California School of Professional Psychology, Alliant International University.
Ronald McDonald House Charities, Bay Area.
Psychol Trauma. 2024 Aug;16(Suppl 2):S409-S416. doi: 10.1037/tra0001379. Epub 2023 Feb 2.
Latinx youth who have experienced caregiver deportation show higher rates of posttraumatic stress disorder (PTSD) and internalizing symptoms compared to Latinx youth who have not. Thus, there is a need for culturally and linguistically appropriate therapeutic approaches to address psychiatric needs related to caregiver deportation. Positive Adaptations for Trauma and Healing (PATH) is a manualized 10-week group therapy for Latinx youth and their caregivers that integrates trauma-informed interventions with positive psychology and resilience interventions. The present study examined PATH for reducing trauma symptomatology for Latinx youth who endured at least three traumatic experiences in their caregiving system as well as differences for Latinx youth who experienced their caregiver's deportation.
Self-identified Latinx youth ( = 31) and their Spanish-speaking caregivers were recruited from two urban hospitals. All youth experienced three or more traumatic events. Pre- to postintervention mean change was measured with tests; mixed-effects analysis of variance assessed whether the program was feasible for youth who had experienced a caregiver deportation versus Latinx youth who did not.
Assessment with the Trauma Symptom Checklist and the UCLA PTSD Index for Youth showed statistically significant reductions on Anxiety, Depression, Anger, and PTSD subscales. Latinx youth who experienced a caregiver's deportation exhibited larger reductions in anger symptoms and PTSD symptoms.
Study results suggest that the novel group therapy intervention was feasible and acceptable for Latinx youth and their caregivers. Despite a small sample size, the intervention proved feasible for Latinx youth who experienced caregiver deportation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
与未经历过照料者被驱逐出境的拉丁裔青年相比，经历过照料者被驱逐出境的拉丁裔青年患创伤后应激障碍（PTSD）和内化症状的比率更高。因此，需要采用文化和语言适宜的治疗方法来解决与照料者被驱逐出境相关的精神健康需求。积极适应创伤与疗愈（PATH）是一种针对拉丁裔青年及其照料者的 10 周团体治疗方案，它将创伤知情干预与积极心理学和适应力干预相结合。本研究考察了 PATH 方案对减轻经历过照料者被驱逐出境的拉丁裔青年创伤症状的效果，以及该方案对经历过照料者被驱逐出境的拉丁裔青年与未经历过照料者被驱逐出境的拉丁裔青年的效果差异。
从两家城市医院招募了自我认同为拉丁裔的青年（n = 31）及其讲西班牙语的照料者。所有青年都经历了三种或更多的创伤性事件。采用 t 检验衡量干预前后的平均变化；混合效应方差分析评估了该方案对于经历过照料者被驱逐出境的青年和未经历过照料者被驱逐出境的拉丁裔青年是否可行。
采用创伤症状清单和 UCLA 青少年 PTSD 指数评估，焦虑、抑郁、愤怒和 PTSD 子量表的得分均有显著降低。经历过照料者被驱逐出境的拉丁裔青年的愤怒症状和 PTSD 症状的降幅更大。
研究结果表明，该新型团体治疗干预措施对拉丁裔青年及其照料者来说是可行且可接受的。尽管样本量较小，但该干预措施对经历过照料者被驱逐出境的拉丁裔青年是可行的。
