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Evaluating referral, screening, and assessment procedures for middle school trauma/grief-focused treatment groups. 评估中学创伤/悲伤治疗小组的转诊、筛选和评估程序。
Stevie N Grassetti, Ariel A Williamson, Joanna Herres, Roger Kobak, Christopher M Layne, Julie B Kaplow, Robert S Pynoos

There is a need to delineate best practices for referring, assessing, and retaining students suspected of posttraumatic stress (PTS) and maladaptive grief (MG) in school-based treatment. Evidence-based risk-screening procedures should accurately include students who are appropriate for group treatment and exclude students who do not require treatment or who are better served by other forms of intervention and support. We described and evaluated the sequence of steps used to screen 7th- and 8th-grade students (N = 89) referred by school staff as candidates for an open trial of group-based Trauma and Grief Component Therapy for Adolescents (TGCTA; Saltzman et al., in press). We used t tests to compare included versus excluded students on PTS symptom and MG reaction scores (University of California at Los Angeles Posttraumatic Stress Disorder Reaction Index; Grief Screening Scale) during the group screen, individual interview, and treatment-implementation phases. Logistic regressions tested the incremental utility of including measures of both trauma exposure and related emotional and conduct problems (Strengths and Difficulties Questionnaire) in the screening battery. Results suggest that the group screen helped to detect mental health needs and that the individual interview further identified students with PTS and emotional problems. Conduct problems and trauma exposure predicted attrition among students who qualified for treatment. MG incrementally predicted students who advanced from the group screening to the individual interview, and trauma exposure incrementally predicted attrition from treatment. Findings yield implications for improving research and practice, including procedures for enhancing school-based referral, screening, assessment, and selection procedures. (PsycINFO Database Record

有必要描述在学校治疗中转诊、评估和留住疑似创伤后应激(PTS)和适应不良悲伤(MG)的学生的最佳做法。基于证据的风险筛查程序应准确地包括适合团体治疗的学生,排除不需要治疗或通过其他形式的干预和支持更好地服务的学生。我们描述并评估了筛选七年级和八年级学生(N = 89)的步骤序列,这些学生被学校工作人员推荐为青少年群体创伤和悲伤成分治疗(TGCTA;Saltzman等人,出版中)。我们使用t检验比较入选和未入选学生的PTS症状和MG反应评分(加州大学洛杉矶分校创伤后应激障碍反应指数;悲伤筛选量表)在小组筛选,个人访谈和治疗-实施阶段。Logistic回归检验了将创伤暴露和相关情绪和行为问题(优势和困难问卷)纳入筛选组的增量效用。结果表明,小组筛选有助于发现心理健康需求,而个人访谈进一步确定了患有PTS和情绪问题的学生。行为问题和创伤暴露预示着有资格接受治疗的学生的流失。MG逐渐预测了从小组筛选到个人面试的学生,创伤暴露逐渐预测了治疗的损耗。研究结果对改进研究和实践具有启示意义,包括加强校本转诊、筛选、评估和选择程序。(PsycINFO数据库记录
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引用次数: 8
Statewide implementation of an evidence-based trauma intervention in schools. 全州范围内在学校实施循证创伤干预。
Sharon A Hoover, Heather Sapere, Jason M Lang, Erum Nadeem, Kristin L Dean, Pamela Vona

The goal of the current article is to describe the implementation and outcomes of an innovative statewide dissemination approach of the evidence-based trauma intervention Cognitive Behavioral Intervention for Trauma in Schools (CBITS). In the context of a 2-year statewide learning collaborative effort, 73 CBITS groups led by 20 clinicians from 5 different school-based mental health provider organizations served a total of 350 racially and ethnically diverse (66.9% Hispanic, 26.2% Black/African American, 43.7% White, and 30.1% Other), majority female (61%) children, averaging 12.2 years (SD = 2.4, range 8-19). Of the 350 children who began CBITS, 316 (90.3%) successfully completed treatment. Children demonstrated significant reductions in child posttraumatic stress disorder (PTSD) symptoms (42% reduction, d = .879) and problem severity (25% reduction, d = .396), and increases in child functioning, t(287) = -3.75, p < .001 (5% increase, d = .223). Findings point to the need, feasibility, and positive impact of implementing and scaling up school-based interventions for students suffering from posttraumatic stress. (PsycINFO Database Record

