University of Ulm, Clinic for Child and Adolescent Psychiatry/Psychotherapy, Ulm, Germany.
J Trauma Stress. 2017 Oct;30(5):531-536. doi: 10.1002/jts.22218. Epub 2017 Oct 9.
Recent research has shown that unaccompanied young refugees (UYR) encounter a wide range of traumatic events during preflight, flight, and resettlement. Although many UYR are resourceful, many develop posttraumatic stress symptoms (PTSS). However, only a small number of vulnerable UYR have access to trauma-focused interventions. Trauma-focused group interventions, adapted to the needs of UYR, may be one way of improving their mental health. A total of 29 male UYR between 14 and 18 years of age, mainly from Afghanistan, participated in the evaluation study of a trauma-focused group intervention entitled Mein Weg (My Way). The intervention included six sessions of psychoeducation, relaxation, trauma narrative, and cognitive restructuring. Pre-post comparisons of PTSS assessed by the Child and Adolescent Trauma Screen (CATS) were used. At study entry, participants endorsed, on average, eight traumatic events. After the group intervention, the participants reported significantly fewer overall PTSS preintervention mean = 27.6, SD = 7.9; postintervention mean = 20.7, SD = 6.3; t(28) = 4.2, p = .001, Cohen's d = 0.97. Improvement was especially pronounced in the domains of reexperiencing and avoidance, as well as negative alterations in cognitions and mood. There were 14 participants preintervention and 7 postintervention who fulfilled the PTSD criteria. This pilot study presented initial evidence of the efficacy of the trauma-focused group intervention with regard to PTSS reduction.
最近的研究表明，孤身未成年难民（UYR）在飞行前、飞行中和重新安置期间会遭遇广泛的创伤性事件。尽管许多 UYR 很有能力，但许多人会发展出创伤后应激症状（PTSS）。然而，只有少数弱势 UYR 能够获得创伤焦点干预。针对 UYR 需求进行调整的创伤焦点小组干预可能是改善他们心理健康的一种方法。共有 29 名 14 至 18 岁的男性 UYR 参加了一项名为 Mein Weg（我的路）的创伤焦点小组干预评估研究，他们主要来自阿富汗。该干预包括六节心理教育、放松、创伤叙述和认知重构课程。使用儿童和青少年创伤筛查（CATS）评估创伤后应激症状的前后比较。在研究开始时，参与者平均报告了八次创伤性事件。在小组干预后，参与者报告的总体创伤后应激症状明显减少，干预前平均值为 27.6，标准差为 7.9；干预后平均值为 20.7，标准差为 6.3；t(28) = 4.2，p =.001，Cohen's d = 0.97。在再体验和回避、认知和情绪负性改变等方面的改善尤其明显。有 14 名参与者在干预前和 7 名参与者在干预后符合 PTSD 标准。这项试点研究初步证明了创伤焦点小组干预在降低创伤后应激症状方面的疗效。
