Lai Betty S, Tiwari Ashwini, Self-Brown Shannon, Cronholm Peter, Kinnish Kelly
1School of Public Health, Georgia State University, P.O. Box 3995, Atlanta, GA 30302-3995 USA.
2Hospital of the University of Pennsylvania, University of Pennsylvania, Philadelphia, PA 19104 USA.
J Child Adolesc Trauma. 2017 Jul 15;12(1):97-106. doi: 10.1007/s40653-017-0177-5. eCollection 2019 Mar.
This study examined patterns of caregiver factors associated with Trauma- Focused Cognitive Behavioral Therapy (TF-CBT) utilization among trauma-exposed youth. This study included 41 caregivers (caregiver age = 36.1, = 9.88; 93% African American) of youth referred for TF-CBT, following a substantiated forensic assessment of youth trauma exposure. Prior to enrolling in TF-CBT, caregivers reported on measures for parenting stress, attitudes towards treatment, functional impairment, caregiver mental health diagnosis, and caregiver trauma experiences. Classification and regression tree methodology were used to address study aims. Predictors of enrollment and completion included: attitudes towards treatment, caregiver trauma experiences, and parenting stress. Several caregiver factors predicting youth service utilization were identified. Findings suggest screening for caregivers' attitudes towards therapy, parenting stress, and trauma history is warranted to guide providers in offering caregiver-youth dyads appropriate resources at intake that can lead to increased engagement in treatment services.
本研究调查了与遭受创伤的青少年使用创伤聚焦认知行为疗法（TF-CBT）相关的照料者因素模式。本研究纳入了41名照料者（照料者年龄=36.1，标准差=9.88；93%为非裔美国人），这些照料者的孩子因青少年创伤暴露经实证法医评估后被转介接受TF-CBT治疗。在参加TF-CBT之前，照料者报告了育儿压力、对治疗的态度、功能损害、照料者心理健康诊断以及照料者创伤经历等方面的测量情况。采用分类与回归树方法来实现研究目标。入组和完成治疗的预测因素包括：对治疗的态度、照料者创伤经历和育儿压力。确定了几个预测青少年服务利用情况的照料者因素。研究结果表明，有必要筛查照料者对治疗的态度、育儿压力和创伤史，以指导提供者在初次接诊时为照料者-青少年二元组提供合适的资源，从而提高其对治疗服务的参与度。
