Love Joanna R, Fox Robert A
Department of Counselor Education and Counseling Psychology, College of Education, Marquette University, Schroeder Complex, P. O. Box 1881, Milwaukee, WI 53201-1881 USA.
J Child Adolesc Trauma. 2017 Jun 30;12(1):73-83. doi: 10.1007/s40653-017-0170-z. eCollection 2019 Mar.
A randomized control trial was used to evaluate the effectiveness of a home-based, parent-and-child therapy program specifically developed for toddlers and preschoolers living in poverty with trauma symptoms. Sixty-four children 5-years of age and younger were referred to a community-based clinic for behavior problems and emotional difficulties. All children had experienced one or more potentially traumatic events and met the criteria for . All families received government assistance indicating that their income met the federal definition for poverty. Participants were randomly assigned to either immediate treatment or wait list control groups. Significant between-group differences on all post-treatment measures were found. After the waitlist group completed treatment, significant improvements for both groups were found on all measures at six-weeks follow-up. Outcomes included reductions in challenging behaviors and emotional symptoms of trauma, improved caregiver-child relationships, and increased caregiver adherence to treatment strategies. This study offers support for early intervention of children with trauma symptoms and identifies the clinical challenges and advantages of providing therapy services in a home setting for very young children in poverty.
一项随机对照试验被用于评估一项专门为有创伤症状的贫困幼儿和学龄前儿童开发的家庭亲子治疗项目的有效性。64名5岁及以下儿童因行为问题和情绪困扰被转介到一家社区诊所。所有儿童都经历过一次或多次潜在创伤事件，并符合……的标准。所有家庭都接受政府援助，表明其收入符合联邦贫困定义。参与者被随机分配到立即治疗组或等待名单对照组。在所有治疗后测量中发现了显著的组间差异。在等待名单组完成治疗后，在六周随访时发现两组在所有测量指标上都有显著改善。结果包括具有挑战性的行为和创伤情绪症状的减少、照顾者与儿童关系的改善以及照顾者对治疗策略依从性的提高。这项研究为有创伤症状儿童的早期干预提供了支持，并确定了为贫困幼儿在家庭环境中提供治疗服务的临床挑战和优势。
