Murphy Anne, Steele Howard, Bate Jordan, Nikitiades Adella, Allman Brooke, Bonuck Karen, Meissner Paul, Steele Miriam
Children's Evaluation and Rehabilitation Center, Departments of Pediatrics (Dr Murphy and Ms Allman) and Family and Social Medicine (Dr Bonuck), Albert Einstein College of Medicine, New York City, New York; Psychology Department, The New School for Social Research, New York City, New York (Drs H. Steele and M. Steele, Ms Bate, and Ms Nikitiades); and Department of Family and Social Medicine, Montefiore Medical Center, Bronx, New York (Mr Meissner).
Fam Community Health. 2015 Jul-Sep;38(3):268-79. doi: 10.1097/FCH.0000000000000074.
This article outlines the main premises of an innovative trauma-informed intervention, group attachment-based intervention, specifically developed to target vulnerable families with infants and toddlers, living in one of the poorest urban counties in the nation. It also reports on the trauma-relevant characteristics of 60 families entering a clinical trial to study the effectiveness of Group Attachment-Based Intervention. Initial survey results revealed high levels of neglect, abuse, and household dysfunction in mothers' histories (77% reported ≥4 adverse childhood experiences, with more than 90% reporting 2 or more current toxic stressors, including poverty, obesity, domestic and community violence, and homelessness).
本文概述了一种创新的创伤知情干预措施——基于群体依恋的干预措施的主要前提，该措施是专门为针对居住在该国最贫困城市县之一、有婴幼儿的弱势家庭而开发的。它还报告了60个参与临床试验以研究基于群体依恋的干预措施有效性的家庭的创伤相关特征。初步调查结果显示，母亲的经历中存在高度的忽视、虐待和家庭功能障碍（77%的人报告有≥4次童年不良经历，超过90%的人报告有2种或更多当前的毒性应激源，包括贫困、肥胖、家庭和社区暴力以及无家可归）。
