دورية أكاديمية
أعرض في EDS

Trauma-focused treatment for traumatic stress symptoms in unaccompanied refugee minors: a multiple baseline case series.

التفاصيل البيبلوغرافية
العنوان: Trauma-focused treatment for traumatic stress symptoms in unaccompanied refugee minors: a multiple baseline case series.
المؤلفون: Van Es CM; Department of Clinical Psychology, Utrecht University, Utrecht, Netherlands.; ARQ Centrum'45, ARQ National Psychotrauma Centre, Diemen, Netherlands., Velu ME; Department of Clinical Psychology, Utrecht University, Utrecht, Netherlands.; ARQ Centrum'45, ARQ National Psychotrauma Centre, Diemen, Netherlands., Sleijpen M; ARQ Centrum'45, ARQ National Psychotrauma Centre, Diemen, Netherlands., van der Aa N; ARQ Centrum'45, ARQ National Psychotrauma Centre, Diemen, Netherlands., Boelen PA; Department of Clinical Psychology, Utrecht University, Utrecht, Netherlands.; ARQ Centrum'45, ARQ National Psychotrauma Centre, Diemen, Netherlands., Mooren T; Department of Clinical Psychology, Utrecht University, Utrecht, Netherlands.; ARQ Centrum'45, ARQ National Psychotrauma Centre, Diemen, Netherlands.
المصدر: Frontiers in psychology [Front Psychol] 2023 Jun 01; Vol. 14, pp. 1125740. Date of Electronic Publication: 2023 Jun 01 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Frontiers Research Foundation Country of Publication: Switzerland NLM ID: 101550902 Publication Model: eCollection Cited Medium: Print ISSN: 1664-1078 (Print) Linking ISSN: 16641078 NLM ISO Abbreviation: Front Psychol Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Pully, Switzerland : Frontiers Research Foundation
مستخلص: Introduction: Unaccompanied refugee minors (URMs) are at increased risk of developing mental health problems, such as symptoms of posttraumatic stress disorder (PTSD) and depression. In addition, URMs face several barriers to mental health care. Few studies have evaluated trauma-focused interventions for URMs that target these issues. The current study evaluated a multimodal trauma-focused treatment approach for URMs. It aimed to provide an initial indication of the effectiveness of this treatment approach and to provide a qualitative evaluation assessing treatment satisfaction of the participating URMs.
Methods: A mixed-methods study was conducted among ten URMs, combining quantitative data with qualitative data through triangulation. Quantitative data were collected using a non-concurrent multiple baseline design in which repeated, weekly assessments were carried out during a randomized baseline period, during treatment, and during a 4-week follow-up period. Questionnaires assessing PTSD (Children's Revised Impact of Event Scale) and symptoms of depression (The Patient Health Questionnaire-9, modified for adolescents) were used. In addition, treatment satisfaction was measured post-treatment using a semi-structured interview.
Results: During the qualitative evaluation, all but one URM noted they found the trauma-focused treatment approach useful and felt the treatment had positively impacted their wellbeing. However, the results of the quantitative evaluation did not show clinically reliable symptom reductions at posttest or follow-up. Implications for clinical practice and research are discussed.
Discussion: The current study presents our search in developing a treatment approach for URMs. It adds to the current knowledge about methodological considerations in evaluating treatments for URMs, the potential effects of trauma-focused treatments on URMs, and the implementation of treatments for URMs. Clinical trial registration: The study was registered in the Netherlands Trial Register (NL8519), 10 April 2020.
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(Copyright © 2023 Van Es, Velu, Sleijpen, van der Aa, Boelen and Mooren.)
