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A systematic literature review of the relationship between parenting responses and child post-traumatic stress symptoms

Afzal, Nimrah; Ye, Siyan; Page, Amy CC; Trickey, David; Lyttle, Mark DD; Hiller, Rachel MM; Halligan, Sarah LL; (2023) A systematic literature review of the relationship between parenting responses and child post-traumatic stress symptoms. European Journal of Psychotraumatology , 14 (1) , Article 2156053. 10.1080/20008066.2022.2156053. Green open access

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Abstract

BACKGROUND: Parents are a key source of support for children exposed to single-incident/acute traumas and can thereby play a potentially significant role in children’s post-trauma psychological adjustment. However, the evidence base examining parental responses to child trauma and child posttraumatic stress symptoms (PTSS) has yielded mixed findings. OBJECTIVE: We conducted a systematic review examining domains of parental responding in relation to child PTSS outcomes. METHOD: Studies were included if they (1) assessed children (6-19 years) exposed to a potentially traumatic event, (2) assessed parental responses to a child’s trauma, and (3) quantitatively assessed the relationship between parental responses and child PTSS outcomes. A systematic search of three databases (APAPsycNet, PTSDpubs, and Web of Science) yielded 27 manuscripts. RESULTS: Parental overprotection, trauma communication, avoidance of trauma discussion and of trauma reminders, and distraction were consistently related to child PTSS. There was more limited evidence of a role for trauma-related appraisals, harsh parenting, and positive parenting in influencing child outcomes. Significant limitations to the evidence base were identified, including limited longitudinal evidence, single informant bias and small effect sizes. CONCLUSION: We conclude that key domains of parental responses could be potential intervention targets, but further research must validate the relationship between these parental responses and child PTSS outcomes.

Type: Article
Title: A systematic literature review of the relationship between parenting responses and child post-traumatic stress symptoms
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/20008066.2022.2156053
Publisher version: https://doi.org/10.1080/20008066.2022.2156053
Language: English
Additional information: © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: PTSD; child trauma; parent– child relationship; posttraumatic stress; parenting
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10162617
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