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遭受亲密伴侣暴力的儿童的心理治疗和心理教育团体干预的结果。

Outcomes of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence.

机构信息

Department of Psychology, Linnaeus University, Växjö, Sweden; Department of Research and Development, Region Kronoberg, Växjö, Sweden.

Department of Psychology, Lund University, Lund, S-221 00, Sweden.

出版信息

Child Abuse Negl. 2018 May;79:213-223. doi: 10.1016/j.chiabu.2018.02.014. Epub 2018 Mar 20.

Abstract

Witnessing violence toward a caregiver during childhood is associated with negative impact on children's health and development, and there is a need for effective interventions for children exposed to intimate partner violence in clinical as well as in community settings. The current effectiveness study investigated symptom reduction after participation in two established group interventions (one community-based psychoeducative intervention; one psychotherapeutic treatment intervention) for children exposed to intimate partner violence and for their non-offending parent. The study included 50 children-24 girls and 26 boys-aged 4-13 years and their mothers. Child and maternal mental health problems and trauma symptoms were assessed pre- and post-treatment. The results indicate that although children showed benefits from both interventions, symptom reduction was larger in the psychotherapeutic intervention, and children with initially high levels of trauma symptoms benefited the most. Despite these improvements, a majority of the children's mothers still reported child trauma symptoms at clinical levels post-treatment. Both interventions substantially reduced maternal post-traumatic stress. The results indicate a need for routine follow-up of children's symptoms after interventions.

摘要

目睹儿童时期对照顾者的暴力行为与儿童健康和发展的负面影响有关,因此需要在临床和社区环境中为遭受亲密伴侣暴力的儿童提供有效的干预措施。本有效性研究调查了在参加针对遭受亲密伴侣暴力的儿童及其未施暴父母的两个既定团体干预措施(一个社区心理教育干预措施;一个心理治疗干预措施)后,症状的减轻情况。该研究纳入了 50 名儿童(24 名女孩和 26 名男孩,年龄 4-13 岁)及其母亲。在治疗前和治疗后评估了儿童和母亲的心理健康问题和创伤症状。结果表明,尽管儿童从两种干预措施中都受益,但心理治疗干预的症状减轻程度更大,创伤症状初始水平较高的儿童受益最多。尽管有这些改善,但大多数儿童的母亲在治疗后仍报告存在儿童创伤症状。两种干预措施都显著降低了母亲的创伤后应激。结果表明,干预措施后需要对儿童的症状进行常规随访。

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