane Katrina: the role of primary caregivers. Am J Orthopsychiatry. 2013;83:413–21. Notable for what was not found as well as what was, this prospective study of primarily African-American children found that caregiver-child conflict (but no other caregiver-related variables) was associated with higher levels of PTSS at time 2; while none of the caregiver-related variables were uniquely associated with depressive symptoms at time 2.CrossRefPubMedPubMedCentral
49.
Gil-Rivas V, Holman EA, Silver RC. Adolescent vulnerability following the September 11th terrorist attacks: a study of parents and their children. Appl Dev Sci. 2004;8:130–42.CrossRef
50.•
Felix E, You S, Vernberg E, Canino G. Family influences on the long term post-disaster recovery of Puerto Rican youth. J Abnorm Child Psychol. 2013;41:111–24. In this study of 1886 parent-child dyads interviewed ∼18 months after Hurricane Georges, parent-child relationship quality (as rated by parents) and parent-child involvement (as rated by youth) were reduced the risk for internalizing psychopathology when parents had no mental health history.CrossRefPubMedPubMedCentral
51.
Wickrama KAS, Kaspar V. Family context of mental health risk in tsunami-exposed adolescents: findings from a pilot study in Sri Lanka. Soc Sci Med. 2007;64:713–23.CrossRefPubMed
52.
Comer JS, Kendall PC. Terrorism: the psychological impact on youth. Clin Psychol Sci Pract. 2007;14:178–212.CrossRef
53.
Pfefferbaum B, Nixon SJ, Tivis RD, Doughty DE, Pynoos RS, Gurwitch RH, et al. Television exposure in children after a terrorist incident. Psychiatry. 2001;64:202–11.CrossRefPubMed
54.
Pfefferbaum B, Seale TW, Brandt Jr EN, Pfefferbaum RL, Doughty DE, Rainwater SM. Media exposure in children one hundred miles from a terrorist bombing. Ann Clin Psychiatry. 2003;15:1–8.CrossRefPubMed
55.•
Weems CF, Scott BG, Banks DM, Graham RA. Is TV traumatic for all youths? The role of preexisting posttraumatic-stress symptoms in the link between disaster coverage and stress. Psychol Sci. 2012;23:1293–7. In this prospective study of children exposed to Hurricane Katrina, preexisting PTSS did not fully account for the relationship between exposure to disaster-related television and ongoing PTSS. However, children with higher preexisting symptoms and higher disaster-related television exposure were at greatest risk.CrossRefPubMed
56.
Eisenberg N, Silver RC. Growing up in the shadow of terrorism: youth in America after 9/11. Am Psychol. 2011;66:468–81.CrossRefPubMed
57.
La Greca AM, Prinstein MJ. Hurricanes and earthquakes. In: Greca AML, Silverman WK, Vernberg EM, Roberts MC, editors. Helping children cope with disasters and terrorism. Washington, DC, US: American Psychological Association; 2002. p. 107–38.CrossRef
58.
Saylor CF, Cowart BL, Lipovsky JA, Jackson C, Finch Jr AJ. Media exposure to September 11: elementary school students’ experiences and posttraumatic symptoms. Am Behav Sci. 2003;46:1622–42.CrossRef
59.
Pereda N. Systematic review of the psychological consequences of terrorism among child victims. Int Rev Victimol. 2013;19:181–99.CrossRef
60.
Comer JS, Furr JM, Beidas RS, Weiner CL, Kendall PC. Children and terrorism-related news: training parents in coping and media literacy. J Consult Clin Psychol. 2008;76:568–78.CrossRefPubMedPubMedCentral
61.
Nowak C, Heinrichs N. A comprehensive meta-analysis of Triple P-Positive Parenting Program using hierarchical linear modeling: effectiveness and moderating variables. Clin Child Fam Psychol Rev. 2008;11:114–44.CrossRefPubMed
62.
Sanders MR, Kirby JN, Tellegen CL, Day JJ. The Triple P-Positive Parenting Program: a systematic review and meta-analysis of a multi-level system of parenting support. Clin Psychol Rev. 2014;34:337–57.CrossRefPubMed
63.
Sanders MR. Development, evaluation, and multinational dissemination of the Triple P-Positive Parenting Program. Annu Rev Clin Psychol. 2012;8:345–79.CrossRefPubMed
64.
Pfefferbaum RL, Jacobs AK, Pfefferbaum B, Noffsinger MA, Sherrieb K, Norris FH. The burden of disaster: part II. applying interventions across the child’s social ecology. Int J Emerg Ment Health. 2012;14:175–88.PubMedPubMedCentral
65.
Pfefferbaum B, Shaw JA. Practice parameter on disaster preparedness. J Am Acad Child Adolesc Psychiatry. 2013;52:1224–38.CrossRefPubMed
66.
Pfefferbaum B, Varma V, Nitiéma P, Newman E. Universal preventive interventions for children in the context of disasters and terrorism. Child Adolesc Psychiatr Clin N Am. 2014;23:363–82.CrossRefPubMedPubMedCentral
67.
McDermott BM, Cobham VE. A stepped-care model of post-disaster child and adolescent mental health service provision. Eur J Psychotraumatol. 2014;5.
Metadaten
Titel
The Role of Parents, Parenting and the Family Environment in Children’s Post-Disaster Mental Health
verfasst von
Vanessa E. Cobham
Brett McDermott
Divna Haslam
Matthew R. Sanders
Publikationsdatum
01.06.2016
Verlag
Springer US
Erschienen in
Current Psychiatry Reports / Ausgabe 6/2016
Print ISSN: 1523-3812
Elektronische ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-016-0691-4

Weitere Artikel der Ausgabe 6/2016

Current Psychiatry Reports 6/2016 Zur Ausgabe

Child and Family Disaster Psychiatry (B Pfefferbaum, Section Editor)

Public Disaster Communication and Child and Family Disaster Mental Health: a Review of Theoretical Frameworks and Empirical Evidence

Complex Medical-Psychiatric Issues (MB Riba, Section Editor)

Ketamine for Treatment of Suicidal Ideation and Reduction of Risk for Suicidal Behavior

Geriatric Disorders (W McDonald, Section Editor)

The Mental Health of Older LGBT Adults

Child and Family Disaster Psychiatry (B Pfefferbaum, Section Editor)

Determinants of Children’s Mental Health in War-Torn Settings: Translating Research Into Action

Military Mental Health (CH Warner, Section Editor)

Lesbian, Gay, Bisexual, and Transgender (LGBT) Service Members: Life After Don’t Ask, Don’t Tell

Eating Disorders (C Grilo, Section Editor)

Combining Pharmacological and Psychological Treatments for Binge Eating Disorder: Current Status, Limitations, and Future Directions

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

23.04.2024 Depression antepartal oder postpartal Nachrichten

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

22.04.2024 DGIM 2024 Kongressbericht

Die Kombination aus Medikamenten und Psychotherapie gilt als effektivster Ansatz bei Depressionen. Das ist bei betagten Menschen nicht anders, trotz Besonderheiten.

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

22.04.2024 DGIM 2024 Nachrichten

Um Menschen nach der Flucht aus einem Krisengebiet bestmöglich medizinisch betreuen zu können, ist es gut zu wissen, welche Erkrankungen im jeweiligen Herkunftsland häufig sind. Dabei hilft eine Internetseite der CDC (Centers for Disease Control and Prevention).

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise