Schneider Julia, Rukundo-Zeller Anja C, Bambonyé Manassé, Muhoza Jean-Arnaud, Ndayikengurukiye Thierry, Nitanga Lydia, Rushoza Amini Ahmed, Crombach Anselm
Department of Psychology, Clinical Psychology and Psychotherapy for Children and Adolescents, Saarland University, P.O.Box 15 11 50, 66041, Saarbrücken, Germany.
Psychology, Clinical Psychology and Clinical Neuropsychology, University of Konstanz, Konstanz, Germany.
Res Child Adolesc Psychopathol. 2025 May 10. doi: 10.1007/s10802-025-01328-8.
Despite the severe impact of childhood sexual abuse (CSA) on trauma-related disorders, preventive interventions are scarce, especially in (post-)conflict regions. We developed and evaluated a narrative family communication approach for sexually abused Burundian female children and adolescents (N = 102). The intervention cohort (n = 55) received psychoeducation, parental skill training, and preventive narrative exposure therapy. Intervention participants reported improved parental acceptance at 3- and 12-month follow-ups (3mFUP, 12mFUP), and showed greater improvement in overall mental health between initial assessment (IA) and 3mFUP (d = -0.70) and between IA and 12mFUP (d = -1.36) compared to non-treated controls (d = -0.33, d = -0.02, respectively). Moreover, PTSD symptoms were significantly less pronounced in the intervention cohort than in the control cohort at both follow-ups. Our findings suggest that the preventive narrative family intervention might effectively buffer against devastating mental health consequences, including emerging PTSD symptoms, in the aftermath of CSA. The study and its outcome measures were preregistered at Clinical Trials ( https://clinicaltrials.gov/ ) with the registration number NCT05136105.
尽管童年期性虐待（CSA）对创伤相关障碍有严重影响，但预防性干预措施却很稀少，尤其是在（冲突后）地区。我们为布隆迪受性虐待的女童和青少年（N = 102）开发并评估了一种叙事性家庭沟通方法。干预组（n = 55）接受了心理教育、家长技能培训和预防性叙事暴露疗法。干预参与者在3个月和12个月随访时（3mFUP，12mFUP）报告家长接纳度有所提高，并且与未接受治疗的对照组相比（分别为d = -0.33，d = -0.02），在初始评估（IA）与3mFUP之间（d = -0.70）以及IA与12mFUP之间（d = -1.36）整体心理健康状况有更大改善。此外，在两次随访中，干预组的创伤后应激障碍（PTSD）症状均明显不如对照组明显。我们的研究结果表明，预防性叙事家庭干预可能有效缓冲CSA后包括新出现的PTSD症状在内的毁灭性心理健康后果。该研究及其结果测量已在临床试验（https://clinicaltrials.gov/）上预先注册，注册号为NCT05136105。