本文的目的是描述一种基于证据的创伤干预认知行为干预学校创伤(CBITS)的创新全州传播方法的实施和结果。在一项为期2年的全州学习合作项目中,由来自5个不同学校心理健康提供者组织的20名临床医生领导的73个CBITS小组共服务了350名不同种族和民族的儿童(66.9%西班牙裔,26.2%黑人/非裔美国人,43.7%白人和30.1%其他),其中大多数是女性儿童(61%),平均年龄为12.2岁(SD = 2.4,范围8-19)。在350名开始CBITS治疗的儿童中,316名(90.3%)成功完成治疗。儿童创伤后应激障碍(PTSD)症状显著减轻(减轻42%,d = 0.879),问题严重程度显著减轻(减轻25%,d = 0.396),儿童功能显著改善,t(287) = -3.75, p < 0.001(增加5%,d = 0.223)。研究结果指出了实施和扩大针对创伤后应激学生的学校干预的必要性、可行性和积极影响。(PsycINFO数据库记录
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引用次数: 57
Multidimensional assessment of self-regulated learning with middle school math students. 中学数学学生自主学习的多维评价。
Gregory L Callan, Timothy J Cleary

This study examined the convergent and predictive validity of self-regulated learning (SRL) measures situated in mathematics. The sample included 100 eighth graders from a diverse, urban school district. Four measurement formats were examined including, 2 broad-based (i.e., self-report questionnaire and teacher ratings) and 2 task-specific measures (i.e., SRL microanalysis and behavioral traces). Convergent validity was examined across task-difficulty, and the predictive validity was examined across 3 mathematics outcomes: 2 measures of mathematical problem solving skill (i.e., practice session math problems, posttest math problems) and a global measure of mathematical skill (i.e., standardized math test). Correlation analyses were used to examine convergent validity and revealed medium correlations between measures within the same category (i.e., broad-based or task-specific). Relations between measurement classes were not statistically significant. Separate regressions examined the predictive validity of the SRL measures. While controlling all other predictors, a SRL microanalysis metacognitive-monitoring measure emerged as a significant predictor of all 3 outcomes and teacher ratings accounted for unique variance on 2 of the outcomes (i.e., posttest math problems and standardized math test). Results suggest that a multidimensional assessment approach should be considered by school psychologists interested in measuring SRL. (PsycINFO Database Record

本研究考察了数学自我调节学习(SRL)测试的收敛效度和预测效度。样本包括100名来自不同城市学区的八年级学生。我们研究了四种测量格式,包括两种基础广泛的(即自我报告问卷和教师评分)和两种任务特定的测量方法(即SRL微观分析和行为痕迹)。在任务难度中检验收敛效度,在3个数学结果中检验预测效度:2个数学问题解决能力测量(即练习阶段数学问题,测试后数学问题)和一个数学技能的整体测量(即标准化数学测试)。相关分析用于检查收敛效度,并揭示了同一类别(即基础广泛或特定任务)内测量之间的中等相关性。测量类别之间的关系无统计学意义。独立回归检验了SRL测量的预测有效性。在控制所有其他预测因素的同时,SRL微分析元认知监测措施成为所有3个结果的重要预测因素,教师评分在2个结果(即测试后数学问题和标准化数学测试)上占唯一方差。研究结果表明,学校心理学家应考虑采用一种多维度的评估方法来测量学生的SRL。(PsycINFO数据库记录
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引用次数: 42
Individual versus peer grit: Influence on later individual literacy achievement of dual language learners. 个体与同伴毅力:对双语学习者后期个人读写成绩的影响。
Colleen R O'Neal

The objective of this short-term longitudinal study was to examine individual versus classroom peer effects of grit on later individual literacy achievement in elementary school. The dual language learner, largely Latina/o sample included students from the 3rd through the 5th grades. Participants completed a literacy achievement performance task at 3 time points over 4 months, in addition to student-reported grit at the first time point. Classroom peer grit, not individual grit, was a strong, significant predictor of an individual's later literacy achievement, adjusting for previous literacy achievement, age, gender, home language, and classroom clusters. (PsycINFO Database Record

本短期纵向研究的目的是考察毅力对小学后期个人读写成绩的个体与课堂同伴的影响。双语学习者,主要是拉丁裔/非拉丁裔样本,包括三年级到五年级的学生。除了学生在第一个时间点报告的毅力外,参与者还在四个月内的三个时间点完成了一项识字成就表现任务。在调整了之前的读写能力、年龄、性别、家庭语言和课堂分组后,课堂同伴的毅力,而不是个人的毅力,是个人以后读写能力成就的强有力的、显著的预测因子。(PsycINFO数据库记录
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引用次数: 8
Concurrent validity and sensitivity to change of Direct Behavior Rating Single-Item Scales (DBR-SIS) within an elementary sample. 直接行为评定单项量表(DBR-SIS)在基本样本内的并发效度和对变化的敏感性。
Rhonda L Smith, Katie Eklund, Stephen P Kilgus

