Kataoka Sheryl H, Stein Bradley D, Jaycox Lisa H, Wong Marleen, Escudero Pia, Tu Wenli, Zaragoza Catalina, Fink Arlene
University of California, Los Angeles, USA.
J Am Acad Child Adolesc Psychiatry. 2003 Mar;42(3):311-8. doi: 10.1097/00004583-200303000-00011.
To pilot-test a school mental health program for Latino immigrant students who have been exposed to community violence.
In this quasi-experimental study conducted from January through June 2000, 198 students in third through eighth grade with trauma-related depression and/or posttraumatic stress disorder symptoms were compared after receiving an intervention or being on a waitlist. The intervention consisted of a manual-based, eight-session, group cognitive-behavioral therapy (CBT) delivered in Spanish by bilingual, bicultural school social workers. Parents and teachers were eligible to receive psychoeducation and support services.
Students in the intervention group ( = 152) had significantly greater improvement in posttraumatic stress disorder and depressive symptoms compared with those on the waitlist ( = 47) at 3-month follow-up, adjusting for relevant covariates.
A collaborative research team of school clinicians, educators, and researchers developed this trauma-focused CBT program for Latino immigrant students and their families. This pilot test demonstrated that this program for traumatized youths, designed for delivery on school campuses by school clinicians, can be implemented and evaluated in the school setting and is associated with a modest decline in trauma-related mental health problems.
对一项针对遭受社区暴力的拉丁裔移民学生的学校心理健康项目进行试点测试。
在这项于2000年1月至6月进行的准实验研究中,对198名三至八年级有创伤相关抑郁和/或创伤后应激障碍症状的学生在接受干预或进入候补名单后进行了比较。干预措施包括由双语、双文化的学校社会工作者用西班牙语提供的基于手册的八节小组认知行为疗法(CBT)。家长和教师有资格接受心理教育和支持服务。
在3个月的随访中,对相关协变量进行调整后,干预组(n = 152)的学生在创伤后应激障碍和抑郁症状方面的改善明显大于候补名单上的学生(n = 47)。
一个由学校临床医生、教育工作者和研究人员组成的合作研究团队为拉丁裔移民学生及其家庭开发了这个以创伤为重点的CBT项目。这项试点测试表明,这个为受创伤青少年设计的、由学校临床医生在校园内实施的项目可以在学校环境中实施和评估,并且与创伤相关心理健康问题的适度减少有关。