Parent –Child Discordance and Child Trauma Symptomatology Throughout Therapy: Correlates and Treatment Response
This study examined parent –child discordance in relation to children’s trauma symptoms and therapy outcomes. Participants included 96 trauma-exposed children and their caregivers, who received Trauma-Focused Cognitive Behavioural Therapy. Discordance was calculated using absolute difference scores between child- and pare nt- reported psychological symptoms. Parent–child discordance, calculated at pre-therapy, post-therapy, and at a six-month follow-up, predicted the severity of children’s posttraumatic stress, dissociation, and internalizing and externalizing difficulties at each respective time-point. Pre-thera py discordance predicted improvements in externalizing behaviours after therapy and at follow-up. Improvements in discordance predicted improvements in trauma-specific symptoms over the course of treatment and at follow-up. The findings underscore how changes in parent–child discordance are relate d to child trauma symptoms and treatment response. Clinical implications and future directions are discussed.
Source: Journal of Family Violence - Category: Psychiatry & Psychology Source Type: research