Fortuna Lisa R, Martinez William, Porche Michelle V
Department of Psychiatry and Behavioral Sciences, University of California San Francisco, Zuckerberg San Francisco General Hospital, San Francisco, CA 94110 USA.
J Child Adolesc Trauma. 2023 Apr 21;16(3):481-494. doi: 10.1007/s40653-023-00541-1. eCollection 2023 Sep.
Unaccompanied immigrant children (UIC) experience significant mental health concerns, particularly posttraumatic stress. This is a vulnerable population, yet little systematic research has examined the effectiveness of evidence-based models such as cognitive behavioral therapy (CBT) to meet their needs. Integrating religious beliefs and spirituality into therapy could elucidate better understandings of traumatic stress, and posttraumatic cognitions when working with UIC with strong faith traditions/beliefs. We report on modifications made to a pre-existing treatment, consisting of integrating religious and spiritual themes, to engage and work with UIC participants in a pilot study of Mindfulness-Based CBT. Thematic analysis of therapy notes evaluated the implementation process for integrating religious and spiritual themes. Three composite vignettes illustrate how religiosity and spirituality were salient for UIC participants in this pilot study, and how these were integrated into therapy to address posttraumatic cognitions and symptoms. We assessed changes in PTSD symptom severity and posttraumatic cognitions for UIC and in comparison, to non-UIC participants using the Child PTSD Symptom Scale and the Posttraumatic Cognitions Inventory. Religiosity and spirituality were important for coping and conceptualizations of trauma, served as facilitators for engaging UIC in therapy, and related to improving posttraumatic cognitions and symptoms. Religious identity and spirituality can be important for meaning making, trauma cognitions and symptoms, and can be important to explore in therapy with unaccompanied immigrant children and adolescents. Not applicable.
无人陪伴的移民儿童（UIC）面临重大的心理健康问题，尤其是创伤后应激障碍。这是一个弱势群体，但很少有系统研究考察过认知行为疗法（CBT）等循证模式满足其需求的有效性。将宗教信仰和灵性融入治疗中，在与有强烈宗教传统/信仰的无人陪伴移民儿童合作时，可能会更深入地理解创伤应激和创伤后认知。我们报告了对一种现有治疗方法所做的修改，即在基于正念的认知行为疗法的一项试点研究中，融入宗教和灵性主题，以吸引无人陪伴移民儿童参与并为其提供治疗。对治疗记录的主题分析评估了融入宗教和灵性主题的实施过程。三个综合案例说明了宗教信仰和灵性在这项试点研究中对无人陪伴移民儿童参与者的重要性以及它们如何被融入治疗以解决创伤后认知和症状。我们使用儿童创伤后应激障碍症状量表和创伤后认知量表评估了无人陪伴移民儿童以及作为对照的非无人陪伴移民儿童在创伤后应激障碍症状严重程度和创伤后认知方面的变化。宗教信仰和灵性对于应对创伤及创伤概念化很重要，有助于吸引无人陪伴移民儿童参与治疗，并且与改善创伤后认知和症状相关。宗教身份和灵性对于意义构建、创伤认知和症状可能很重要，在对无人陪伴移民儿童和青少年进行治疗时探索它们可能很重要。不适用。
