BACKGROUND Disaster studies establishing an association between parent and child disaster reactions usually discuss results in terms of the influence of parents on their children. This study explores a complementary interpretation of this association by focusing on the potential influence of children on their parents. METHODS Investigations of 5 disasters and terrorist events included a combined sample of 556 survivor parents and their 1,066 children. Structured diagnostic interviews were administered to survivor parents to obtain diagnostic assessment of pre- and post-disaster psychiatric disorders. Parent survivors also provided information about their own demographics and disaster experiences and about each child's demographics, disaster-related experiences, and disaster reactions (posttraumatic stress symptoms, behavior changes, increased school behavior problems, and decline in grades). RESULTS The results revealed an association of parent posttraumatic stress disorder with parent injury in the disaster, parent lifetime pre-disaster psychiatric disorder, parent direct exposure to disaster trauma, and each of 4 child disaster outcomes. CONCLUSIONS The analysis suggests the potential for child factors to influence survivors' reactions. Clinicians should query survivors about their children's reactions and ascertain the need for services for the children. Future research should examine the potential that children's reactions influence parent outcomes.

中文翻译：

---

父母报告的儿童灾难反应与灾难和恐怖主义的父母幸存者的创伤后应激障碍之间的关联

背景在父母和孩子的灾难反应之间建立关联的灾难研究通常讨论父母对孩子的影响方面的结果。本研究通过关注儿童对其父母的潜在影响，探索了对这种关联的补充解释。方法 对 5 起灾难和恐怖事件的调查包括 556 名幸存者父母及其 1,066 名儿童的综合样本。对幸存者父母进行结构化诊断访谈，以获得对灾前和灾后精神疾病的诊断评估。父母幸存者还提供了有关他们自己的人口统计数据和灾难经历以及每个孩子的人口统计数据、与灾难相关的经历和灾难反应（创伤后压力症状、行为改变、学校行为问题增加，成绩下降）。结果 结果显示，父母创伤后应激障碍与父母在灾难中的伤害、父母一生的灾前精神障碍、父母直接暴露于灾难创伤以及 4 种儿童灾难结果中的每一种都存在关联。结论 分析表明儿童因素可能影响幸存者的反应。临床医生应询问幸存者关于他们孩子的反应，并确定为孩子提供服务的需求。未来的研究应该检查儿童的反应影响父母结果的可能性。父母一生的灾前精神障碍，父母直接暴露于灾难创伤，以及 4 种儿童灾难结果中的每一种。结论 分析表明儿童因素可能影响幸存者的反应。临床医生应询问幸存者关于他们孩子的反应，并确定为孩子提供服务的需求。未来的研究应该检查儿童的反应影响父母结果的可能性。父母一生的灾前精神障碍，父母直接暴露于灾难创伤，以及 4 种儿童灾难结果中的每一种。结论 分析表明儿童因素可能影响幸存者的反应。临床医生应询问幸存者关于他们孩子的反应，并确定为孩子提供服务的需求。未来的研究应该检查儿童的反应影响父母结果的可能性。