Abstract
Background: Millions of children worldwide are exposed to acute potentially traumatic events (PTEs) annually. Many children and their families experience significant emotional distress and/or functional impairment following PTEs. While current research has begun to highlight a role for early appraisals and coping in promoting or preventing full recovery from PTEs, the exact nature of the relationships among appraisals, coping, and traumatic stress reactions as well as how appraisals and coping behaviors are influenced by the child's environment (e.g., parents) remains unclear; assessment tools that reach beyond self-report are needed to improve this understanding.
Objective: The objective of the current study is to describe the newly created Trauma Ambiguous Situations Tool (TAST; i.e., an observational child–parent interview and discussion task that allows assessment of appraisals, coping, and parent–child processes) and to report on initial feasibility and validation of TAST implemented with child–parent dyads in which children were exposed to a PTE.
Method: As part of a larger study on the role of biopsychosocial factors in posttraumatic stress reactions, children (aged 8–13) and parents (n=25 child–parent dyads) completed the TAST during the child's hospitalization for injury.
Results: Children and parents engaged well with the TAST. The time to administer the TAST was feasible, even in a peri-trauma context. The TAST solicited a wide array of appraisals (threat and neutral) and coping solutions (proactive and avoidant). Forced-choice and open-ended appraisal assessments provided unique information. The parent–child discussion portion of the TAST allowed for direct observation of parent–child processes and demonstrated parental influence on children's appraisals and coping solutions.
Conclusions: The TAST is a promising new research tool, which may help to explicate how parents influence their child's developing appraisals and coping solutions following a PTE. More research should examine the relationships of appraisals, coping, and parent–child processes assessed by the TAST with traumatic stress outcomes.
Document Type
Article
Publication Date
9-20-2016
Digital Object Identifier (DOI)
https://doi.org/10.3402/ejpt.v7.31879
Funding Information
This work was supported by a Mentored Career Award grant 1K23MH093618-01A1 from the National Institute of Mental Health.
Repository Citation
Marsac, Meghan L. and Kassam-Adams, Nancy, "A Novel Adaptation of a Parent-Child Observational Assessment Tool for Appraisals and Coping in Children Exposed to Acute Trauma" (2016). Pediatrics Faculty Publications. 216.
https://uknowledge.uky.edu/pediatrics_facpub/216
Notes/Citation Information
Published in European Journal of Psychotraumatology, v. 7, issue 1, 31879, p. 1-12.
© 2016 Meghan L. Marsac and Nancy Kassam-Adams
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