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首页> 美国卫生研究院文献>other >Do Children and Adolescents Have Different Types of Trauma Narratives and Does it Matter? Reliability and Face Validation for a Narrative Taxonomy
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Do Children and Adolescents Have Different Types of Trauma Narratives and Does it Matter? Reliability and Face Validation for a Narrative Taxonomy

机译：儿童和青少年是否有不同类型的创伤叙述这很重要吗？叙事分类学的可靠性和面部验证

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The construction of trauma narratives is a major component of several psychotherapy approaches for trauma-related problems, but questions remain as to whether fully expressive narratives are necessary and whether it is detrimental to ask avoidant youths to tell their narratives repeatedly. Characteristics of trauma narratives during psychotherapy have not been examined in youths and this represents a salient gap in knowledge. This study aimed to begin filling this gap by identifying categories of trauma narratives and empirically validating them. Youths (N = 47) aged 7 to 18 years, who were involved in a randomized controlled trial, received cognitive behavioral therapy. Transcripts of all narrative exposure therapy sessions for each youth were rated. Four categories were identified and were named expressive, avoidant, fabricated, and undemonstrative. Interrater reliability for identifying these categories was good, and face validation of the categories was supported by statistically significant differences between categories on the number of data elements of the trauma events, negative emotion words, and positive emotion words. These promising findings indicate that different types of narrative styles can be reliably identified. There was strong evidence for reduction of posttraumatic stress symptoms in each of the categories (Cohen’s d = 0.9 to 2.5). Favorable treatment outcomes for all categories suggest that more remembering is not always better and clients appeared to effectively deal with memories in different ways.
机译：创伤叙事的构建是针对创伤相关问题的几种心理治疗方法的主要组成部分，但仍存在疑问，即是否需要充分表现的叙事，以及是否要求回避的年轻人反复叙述其叙事是否有害。在心理治疗过程中，创伤叙事的特征尚未在青年中得到检验，这代表了知识上的显着差距。本研究旨在通过确定创伤叙事的类别并凭经验进行验证来填补这一空白。参与随机对照试验的7至18岁的青年（N = 47）接受认知行为疗法。评估了每个青年人所有叙事性暴露疗法会议的笔录。确定了四个类别，并分别命名为表现性，回避性，虚构性和不具说明性。识别这些类别的评估者间的信度很好，并且类别之间的面部验证得到了创伤事件，负面情绪词和正面情绪词的数据元素数量在统计上的显着差异的支持。这些有前途的发现表明，可以可靠地确定不同类型的叙事风格。有强有力的证据表明，每种类别的创伤后应激症状均得到减轻（Cohen d = 0.9至2.5）。所有类别的治疗结果均令人满意，这表明更多的记忆并不一定总是会更好，并且客户似乎可以以不同的方式有效地应对记忆。

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