@article{ref1,
title="The influence of family environment on dissociation in pediatric injury patients",
journal="Clinical child psychology and psychiatry",
year="2011",
author="Nugent, Nicole R. and Sledjeski, Eve M. and Christopher, Norman C. and Delahanty, Douglas L.",
volume="16",
number="4",
pages="485-497",
abstract="Emerging support for the roles of both early trauma and family environment in the development of dissociative symptomatology is complicated by the frequent co-occurrence of dysfunctional family environments and childhood maltreatment. The present investigation prospectively examined the influence of family environment on dissociative symptom course in 82 youths (8-18 years) who experienced accidental injury. The primary caretaker reported on six-week family environment (including family cohesion and adaptability) and on youth symptoms of dissociation prior to injury at six weeks and at six months; dissociation prior to injury was assessed via retrospective parent account at the six-week timepoint. Adolescents (aged 11-18) also reported on their own dissociative symptoms at six weeks. Latent growth modeling indicated that youth in more cohesive family environments evidenced decreased symptoms of dissociation at the six-week intercept (z = -2.80). Furthermore, parent income was negatively related to symptoms of dissociation at intercept (z = -1.96) and parent education was associated with a decrease in youth dissociation symptoms over time (z = -2.57). The present findings provide support for the importance of acute family environment in pediatric post-injury adjustment and further highlight the importance of parent resources, including income and education, in post-injury adjustment.<p /> <p>Language: en</p>",
language="en",
issn="1359-1045",
doi="10.1177/1359104511406487",
url="http://dx.doi.org/10.1177/1359104511406487"
}