Liu Amy Yinan, Gubbels Jeanne, Orobio de Castro Bram
Research Institute Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, 1018 WS, Amsterdam, Netherlands.
Clin Child Fam Psychol Rev. 2024 Dec;27(4):1113-1143. doi: 10.1007/s10567-024-00503-5. Epub 2024 Oct 27.
Parents who have been exposed to trauma face distinct challenges in parenting that can lead to negative child developmental outcomes and intergenerational transmission of trauma. Parenting programs for traumatized parents seem promising, but the existing evidence on their effectiveness has not yet been synthesized. This study aimed to examine the overall effect of trauma-informed parenting programs on (a) parenting and (b) parental mental health outcomes by conducting two three-level meta-analyses. Moderator analyses were performed to identify whether program components, delivery techniques, and other study and program characteristics were associated with effectiveness. A literature search conducted up to August 2024 yielded 15 studies reporting on 110 effect sizes. Significant overall effects were found of trauma-informed parenting programs on both parenting outcomes (d = 0.75, 95% CIs = [0.09, 1.15], p = .027) and parental mental health outcomes (d = 0.21, 95% CIs = [0.09, 0.32], p < .001). The first meta-analysis on parenting found no significant moderators, while the second meta-analysis on parental mental health indicated that programs emphasizing child disciplining skills yielded smaller effects (d = 0.04) compared to programs without this component (d = 0.31). Programs using modeling techniques yielded larger effects (d = 0.32) compared to programs without (d = 0.14). Larger program effects on parental mental health were also found for programs with longer durations and when individual sessions were used. Thus, evidence supports the effectiveness of trauma-informed parenting programs in improving parenting and reducing parental mental health problems.
经历过创伤的父母在养育子女方面面临着独特的挑战,这些挑战可能导致儿童发展出现负面结果以及创伤的代际传递。针对受过创伤的父母的育儿项目似乎很有前景,但关于其有效性的现有证据尚未得到综合分析。本研究旨在通过进行两项三级荟萃分析,考察创伤知情育儿项目对(a)养育方式和(b)父母心理健康结果的总体影响。进行了调节因素分析,以确定项目组成部分、实施技巧以及其他研究和项目特征是否与有效性相关。截至2024年8月进行的文献检索产生了15项研究,报告了110个效应量。研究发现,创伤知情育儿项目对养育方式结果(d = 0.75,95%置信区间 = [0.09, 1.15],p = 0.027)和父母心理健康结果(d = 0.21,95%置信区间 = [0.09, 0.32],p < 0.001)均有显著的总体影响。第一项关于养育方式的荟萃分析未发现显著的调节因素,而第二项关于父母心理健康的荟萃分析表明,与没有强调儿童纪律技能这一组成部分的项目(d = 0.31)相比,强调儿童纪律技能的项目产生的效果较小(d = 0.04)。与没有使用示范技巧的项目(d = 0.14)相比,使用示范技巧的项目产生的效果更大(d = 0.32)。对于持续时间较长且采用个别辅导课程的项目,发现其对父母心理健康的项目效果也更大。因此,有证据支持创伤知情育儿项目在改善养育方式和减少父母心理健康问题方面的有效性。