A novel multifamily treatment targeting symptoms related to Latinx caregiver deportation.

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-08-01 Epub Date: 2023-02-02 DOI:10.1037/tra0001379
David Hoskins, Martha Hernández, Amy Pérez, Lauren Spampinato, Peggy Tahir, Tai Chang
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Abstract

Objective: Latinx youth who have experienced caregiver deportation show higher rates of posttraumatic stress disorder (PTSD) and internalizing symptoms compared to Latinx youth who have not. Thus, there is a need for culturally and linguistically appropriate therapeutic approaches to address psychiatric needs related to caregiver deportation. Positive Adaptations for Trauma and Healing (PATH) is a manualized 10-week group therapy for Latinx youth and their caregivers that integrates trauma-informed interventions with positive psychology and resilience interventions. The present study examined PATH for reducing trauma symptomatology for Latinx youth who endured at least three traumatic experiences in their caregiving system as well as differences for Latinx youth who experienced their caregiver's deportation.

Method: Self-identified Latinx youth (N = 31) and their Spanish-speaking caregivers were recruited from two urban hospitals. All youth experienced three or more traumatic events. Pre- to postintervention mean change was measured with t tests; mixed-effects analysis of variance assessed whether the program was feasible for youth who had experienced a caregiver deportation versus Latinx youth who did not.

Results: Assessment with the Trauma Symptom Checklist and the UCLA PTSD Index for Youth showed statistically significant reductions on Anxiety, Depression, Anger, and PTSD subscales. Latinx youth who experienced a caregiver's deportation exhibited larger reductions in anger symptoms and PTSD symptoms.

Conclusion: Study results suggest that the novel group therapy intervention was feasible and acceptable for Latinx youth and their caregivers. Despite a small sample size, the intervention proved feasible for Latinx youth who experienced caregiver deportation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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针对拉美裔照顾者被驱逐出境相关症状的新型多家庭疗法。
目的:与没有经历过照顾者被驱逐出境的拉美裔青少年相比,经历过照顾者被驱逐出境的拉美裔青少年患创伤后应激障碍(PTSD)和内化症状的比例更高。因此,有必要采取文化和语言上适当的治疗方法,以满足与照顾者被驱逐出境有关的精神需求。创伤和愈合的积极适应(PATH)是一种针对拉美裔青少年及其照顾者的手册化 10 周小组疗法,它将创伤知情干预与积极心理学和复原力干预相结合。本研究考察了 PATH 在减少拉美裔青年创伤症状方面的作用,这些拉美裔青年在他们的照顾系统中至少经历了三次创伤经历,同时也考察了经历过照顾者被驱逐出境的拉美裔青年在这方面的差异:从两家城市医院招募了自我认同的拉丁裔青少年(31 人)及其讲西班牙语的照顾者。所有青少年都经历过三次或三次以上的创伤事件。干预前与干预后的平均变化通过t检验进行测量;混合效应方差分析评估了该计划对于经历过照顾者被驱逐出境的青少年与未经历过的拉美裔青少年是否可行:通过创伤症状检查表和加州大学洛杉矶分校青年创伤后应激障碍指数进行评估后发现,焦虑、抑郁、愤怒和创伤后应激障碍分量表都有统计学意义上的显著降低。经历过照顾者被驱逐出境的拉丁裔青少年在愤怒症状和创伤后应激障碍症状方面有更大的缓解:研究结果表明,新颖的团体治疗干预对拉美裔青少年及其照顾者来说是可行的,也是可以接受的。尽管样本量较小,但对于经历过照顾者被驱逐出境的拉美裔青少年来说,该干预措施证明是可行的。(PsycInfo Database Record (c) 2023 APA,保留所有权利)。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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