斯里兰卡自然灾害后受灾儿童的应对策略与心理调适研究

S. Senarath
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引用次数: 2

摘要

经历过灾难性灾难和事件的儿童表现出各种各样的创伤反应。在缺乏有效应对的情况下,对于创伤性事件可能会影响儿童的心理发展。本研究旨在探讨海啸对儿童及青少年创伤后应激反应的影响,评估儿童及青少年在心理干预后的心理调适及不同应对方式的变化。采用准实验的两组设计,采用前测和后测来确定儿童干预的成功程度。采用标准化测试《儿童应对问卷》(CCQ)对80名受海啸影响的儿童和青少年进行数据采集,实验组(EG) 40名,对照组(CG) 40名。为了促进心理健康,我们进行了为期三个月的心理干预,包括20个疗程。前测试结果(干预前)证明两组儿童在创伤后压力和应对策略之间存在关系。三次测量的双因素方差分析显示,EG组儿童的应对方式与CG组相比有所降低,消极应对有所改变。Amos模型预测分析还显示,与CG相比,EG儿童不需要努力应对创伤后压力。以问题为中心和寻求支持的应对量表,长期和稳定效果均失败,这意味着两组在社会支持和解决问题方面都需要更多的帮助。研究结果表明,为了两组儿童的健康,需要长期实施心理干预。
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A Study on the Affected Children’s Coping Strategies and Psychological Adjustments following a Natural Disaster in Sri Lanka
Children who experience catastrophic disasters and events show a wide range of trauma reactions. In the absence of effective coping, for traumatic events may affect psychological development of children. The objectives of this study were to examine the tsunami affected the children and adolescents, efforts in coping strategies mobilized to manage with posttraumatic stress after seven years of the tsunami 2004, to assess the psychological adjustment and to examine changes in different coping styles after the psychological intervention. A quasi-experimental, two-group design with a pre-test and post-test was conducted to determine success of the intervention in children. Data were collected from 80 children and adolescents being affected by the tsunami, with n=40 in the experimental group (EG) and n=40 in the control group (CG) using standardized test, Child Coping Questionnaire (CCQ). To facilitate psychological well-being, psychological intervention was implemented three months including twenty sessions. Pre-test results (prior to intervention) proved both groups of children had relationship between posttraumatic stress and coping strategies. Two ways ANOVA with three measurement times showed that EG children’s coping styles were decreased and changed the negative coping in contrast to the CG. The Amos’ model predictive analysis also showed EG children were not required efforts to cope with posttraumatic stress in compared to the CG. Problem-focused and support- seeking coping scales, long-term and stabilization effects were failed, this means both groups need more help in social support and to solve their problems. The findings suggested that psychological intervention need to be implemented in long-term for the both group children’s well-being.
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