Department of Psychology - Resilience Research Unit, Università Cattolica del Sacro Cuore Largo Gemelli 1, Milan, MI, 20121, Italy.
Family and Community Resilience, Canada Research Chair in Child, Resilience Research Centre Dalhousie University, PO Box 15000, Halifax, NS, B3H4R2, Canada.
Child Psychiatry Hum Dev. 2024 Apr;55(2):295-307. doi: 10.1007/s10578-022-01393-w. Epub 2022 Aug 2.
Resilience is a dynamic process involving the presence and interaction of personal and environmental factors that modify the impact of adversity. Resilience-building interventions are therefore important for improving trauma-related outcomes in children and caregivers exposed to adversity. This study examines the impact of the Tutor of Resilience (TOR) program on beneficiaries' trauma-related symptoms and on mother-child interactions in a group of children exposed to maltreatment (N = 186; mean age = 11.95; SD = 2.50). Assessments were completed at baseline and post-intervention. RM-ANOVAs indicated significant improvements for most trauma symptoms (anxiety, anger, post-traumatic stress, and disassociation, but not depression) in the intervention group relative to a control group (N = 88; mean age = 10.76; SD = 2.57), and indicated further improvements to anxiety and dissociation for the intervention group when mothers were involved. Mother-child interactions also improved over time, as did their overall trauma symptoms and distress. Findings support the effectiveness of the ToR, especially when involving mothers.
韧性是一个动态的过程，涉及个人和环境因素的存在和相互作用，这些因素可以改变逆境的影响。因此，韧性建设干预对于改善暴露于逆境的儿童和照顾者的创伤相关结果非常重要。本研究考察了韧性导师（TOR）计划对一组遭受虐待的儿童（N=186；平均年龄=11.95；SD=2.50）的创伤相关症状和母子互动的影响。在基线和干预后完成了评估。RM-ANOVA 表明，与对照组（N=88；平均年龄=10.76；SD=2.57）相比，干预组的大多数创伤症状（焦虑、愤怒、创伤后应激和分离，但不包括抑郁）都有显著改善，当母亲参与时，干预组的焦虑和分离也有进一步改善。母子互动也随着时间的推移而改善，他们的整体创伤症状和痛苦也有所改善。研究结果支持了 ToR 的有效性，尤其是当涉及到母亲时。
