The Effectiveness of Trauma-Informed Parenting Programs for Traumatized Parents and Their Components: A Meta-Analytic Study.

IF 5.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Clinical Child and Family Psychology Review Pub Date : 2024-10-27 DOI:10.1007/s10567-024-00503-5
Amy Yinan Liu, Jeanne Gubbels, Bram Orobio de Castro
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Abstract

Parents who have been exposed to trauma face distinct challenges in parenting that can lead to negative child developmental outcomes and intergenerational transmission of trauma. Parenting programs for traumatized parents seem promising, but the existing evidence on their effectiveness has not yet been synthesized. This study aimed to examine the overall effect of trauma-informed parenting programs on (a) parenting and (b) parental mental health outcomes by conducting two three-level meta-analyses. Moderator analyses were performed to identify whether program components, delivery techniques, and other study and program characteristics were associated with effectiveness. A literature search conducted up to August 2024 yielded 15 studies reporting on 110 effect sizes. Significant overall effects were found of trauma-informed parenting programs on both parenting outcomes (d = 0.75, 95% CIs = [0.09, 1.15], p = .027) and parental mental health outcomes (d = 0.21, 95% CIs = [0.09, 0.32], p < .001). The first meta-analysis on parenting found no significant moderators, while the second meta-analysis on parental mental health indicated that programs emphasizing child disciplining skills yielded smaller effects (d = 0.04) compared to programs without this component (d = 0.31). Programs using modeling techniques yielded larger effects (d = 0.32) compared to programs without (d = 0.14). Larger program effects on parental mental health were also found for programs with longer durations and when individual sessions were used. Thus, evidence supports the effectiveness of trauma-informed parenting programs in improving parenting and reducing parental mental health problems.

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针对受创伤父母及其子女的创伤感知育儿计划的有效性:一项元分析研究。
遭受过心理创伤的父母在养育子女方面面临着独特的挑战,这可能会导致不良的儿童发展结果和心理创伤的代际传播。针对受过创伤的父母的亲职教育项目似乎很有前景,但有关其有效性的现有证据尚未得到综合。本研究旨在通过进行两个三级荟萃分析,考察创伤知情亲职教育项目对(a)亲职教育和(b)父母心理健康结果的总体影响。此外,还进行了调节因素分析,以确定计划的组成部分、实施技术以及其他研究和计划特征是否与有效性相关。截至 2024 年 8 月的文献检索结果显示,有 15 项研究报告了 110 个效应大小。研究发现,创伤知情养育计划对养育结果(d = 0.75,95% CIs = [0.09,1.15],p = .027)和父母心理健康结果(d = 0.21,95% CIs = [0.09,0.32],p = .027)均有显著的整体效果。
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来源期刊
CiteScore
10.50
自引率
4.30%
发文量
45
期刊介绍: Editors-in-Chief: Dr. Ronald J. Prinz, University of South Carolina and Dr. Thomas H. Ollendick, Virginia Polytechnic Institute Clinical Child and Family Psychology Review is a quarterly, peer-reviewed journal that provides an international, interdisciplinary forum in which important and new developments in this field are identified and in-depth reviews on current thought and practices are published. The Journal publishes original research reviews, conceptual and theoretical papers, and related work in the broad area of the behavioral sciences that pertains to infants, children, adolescents, and families. Contributions originate from a wide array of disciplines including, but not limited to, psychology (e.g., clinical, community, developmental, family, school), medicine (e.g., family practice, pediatrics, psychiatry), public health, social work, and education. Topical content includes science and application and covers facets of etiology, assessment, description, treatment and intervention, prevention, methodology, and public policy. Submissions are by invitation only and undergo peer review. The Editors, in consultation with the Editorial Board, invite highly qualified experts to contribute original papers on topics of timely interest and significance.
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