The purpose of this study was to evaluate the concurrent validity, sensitivity to change, and teacher acceptability of Direct Behavior Rating single-item scales (DBR-SIS), a brief progress monitoring measure designed to assess student behavioral change in response to intervention. Twenty-four elementary teacher-student dyads implemented a daily report card intervention to promote positive student behavior during prespecified classroom activities. During both baseline and intervention, teachers completed DBR-SIS ratings of 2 target behaviors (i.e., Academic Engagement, Disruptive Behavior) whereas research assistants collected systematic direct observation (SDO) data in relation to the same behaviors. Five change metrics (i.e., absolute change, percent of change from baseline, improvement rate difference, Tau-U, and standardized mean difference; Gresham, 2005) were calculated for both DBR-SIS and SDO data, yielding estimates of the change in student behavior in response to intervention. Mean DBR-SIS scores were predominantly moderately to highly correlated with SDO data within both baseline and intervention, demonstrating evidence of the former's concurrent validity. DBR-SIS change metrics were also significantly correlated with SDO change metrics for both Disruptive Behavior and Academic Engagement, yielding evidence of the former's sensitivity to change. In addition, teacher Usage Rating Profile-Assessment (URP-A) ratings indicated they found DBR-SIS to be acceptable and usable. Implications for practice, study limitations, and areas of future research are discussed. (PsycINFO Database Record

本研究的目的是评估直接行为评定单条目量表(DBR-SIS)的并发效度、变化敏感性和教师接受度,DBR-SIS是一种简短的进度监测量表,旨在评估学生对干预的行为改变。24名小学师生对在预先设定的课堂活动中实施每日成绩单干预,以促进学生的积极行为。在基线和干预期间,教师完成了两项目标行为(即学业投入和破坏性行为)的DBR-SIS评分,而研究助理则收集了与这些行为相关的系统直接观察(SDO)数据。五个变化指标(即绝对变化、基线变化百分比、改善率差异、Tau-U和标准化平均差异);Gresham, 2005)对DBR-SIS和SDO数据进行了计算,得出了对干预后学生行为变化的估计。平均DBR-SIS评分在基线和干预期间与SDO数据显著中至高度相关,证明了前者的并发效度。在破坏性行为和学术参与方面,DBR-SIS变化度量也与SDO变化度量显著相关,证明了前者对变化的敏感性。此外,教师使用评级档案评估(URP-A)评级表明,他们发现DBR-SIS是可接受的和可用的。对实践的启示,研究的局限性和未来的研究领域进行了讨论。(PsycINFO数据库记录
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引用次数: 20
At what cost? Examining the cost effectiveness of a universal social-emotional learning program. 代价是什么?考察一个通用的社会情感学习项目的成本效益。
Leah J Hunter, James C DiPerna, Susan Crandall Hart, Max Crowley

Although implementation of universal social-emotional learning programs is becoming more common in schools, few studies have examined the cost-effectiveness of such programs. As such, the purpose of this article is two fold. First, we provide an overview of cost-effectiveness methods for school-based programs, and second, we share results of a cost-effectiveness analysis (CEA) of a universal social-emotional learning (SEL) program, the Social Skills Improvement System-Classwide Intervention Program (SSIS-CIP; Elliott & Gresham, 2007). Specifically, we compared the cost-effectiveness of SSIS-CIP implementation across first- and second-grade classrooms, and results indicated that second grade is the more cost-effective option for implementing the SSIS-CIP. Several considerations are discussed regarding cost-effectiveness analysis of universal SEL programs as well as the importance of using CEA results to inform programming decisions. (PsycINFO Database Record

虽然普遍的社会情感学习课程在学校的实施变得越来越普遍,但很少有研究调查了这些课程的成本效益。因此,本文的目的是双重的。首先,我们概述了以学校为基础的项目的成本效益方法,其次,我们分享了一个普遍的社会情感学习(SEL)项目的成本效益分析(CEA)结果,即社会技能改善系统-班级干预项目(SSIS-CIP;Elliott & Gresham, 2007)。具体来说,我们比较了一年级和二年级教室实施SSIS-CIP的成本效益,结果表明二年级是实施SSIS-CIP的更具成本效益的选择。讨论了关于通用SEL计划的成本效益分析的几个考虑因素,以及使用CEA结果来通知规划决策的重要性。(PsycINFO数据库记录
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引用次数: 21
Implementing the Bounce Back trauma intervention in urban elementary schools: A real-world replication trial. 在城市小学实施反弹创伤干预:一项真实世界的复制试验。
Catherine DeCarlo Santiago, Tali Raviv, Anna Maria Ros, Stephanie K Brewer, Laura M L Distel, Stephanie A Torres, Anne K Fuller, Krystal M Lewis, Claire A Coyne, Colleen Cicchetti, Audra K Langley