References: Eur J Psychotraumatol. 2015 Aug 28;6:26661. (PMID: 26320743)
J Behav Ther Exp Psychiatry. 2016 Jun;51:66-73. (PMID: 26780673)
Eur Child Adolesc Psychiatry. 2018 Apr;27(4):447-466. (PMID: 29214387)
J Nerv Ment Dis. 2005 Dec;193(12):825-32. (PMID: 16319706)
CMAJ. 2012 Feb 21;184(3):E191-6. (PMID: 22184363)
J Clin Psychol. 2014 Apr;70(4):376-87. (PMID: 24105446)
Psychosom Med. 1979 May;41(3):209-18. (PMID: 472086)
J Adolesc Health. 2002 Mar;30(3):196-204. (PMID: 11869927)
Behav Res Ther. 2013 Jun;51(6):274-83. (PMID: 23524061)
Clin Child Psychol Psychiatry. 2020 Jan;25(1):213-226. (PMID: 31315450)
Nord J Psychiatry. 2004;58(3):199-203. (PMID: 15204206)
Child Adolesc Psychiatry Ment Health. 2009 Apr 02;3(1):13. (PMID: 19341468)
Soc Sci Med. 1995 Jul;41(2):261-6. (PMID: 7667687)
Scand J Psychol. 2014 Feb;55(1):33-7. (PMID: 25130065)
Adm Policy Ment Health. 2006 May;33(3):342-55. (PMID: 16755395)
Eur Child Adolesc Psychiatry. 2014 May;23(5):337-46. (PMID: 23979476)
Trials. 2020 Dec 9;21(1):1013. (PMID: 33298126)
J Child Psychol Psychiatry. 2006 Dec;47(12):1197-210. (PMID: 17176375)
Int J Ment Health Nurs. 2020 Aug;29(4):685-692. (PMID: 32039547)
Int J Law Psychiatry. 2008 Aug-Sep;31(4):319-30. (PMID: 18644626)
Clin Psychol Rev. 2009 Nov;29(7):599-606. (PMID: 19616353)
Eur J Psychotraumatol. 2017 Jun 09;8(sup2):1321357. (PMID: 29038686)
Trials. 2022 Apr 23;23(1):347. (PMID: 35461281)
Gen Hosp Psychiatry. 2010 Jul-Aug;32(4):345-59. (PMID: 20633738)
Child Adolesc Psychiatry Ment Health. 2019 May 17;13:22. (PMID: 31131021)
Curr Psychiatry Rep. 2021 Jul 1;23(8):46. (PMID: 34196826)
Child Adolesc Psychiatry Ment Health. 2021 Sep 30;15(1):53. (PMID: 34592993)
BMC Psychiatry. 2005 Feb 03;5:7. (PMID: 15691374)
Clin Psychol Rev. 2011 Apr;31(3):399-417. (PMID: 21112681)
Pediatrics. 2010 Dec;126(6):1117-23. (PMID: 21041282)
Gen Hosp Psychiatry. 2013 Sep-Oct;35(5):551-5. (PMID: 23664569)
J Trauma Stress. 2014 Jun;27(3):338-44. (PMID: 24797017)
Child Abuse Negl. 2022 Nov;133:105865. (PMID: 36095862)
BMC Psychiatry. 2015 Oct 23;15:260. (PMID: 26497391)
Transcult Psychiatry. 2012 Apr;49(2):340-65. (PMID: 22508639)
J Gen Intern Med. 2001 Sep;16(9):606-13. (PMID: 11556941)
Cogn Behav Ther. 2010;39(2):81-91. (PMID: 19816834)
Psychother Psychosom. 2016;85(3):159-70. (PMID: 27043952)
فهرسة مساهمة: Keywords: depression; mixed-methods; multiple baseline; posttraumatic stress disorder; trauma-focused treatment approach; unaccompanied refugee minors
تواريخ الأحداث: Date Created: 20230616 Latest Revision: 20230619
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10268033
DOI: 10.3389/fpsyg.2023.1125740
PMID: 37325732
قاعدة البيانات: MEDLINE
الوصف
تدمد:1664-1078
DOI:10.3389/fpsyg.2023.1125740