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在城市小学实施“恢复元气”创伤干预措施:一项现实世界的重复试验。

Implementing the Bounce Back trauma intervention in urban elementary schools: A real-world replication trial.

作者信息

Santiago Catherine DeCarlo, Raviv Tali, Ros Anna Maria, Brewer Stephanie K, Distel Laura M L, Torres Stephanie A, Fuller Anne K, Lewis Krystal M, Coyne Claire A, Cicchetti Colleen, Langley Audra K

机构信息

Department of Psychology, Loyola University Chicago.

Ann & Robert H. Lurie Children's Hospital of Chicago.

出版信息

Sch Psychol Q. 2018 Mar;33(1):1-9. doi: 10.1037/spq0000229.

Abstract

The current study provides the first replication trial of Bounce Back, a school-based intervention for elementary students exposed to trauma, in a different school district and geographical area. Participants in this study were 52 1st through 4th graders (Mage = 7.76 years; 65% male) who were predominately Latino (82%). Schools were randomly assigned to immediate treatment or waitlist control. Differential treatment effects (Time × Group Interaction) were found for child-reported posttraumatic stress disorder (PTSD) and parent-reported child coping, indicating that the immediate treatment group showed greater reductions in PTSD and improvements in coping compared with the delayed group. Differential treatment effects were not significant for depression or anxiety. Significant maintenance effects were found for both child-reported PTSD and depression as well as parent-reported PTSD and coping for the immediate treatment group at follow-up. Significant treatment effects were also found in the delayed treatment group, showing reductions in child-reported PTSD, depression, and anxiety as well as parent-reported depression and coping upon receiving treatment. In conclusion, the current study suggests that Bounce Back is an effective intervention for reducing PTSD symptoms and improving coping skills, even among a sample experiencing high levels of trauma and other ongoing stressors. (PsycINFO Database Record

摘要

本研究首次在不同学区和地理区域对“恢复活力”(Bounce Back)这一针对遭受创伤的小学生的校内干预措施进行了重复试验。本研究的参与者为52名一至四年级学生(平均年龄 = 7.76岁;65%为男性),他们主要是拉丁裔(82%)。学校被随机分配到立即治疗组或等待名单对照组。在儿童报告的创伤后应激障碍(PTSD)和家长报告的儿童应对方式方面发现了差异治疗效果(时间×组间交互作用),这表明与延迟治疗组相比,立即治疗组的PTSD症状减轻更多,应对能力改善更大。在抑郁或焦虑方面,差异治疗效果不显著。在随访时,立即治疗组在儿童报告的PTSD和抑郁以及家长报告的PTSD和应对方式方面均发现了显著的维持效果。在延迟治疗组中也发现了显著的治疗效果,即接受治疗后,儿童报告的PTSD、抑郁和焦虑以及家长报告的抑郁和应对方式均有所减轻。总之,本研究表明,即使在经历高水平创伤和其他持续应激源的样本中,“恢复活力”也是一种减轻PTSD症状和提高应对技能的有效干预措施。(PsycINFO数据库记录)

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