The current study provides the first replication trial of Bounce Back, a school-based intervention for elementary students exposed to trauma, in a different school district and geographical area. Participants in this study were 52 1st through 4th graders (Mage = 7.76 years; 65% male) who were predominately Latino (82%). Schools were randomly assigned to immediate treatment or waitlist control. Differential treatment effects (Time × Group Interaction) were found for child-reported posttraumatic stress disorder (PTSD) and parent-reported child coping, indicating that the immediate treatment group showed greater reductions in PTSD and improvements in coping compared with the delayed group. Differential treatment effects were not significant for depression or anxiety. Significant maintenance effects were found for both child-reported PTSD and depression as well as parent-reported PTSD and coping for the immediate treatment group at follow-up. Significant treatment effects were also found in the delayed treatment group, showing reductions in child-reported PTSD, depression, and anxiety as well as parent-reported depression and coping upon receiving treatment. In conclusion, the current study suggests that Bounce Back is an effective intervention for reducing PTSD symptoms and improving coping skills, even among a sample experiencing high levels of trauma and other ongoing stressors. (PsycINFO Database Record

本研究首次在不同的学区和地理区域进行了“反弹”(Bounce Back)的复制试验,这是一项针对遭受创伤的小学生的校本干预措施。本研究的参与者为52名一年级至四年级学生(年龄= 7.76;65%男性),主要是拉丁裔(82%)。学校被随机分配到立即治疗组和候补组。在儿童报告的创伤后应激障碍(PTSD)和家长报告的儿童应对方面发现差异治疗效果(时间×组交互作用),表明与延迟治疗组相比,立即治疗组在PTSD和应对方面表现出更大的减少和改善。对抑郁和焦虑的差异治疗效果不显著。在随访中,儿童报告的PTSD和抑郁以及家长报告的PTSD和应对方面均发现了显著的维持效应。延迟治疗组也发现了显著的治疗效果,在接受治疗后,儿童报告的创伤后应激障碍、抑郁和焦虑以及父母报告的抑郁和应对能力都有所减少。总之,目前的研究表明,即使在经历高水平创伤和其他持续压力源的样本中,Bounce Back也是一种有效的干预措施,可以减少创伤后应激障碍的症状,提高应对技能。(PsycINFO数据库记录
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引用次数: 22
Why classroom climate matters for children high in anxious solitude: A study of differential susceptibility. 为什么教室氛围对高焦虑孤独儿童很重要:一项差异敏感性的研究。
Kathleen Hughes, Robert J Coplan

The goal of the current study was to examine the complex links among anxious solitude, classroom climate, engagement, achievement, and gender. In particular, drawing upon the differential susceptibility hypothesis (Belsky, 1997), we investigated if children high in anxious solitude were particularly sensitive and responsive to the classroom environment. Participants were N = 712 children in Grade 3, drawn from the National Institute of Child and Human Development (NICHD) Study of Early Child Care and Youth Development data set. Classroom climate and engagement were assessed using the Classroom Observation Scale (NICHD, 1998). Teachers completed the Teacher Report Form (Achenbach, 1991) as a measure of anxious solitude and the Academic Rating Scale (NICHD, 2010) as a measure of achievement. Hypothesized associations among variables were tested by way of a moderated-mediation model. Among the results, engagement was found to mediate the relation between classroom climate and achievement. In addition, anxious solitude and gender were found to moderate the relation between classroom climate and engagement. Support for the differential susceptibility hypothesis was found, suggesting that children high in anxious solitude may be more reactive (both positively and negatively) to elements of the classroom environment. In addition, gender differences were observed, indicating that boys may be more responsive to the classroom environment as compared with girls. Implications for future research and educational policies are discussed. (PsycINFO Database Record

