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提高资源父母对儿童创伤后应激症状的敏感度:一项关于创伤知情资源父母培训的描述性研究

Increasing Resource Parents' Sensitivity towards Child Posttraumatic Stress Symptoms: a Descriptive Study on a Trauma-Informed Resource Parent Training.

作者信息

Gigengack Maj R, Hein Irma M, Lindeboom Robert, Lindauer Ramón J L

机构信息

1Department of Child and Adolescent Psychiatry, Academic Medical Center, University of Amsterdam, Meibergdreef 5, 1105 AZ Amsterdam, the Netherlands.

2de Bascule, Academic Center for Child and Adolescent Psychiatry, Meibergdreef 5, 1105 AZ Amsterdam, the Netherlands.

出版信息

J Child Adolesc Trauma. 2017 Jun 24;12(1):23-29. doi: 10.1007/s40653-017-0162-z. eCollection 2019 Mar.

Abstract

Resource parents are often insufficiently prepared for recognizing and managing posttraumatic stress symptoms (PTSS) in their traumatized foster children, which can put a successful foster placement at risk. The Resource Parent Curriculum (RPC) developed by the National Child Traumatic Stress Network is designed to increase resource parents' sensitivity towards child PTSS. This study explores the effect of the RPC on resource parents' recognition of child PTSS, resource parents' perceived upbringing stress in caring for their foster child, and child PTSS before entering the RPC (T0), after completing the RPC (T1) and at six-month follow-up (T2). Results ( = 108) show an increase in recognition of child PTSS and a decrease in resource parents' experienced upbringing stress and child PTSS over time. Findings suggest that the RPC increases resource parents' trauma sensitivity. However, child PTSS severity remains high. To address foster children's PTSS, child trauma-focused treatment appears needed in addition to the RPC.

摘要

资源父母往往没有充分准备好识别和管理受创伤寄养儿童的创伤后应激症状(PTSS),这可能会使成功的寄养安置面临风险。国家儿童创伤应激网络开发的资源父母课程(RPC)旨在提高资源父母对儿童PTSS的敏感度。本研究探讨了RPC对资源父母识别儿童PTSS、资源父母在照顾寄养儿童时感知到的养育压力以及儿童在进入RPC之前(T0)、完成RPC之后(T1)和六个月随访时(T2)的PTSS的影响。结果(n = 108)显示,随着时间的推移,资源父母对儿童PTSS的识别有所增加,资源父母经历的养育压力和儿童PTSS有所减少。研究结果表明,RPC提高了资源父母的创伤敏感度。然而,儿童PTSS的严重程度仍然很高。为了解决寄养儿童的PTSS问题,除了RPC之外,似乎还需要针对儿童创伤的治疗。

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