Diab Marwan, Peltonen Kirsi, Qouta Samir R, Palosaari Esa, Punamäki Raija-Leena
University of Tampere, Finland; Gaza Community Mental Health Programme, Gaza, Palestine.
University of Tampere, Finland.
Child Abuse Negl. 2015 Feb;40:24-35. doi: 10.1016/j.chiabu.2014.12.002. Epub 2014 Dec 20.
The study examines, first, the effectiveness of a psychosocial intervention based on Teaching Recovery Techniques (TRT) to increase resiliency among Palestinian children, exposed to a major trauma of war. Second, it analyses the role of family factors (maternal attachment and family atmosphere) as moderating the intervention impacts on resilience. School classes in Gaza were randomized into intervention (N=242) and control (N=240) groups. The percentage of girls (49.4%) and boys (50.6%) were equal, and the child age was 10-13 years in both groups. Children reported positive indicators of their mental health (prosocial behaviour and psychosocial well-being) at baseline (T1), post-intervention (T2) and at a six-month follow-up (T3). At T1 they accounted their exposure to war trauma. Mothers reported about their willingness to serve as an attachment figure, and the child reported about the family atmosphere. Resilience was conceptualized as a presence of positive indications of mental health despite trauma exposure. Against our hypothesis, the intervention did not increase the level of resilience statistically significantly, nor was the effect of the intervention moderated by maternal attachment responses or family atmosphere.
该研究首先考察了基于康复技巧教学（TRT）的心理社会干预措施在增强遭受重大战争创伤的巴勒斯坦儿童恢复力方面的有效性。其次，分析了家庭因素（母亲依恋和家庭氛围）在调节干预对恢复力影响方面的作用。加沙地区的学校班级被随机分为干预组（N = 242）和对照组（N = 240）。两组中女孩（49.4%）和男孩（50.6%）的比例相等，儿童年龄均为10 - 13岁。儿童在基线期（T1）、干预后（T2）和六个月随访期（T3）报告了其心理健康的积极指标（亲社会行为和心理社会幸福感）。在T1时，他们讲述了自己遭受战争创伤的情况。母亲们报告了她们作为依恋对象的意愿，儿童则报告了家庭氛围。恢复力被概念化为尽管遭受创伤但仍存在心理健康积极指标的情况。与我们的假设相反，该干预在统计学上并未显著提高恢复力水平，干预效果也未因母亲的依恋反应或家庭氛围而得到调节。
