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家庭强化冒险疗法:一项混合方法研究,考察创伤知情冒险疗法对受虐待儿童及其家庭的影响。

Family Enrichment Adventure Therapy: A Mixed Methods Study Examining the Impact of Trauma-Informed Adventure Therapy on Children and Families Affected by Abuse.

作者信息

Norton Christine Lynn, Tucker Anita, Farnham-Stratton Mollie, Borroel Federico, Pelletier Annette

机构信息

1Texas State University School of Social Work, San Marcos, USA.

2University of New Hampshire, Social Work, Durham, USA.

出版信息

J Child Adolesc Trauma. 2017 Mar 1;12(1):85-95. doi: 10.1007/s40653-017-0133-4. eCollection 2019 Mar.

Abstract

Child abuse is epidemic in the United States and has dire long-term consequences. Innovative interventions are needed to address the negative cognitive, affective and behavioral effects of child abuse. This mixed-method study examined if adventure therapy is 1) an effective mental health intervention for child and adolescent survivors of abuse and neglect, and 2) an effective intervention for families affected by abuse and neglect. The effectiveness of the adventure therapy intervention was measured by a reduction in child trauma symptoms and improved family functioning, as reported via the Trauma Symptom Checklist for Children (TSCC), the Family Assessment Device (FAD), as well as qualitative data gathered via family focus groups. Findings showed that trauma-informed adventure therapy with youth and families affected by abuse reduces trauma symptomology in youth and improves family functioning, particularly in the areas of communication, closeness and problem-solving skills.

摘要

在美国,虐待儿童现象泛滥成灾,且会造成可怕的长期后果。需要采取创新干预措施来应对虐待儿童所带来的负面认知、情感和行为影响。这项混合方法研究考察了冒险疗法是否:1)对遭受虐待和忽视的儿童及青少年幸存者是一种有效的心理健康干预措施;2)对受虐待和忽视影响的家庭是一种有效的干预措施。冒险疗法干预措施的有效性通过儿童创伤症状的减轻和家庭功能的改善来衡量,这是通过儿童创伤症状清单(TSCC)、家庭评估量表(FAD)以及通过家庭焦点小组收集的定性数据报告得出的。研究结果表明,针对受虐待影响的青少年和家庭开展的创伤知情冒险疗法可减少青少年的创伤症状,并改善家庭功能,尤其是在沟通、亲密关系和解决问题的技能方面。

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