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 |
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| 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 |
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