Mental health benefits of a 1-week intensive multimodal group program for adolescents with multiple adverse childhood experiences

Autor: Susana Roque-Lopez, Daniel Fernández, Richard J. Davidson, Elkin Llanez-Anaya, María Jesús Álvarez-López, Megan Everts, Perla Kaliman
Přispěvatelé: Universitat Politècnica de Catalunya. Departament d'Estadística i Investigació Operativa, Universitat Politècnica de Catalunya. GRBIO - Grup de Recerca en Bioestadística i Bioinformàtica, Innocence in Danger (IID), Universidad de Santander, Universitat Politècnica de Catalunya, University of Wisconsin, Universitat Oberta de Catalunya
Jazyk: angličtina
Rok vydání: 2021
Předmět:
adolescencia
Mindfulness
Eye Movement Desensitization Reprocessing
medicine.medical_treatment
TEPT
integrador
Aftercare
Adolescents -- Assessorament psicològic
EMDR
Adverse Childhood Experiences
Eye movement desensitization and reprocessing
Developmental and Educational Psychology
Group program
Child
media_common
Ciències de la salut::Salut mental [Àrees temàtiques de la UPC]
consciència
PTSD
Patient Discharge
Adolescence
Psychiatry and Mental health
Mental Health
adolescència
Sprint
Teenagers -- Mental health
Female
Teenagers -- Counseling of
experiència adversa de la infància
medicine.medical_specialty
Adolescent
media_common.quotation_subject
Adolescentes -- Salud mental
Article
Neglect
atención plena
Intervention (counseling)
medicine
Integrative
Humans
Adolescents -- Salut Mental
Matemàtiques i estadística::Estadística aplicada::Estadística biosanitària [Àrees temàtiques de la UPC]
business.industry
Mental health
Adverse childhood experience
Pediatrics
Perinatology and Child Health

Physical therapy
business
experiencia infantil adversa
Zdroj: UPCommons. Portal del coneixement obert de la UPC
Universitat Politècnica de Catalunya (UPC)
Child abuse & neglect
O2, repositorio institucional de la UOC
Universitat Oberta de Catalunya (UOC)
Popis: Background: Adverse childhood experiences (ACEs) are associated with a wide range of diseases, unsafe behavior and shorter life expectancy. However, there is scarce evidence on effective interventions for children or adolescents who report multiple ACEs, including abuse, neglect and household dysfunction. Objective: The aim of this study was to evaluate the mental health outcomes of a multimodal program designed for adolescents with multiple ACEs. Participants: Forty-four girls (aged 13-16 years, mean ACE score > 5) were randomized to an intervention group or a care-as-usual control group. Methods: The intervention included mindfulness-based practices, expressive arts and EMDR (Eye Movement Desensitization and Reprocessing Integrative) group treatment. We used questionnaires for adolescents to assess trauma (SPRINT, CPSS) and attention/awareness-related outcomes (MAAS-A) at baseline (T1), post-intervention (T2) and two-months post-discharge (T3). Results: Linear mixed effects model analyses showed significant Group by Time interactions on all the scales (F = 11.0, p = 0.015; F = 12.5 p < 0.001; and F = 6.4, p = 0.001, for SPRINT, CPSS and MAAS-A, respectively). After completing the program, the intervention group showed significant reduction in trauma-related outcomes (SPRINT, ¿%(T2-T1) = -73%, p < 0.001; CPSS, ¿%(T2-T1) = -26%, p < 0.001) while attention/awareness-related outcomes were improved by 57% (p < 0.001). These changes remained stable two months after discharge. SPRINT and CPSS scales were highly correlated (r = 0.833, p < 0.001) and outcomes from both trauma-related scales negatively correlated with mindfulness scores (MAAS-A/SPRINT, r = -0.515, p = 0.007; MAAS-A/CPSS, r = -0.553, p < 0.001). Conclusions: Results presented here support this multimodal group intervention as a feasible and promising program for reducing the psychological burden in adolescents with a history of multiple ACEs.
Databáze: OpenAIRE