Edler Katherine, Behrens Brigid, Jacques Karen P, Valentino Kristin
Department of Psychology, University of Notre Dame, Notre Dame, IN, USA.
Dev Psychopathol. 2023 Jul 13:1-12. doi: 10.1017/S0954579423000809.
Child maltreatment is a pathogenic relational experience that creates risk for physical and psychological health difficulties throughout the lifespan. The Reminiscing and Emotion Training intervention (RET) was developed to support maltreated children's healthy development by improving parenting behavior among maltreating mothers. Here, we evaluated whether RET was associated with reductions in child welfare reinvolvement over the course of two years. The sample included 165 maltreating and 83 nonmaltreating mothers and their 3- to 6-year-old children who were enrolled in a longitudinal randomized controlled trial of RET. Maltreating mother-child dyads were randomly assigned to receive RET or an active control condition (community standard [CS]). Nonmaltreating dyads were a separate control group (nonmaltreating control). Comparing CS and RET dyads, there was a significant effect of RET on frequency of child welfare reinvolvement (substantiations and unsubstantiated assessments) during the two years following dyads' enrollment in the intervention, (163) = 2.02, < .05, Cohen's = 0.32. There was a significant indirect effect of RET on child welfare reinvolvement through maternal sensitive guidance during reminiscing [95% CI -0.093, -0.007]. Results provide support for the efficacy of RET in preventing child welfare reinvolvement.
儿童虐待是一种致病性的关系体验，会在整个生命周期中造成身体和心理健康问题的风险。回忆与情感训练干预（RET）旨在通过改善虐待儿童的母亲的养育行为来支持受虐待儿童的健康发展。在此，我们评估了RET在两年时间内是否与儿童福利再次介入情况的减少相关。样本包括165名虐待儿童的母亲和83名非虐待儿童的母亲以及她们3至6岁的孩子，这些母亲和孩子参与了一项关于RET的纵向随机对照试验。虐待儿童的母婴二元组被随机分配接受RET或积极对照条件（社区标准[CS]）。非虐待二元组是一个单独的对照组（非虐待对照）。比较CS和RET二元组，在二元组参与干预后的两年中，RET对儿童福利再次介入的频率（证实和未证实的评估）有显著影响，（163）=2.02，<.05，科恩氏d=0.32。RET通过回忆过程中母亲的敏感指导对儿童福利再次介入有显著的间接影响[95%置信区间-0.093，-0.007]。结果为RET在预防儿童福利再次介入方面的有效性提供了支持。
