Psychological Sciences, School of Social Sciences, Humanities, and Arts, University of California, Merced, North Lake Road, Merced, CA 95343, California, USA.
Child Abuse Negl. 2018 May;79:423-433. doi: 10.1016/j.chiabu.2018.03.002. Epub 2018 Mar 20.
This phase II trial evaluated psychosocial and health outcomes of an intervention designed to improve emotion regulation skills in adults suffering from Adverse Childhood Experiences (ACEs). The study utilized a pretest-posttest design in which 92 adults enrolled in the community-based program completed pretest measures, attended either a faith-based or secular version of the 12-week ACE Overcomers program, and then completed posttest measures. The theory-guided program involved group sessions providing education and skills training to improve emotion regulation, self-awareness, resilience, and social functioning. Pretest and posttest surveys included measures of emotional regulation (suppression, rumination, cognitive reappraisal, and mindfulness), resilience (ego resilience and general self-efficacy), emotional experiences (perceived stress, moods, and depressive symptoms), quality of life (the SF-36 domains), and physical symptoms and illness (symptom load and sick days). Analyses revealed significant improvements from pretest to posttest in all facets of emotion regulation (p < .01), psychological resilience (p < .001), mental well-being (p < .001) and physical symptoms and illness (p < .001), and in specific facets of quality of life (p < .001). The faith-based and secular versions of the program yielded comparable improvements in well-being. Improvements were comparable for older versus younger participants, except that younger participants reported greater improvements in perceived stress (p < .05). These preliminary findings support the application of an emotion regulation perspective to interventions for adults with high ACEs. The study, with its single-group design, represents a promising step in the translational research pathway and provides support for further studies utilizing comparison groups.
这项二期临床试验评估了一项干预措施的社会心理和健康结果，该干预措施旨在提高遭受逆境儿童经历（ACEs）的成年人的情绪调节技能。该研究采用了预测试-后测试设计，其中 92 名成年人参加了基于社区的计划，完成了预测试，参加了为期 12 周的 ACE 克服者计划的基于信仰或非宗教版本，然后完成了后测试。该理论指导的计划包括小组会议，提供教育和技能培训，以提高情绪调节、自我意识、适应力和社交功能。预测试和后测试调查包括情绪调节（抑制、反刍、认知重评和正念）、适应力（自我效能和一般自我效能）、情绪体验（感知压力、情绪和抑郁症状）、生活质量（SF-36 领域）和身体症状和疾病（症状负荷和病假）的衡量标准。分析显示，在情绪调节的所有方面（p<0.01）、心理适应力（p<0.001）、心理健康（p<0.001）和身体症状和疾病（p<0.001）以及生活质量的特定方面（p<0.001），从预测试到后测试都有显著改善。该计划的基于信仰和非宗教版本在幸福感方面产生了可比的改善。对于年龄较大和较小的参与者，改善情况相似，但年轻参与者报告感知压力的改善更大（p<0.05）。这些初步发现支持将情绪调节视角应用于具有高 ACEs 的成年人的干预措施。该研究采用单一小组设计，代表了转化研究途径的一个有希望的步骤，并为进一步利用对照组进行研究提供了支持。
