Mindful Centre for Training and Research in Developmental Health, University of Melbourne, Building C, 50 Flemington Street, Flemington, Melbourne 3031, Australia.
Music Therapy Program, Department of Communication & Psychology, Aalborg University, Musikkens Plads 1, Aalborg 9000, Denmark.
Child Abuse Negl. 2018 May;79:259-268. doi: 10.1016/j.chiabu.2018.02.017. Epub 2018 Mar 20.
For parents who have experienced childhood interpersonal trauma, the challenges of parenting an adolescent may trigger memories of abuse, intensifying conflict, resulting in negative cycles of relating and poorer responsiveness to emotions when parenting. This study examined whether Tuning Relationships with Music, a dyadic therapy for parents and adolescents, increased responsive parent-adolescent interactions and parent emotion coaching whilst reducing conflict and adolescent mental health difficulties. Twenty-six parent-adolescent dyads were recruited if parents had a trauma history and the dyad were currently having high levels of conflict. Dyads were randomly allocated into intervention or wait-list control and completed questionnaires and observation assessments at baseline and 4-month post-baseline follow-up. Those allocated to the intervention condition participated in 8 sessions of Tuning Relationships with Music.
ANZCTR: 12615000814572. Parents and adolescents reported significant reductions in conflict. Parents in the intervention condition were observed to significantly improve their nonverbal communication, emotional responsiveness and non-reactivity toward their adolescent. Although parents reported they were less dismissive and punitive, and more encouraging of their adolescent's emotions, and both parents and adolescents reported improvements in the adolescent's mental health, these were not statistically significant. Findings suggest Tuning Relationships with Music may assist parents with a history of childhood interpersonal trauma and their adolescent to reduce conflict and increase responsive ways of relating that may positively impact the young person's mental health. Future trials with a larger sample are warranted.
对于经历过儿童期人际创伤的父母来说,养育青少年的挑战可能会引发对虐待的记忆,加剧冲突,导致亲子关系的负面循环,并在养育子女时对情绪的反应能力更差。本研究探讨了音乐关系调整(Tuning Relationships with Music)——一种针对父母和青少年的二元疗法——是否能增加父母与青少年的互动反应能力和父母情绪指导能力,同时减少冲突和青少年心理健康问题。如果父母有创伤史,并且亲子关系目前存在高度冲突,就会招募 26 对父母-青少年进行研究。将亲子对随机分配到干预组或等待名单对照组,并在基线和 4 个月的基线后随访时完成问卷和观察评估。被分配到干预组的亲子参加了 8 次音乐关系调整。
ANZCTR:12615000814572。父母和青少年报告冲突显著减少。观察到干预组的父母在非语言交流、情绪反应能力和对青少年的非反应性方面有显著提高。尽管父母报告说他们对青少年的情绪更不漠视、更不惩罚、更鼓励,但父母和青少年都报告说青少年的心理健康有所改善,但这些改善并不具有统计学意义。研究结果表明,音乐关系调整可能有助于有儿童期人际创伤史的父母及其青少年减少冲突,并增加反应性的相处方式,这可能对年轻人的心理健康产生积极影响。需要进行更大样本的未来试验。