Santos Laura, Pinheiro Maria do Rosário, Rijo Daniel
University of Coimbra, Center for Research in Neuropsychology and Cognitive and Behavioural Intervention, Faculty of Psychology and Educational Sciences, Rua do Colégio Novo, 3030-115 Coimbra, Portugal.
Child Abuse Negl. 2023 May;139:106122. doi: 10.1016/j.chiabu.2023.106122. Epub 2023 Feb 28.
Affiliation has a positive role on well-being and human development. Most children and youth living in residential youth care (RYC) experienced maltreatment from significant others, becoming a particularly vulnerable group. Their complex needs require well trained caregivers who help them to heal and thrive.
This cluster randomized trial sought to test the Compassionate Mind Training program for Caregivers (CMT- Care Homes) effectiveness on affiliative outcomes across time.
A sample of 127 professional caregivers and 154 youth from 12 Portuguese residential care homes (RCH) participated on this study.
RCHs were randomized to treatment (n = 6) and control (n = 6) groups. Caregivers and youth completed self-report measures at baseline, post-intervention, and 6-month follow-up on social safeness and emotional climate. Caregivers were also evaluated on compassion outcomes.
MANCOVA indicated large multivariate time X group effects. Univariate results suggested that caregivers from the treatment group showed improvements in compassion towards others and in self-compassion across time, while the control group gradually deteriorated in both variables. Youth and caregivers from the treatment group noticed a more soothing and safer RCH emotional climate, as well as feeling safer within relationships. At 6-month follow-up, improvements were retained by caregivers, but not by youth.
The CMT- Care Homes brings a new model to RYC, that represents a promising approach in promoting safe relationships and affiliative environments in RCHs. Supervision should be provided to monitor care practices and sustain change across time.
归属感对幸福和人类发展具有积极作用。大多数生活在青少年寄宿照料机构（RYC）的儿童和青少年都曾遭受重要他人的虐待，成为一个特别脆弱的群体。他们复杂的需求需要训练有素的照料者来帮助他们康复和茁壮成长。
这项整群随机试验旨在检验照料者的慈悲心训练项目（CMT-照料之家）在不同时间对归属结果的有效性。
来自葡萄牙12家寄宿照料机构（RCH）的127名专业照料者和154名青少年参与了本研究。
将RCH随机分为治疗组（n = 6）和对照组（n = 6）。照料者和青少年在基线、干预后以及6个月随访时完成关于社会安全感和情感氛围的自我报告测量。还对照料者的慈悲结果进行了评估。
协方差分析表明存在较大的多变量时间×组效应。单变量结果表明，治疗组的照料者在对他人的慈悲心和自我慈悲心上随时间有所改善，而对照组在这两个变量上逐渐恶化。治疗组的青少年和照料者注意到RCH的情感氛围更舒缓、更安全，并且在人际关系中感觉更安全。在6个月随访时，照料者保持了改善，但青少年没有。
CMT-照料之家为RYC带来了一种新模式，这是在RCH中促进安全关系和归属环境的一种有前景的方法。应提供监督以监测照料实践并长期维持变化。
