三种小组干预措施对智利遭受人际暴力青少年社会心理功能的影响:试点临床试验。

IF 3.4 2区 心理学 Q1 FAMILY STUDIES Child Abuse & Neglect Pub Date : 2024-10-08 DOI:10.1016/j.chiabu.2024.107073
Cristóbal Guerra , Emily P. Taylor , Valeria Arredondo
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引用次数: 0

摘要

背景:在智利,青少年遭受人际暴力(IPV)后对专科治疗的需求远远超过了医疗能力。小组干预可以改善青少年获得护理的机会:目的:评估两种低强度团体干预措施的有效性和可接受性:目的:评估两种低强度团体干预措施的有效性和可接受性:Trama 聚焦认知行为疗法 (TF-CBT);人际心理疗法 (IPT);常规治疗,基于艺术疗法的支持 (ATBS)。测量结果包括创伤后应激症状、抑郁、人际功能和情感调节:参与者为 67 名 13-17 岁的智利青少年,他们都是 IPV 的受害者,正在等待接受专业的个人干预:采用随机对照试验设计,参与者被随机分配到其中一种干预措施中。从基线到干预结束八周后的随访,在五个时间点完成自我报告测量。此外,还对辍学率和出勤率进行了分析:TF-CBT 显示创伤后应激障碍症状(d = 0.91)和抑郁症状(d = 0.77)显著下降,并在随访中保持不变,情感调节问题也比基线(d = 0.43)显著下降。IPT 表明创伤后应激障碍症状(d = 0.64)和情感调节问题(d = 0.66)明显减少,在随访中均保持不变。ATBS 在创伤后应激障碍症状(d = 0.79)和人际关系问题(d = 0.65)方面有明显的统计学下降,但只有创伤后应激障碍症状的变化在随访中得以持续。干预措施之间在辍学率和出勤率方面没有明显差异:小组干预为在高需求环境中减少遭受 IPV 青少年的心理困扰提供了可行且有效的第一阶段选择。通过家长和照顾者更积极的参与,干预效果可能会进一步提高。
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Effect of three group interventions on psychosocial functioning in adolescents exposed to interpersonal violence in Chile: A pilot clinical trial

Background

In Chile demand for specialist care following exposure to interpersonal violence (IPV) in youth far exceeds capacity. Group interventions may improve access to care for youth.

Objective

To evaluate the effectiveness and acceptability of two low-intensity group interventions: Trama Focused Cognitive Behavioral Therapy (TF-CBT); Interpersonal Psychotherapy (IPT); and treatment as usual, Art therapy-based support (ATBS). Outcomes measured were post-traumatic stress symptoms, depression, interpersonal functioning and affect regulation.
Participants and Setting.
Participants were 67 Chilean youth aged 13–17 years, victims of IPV on a waiting list to receive specialist individual intervention.

Methods

Using a randomised controlled trial design, participants were randomly assigned to one of the interventions. Self-report measures were completed at 5 timepoints between baseline and follow up eight weeks after intervention ended. Dropout rates and attendance were also analysed.

Results

TF-CBT showed significant decreases for PTSD (d = 0.91) and depression (d = 0.77) symptoms, sustained at follow-up with affect regulation problems also showing significant decrease from baseline (d = 0.43). IPT showed significant decreases in PTSD symptoms (d = 0.64) and affect regulation problems (d = 0.66), both sustained at follow-up. ATBS showed statistically significant decrease for PTSD (d = 0.79) and interpersonal problems (d = 0.65) but only change in PTSD was sustained at follow-up. There were no significant differences in dropout or attendance between the interventions.

Conclusion

Group interventions provide a viable and effective first-phase option for reducing psychological distress in IPV-exposed youth in high-demand contexts. Effectiveness may be further improved through the more active involvement of parents and carers.
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来源期刊
CiteScore
7.40
自引率
10.40%
发文量
397
期刊介绍: Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.
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