当前研究的目的是检验焦虑孤独、课堂气氛、参与、成就和性别之间的复杂联系。特别是,根据差异易感性假说(Belsky, 1997),我们调查了焦虑孤独程度高的儿童是否对课堂环境特别敏感和敏感。参与者为712名三年级儿童,来自国家儿童与人类发展研究所(NICHD)早期儿童保育和青少年发展研究数据集。使用课堂观察量表(NICHD, 1998)评估课堂气氛和参与度。教师完成教师报告表(Achenbach, 1991)作为焦虑孤独的衡量标准,完成学术评定量表(NICHD, 2010)作为成就的衡量标准。变量之间的假设关联通过调节中介模型进行检验。结果发现,参与在课堂气氛和成就之间起中介作用。此外,焦虑性孤独和性别对课堂气氛和投入之间的关系有调节作用。对差异敏感性假说的支持被发现,这表明焦虑孤独程度高的孩子可能对课堂环境的元素更有反应(积极和消极)。此外,性别差异也被观察到,这表明与女孩相比,男孩可能对课堂环境更敏感。讨论了对未来研究和教育政策的影响。(PsycINFO数据库记录
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引用次数: 23
A comparative analysis of family adaptability and cohesion ratings among traumatized urban youth. 城市创伤青少年家庭适应能力与凝聚力的比较分析。
Alessandro Bellantuono, Philip A Saigh, Katherine Durham, Constance Dekis, Dusty Hackler, Leah A McGuire, Anastasia E Yasik, Phill V Halamandaris, Richard A Oberfield

Objective: Given the need to identify psychological risk factors among traumatized youth, this study examined the family functioning of traumatized youth with or without PTSD and a nonclinical sample.

Method: The Family Adaptability and Cohesion Evaluation Scales, second edition (FACES II; Olson, Portner, & Bell, 1982), scores of youth with posttraumatic stress disorder (PTSD; n = 29) were compared with the scores of trauma-exposed youth without PTSD (n = 48) and a nontraumatized comparison group (n = 44). Child diagnostic interviews determined that all participants were free of major comorbid disorders.

Results: The FACES II scores of the participants with PTSD were not significantly different from the scores of trauma-exposed youth without PTSD and the nontraumatized comparison group. FACES II scores were also not significantly different between the trauma-exposed youth without PTSD and the nontraumatized comparison group.

Conclusions: PTSD and trauma-exposure without PTSD were not associated with variations in the perception of family functioning as measured by the FACES II. (PsycINFO Database Record

目的:考虑到有必要确定创伤青年的心理风险因素,本研究考察了有或没有创伤后应激障碍的创伤青年和非临床样本的家庭功能。方法:《家庭适应性与凝聚力评价量表》(FACES II)第二版;Olson, Portner, & Bell, 1982),创伤后应激障碍(PTSD;n = 29)与创伤暴露青年(n = 48)和非创伤对照组(n = 44)的得分进行比较。儿童诊断访谈确定所有参与者均无主要合并症。结果:创伤后应激障碍被试的face II得分与创伤暴露青年无创伤后应激障碍和无创伤对照组的得分无显著差异。无创伤后应激障碍的创伤暴露青年与无创伤对照组的FACES II得分也无显著差异。结论:创伤后应激障碍和创伤暴露无创伤后应激障碍与面孔II测量的家庭功能感知的变化无关。(PsycINFO数据库记录
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引用次数: 0
A systematic review of trauma screening measures for children and adolescents. 对儿童和青少年创伤筛查措施的系统回顾。
Katie Eklund, Eric Rossen, Taylor Koriakin, Sandra M Chafouleas, Cody Resnick

Traumatized youth are at an increased risk of a host of negative academic and psychoeducational outcomes. Screening and identification of students who experience potentially traumatic events may help schools provide support to at-risk students. In light of this, the current study examines the availability and use of trauma screening measures to detect early indicators of risk among youth in schools. A systematic review was conducted to identify measures available to screen children and youth for trauma exposure and/or symptoms, as well as the associated psychometric properties to support each instrument's applied use in schools. Eighteen measures met inclusion criteria, which consisted primarily of student self-report rating scales and clinical interviews. While many instruments measure the symptomology or exposure to trauma among children and youth, very little psychometric evidence was available to support the use of these measures in schools. Additional research is needed to endorse and expand the use of trauma screening measures in schools. (PsycINFO Database Record

受到心理创伤的青少年在学业和心理教育方面的负面结果的风险增加。筛选和识别经历潜在创伤事件的学生可能有助于学校为有风险的学生提供支持。鉴于此,目前的研究调查了创伤筛查措施的可用性和使用情况,以发现学校青少年的早期风险指标。进行了一项系统审查,以确定可用于筛查儿童和青少年创伤暴露和/或症状的措施,以及相关的心理测量特性,以支持每种工具在学校中的应用。18项措施符合纳入标准,主要包括学生自我报告评定量表和临床访谈。虽然有许多工具可以测量儿童和青少年的症状或暴露于创伤,但很少有心理测量学证据可以支持在学校中使用这些措施。需要更多的研究来支持和扩大在学校使用创伤筛查措施。(PsycINFO数据库记录
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引用次数: 52
期刊
School psychology quarterly : the official journal of the Division of School Psychology, American Psychological Association
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