Video Narrative Exposure Therapy (NET) with Children and Young People who Witnessed Domestic Violence: A Naturalistic Single Case Study Series.

IF 1.7 Q2 FAMILY STUDIES

Journal of Child & Adolescent Trauma Pub Date : 2025-01-10 eCollection Date: 2025-06-01 DOI:10.1007/s40653-024-00681-y

Fiammetta Rocca, Thomas Schröder, Nima Golijani-Moghaddam, Sarah Wilde

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Abstract

This study investigated the potential effectiveness, feasibility, acceptability, and putative mechanisms of change of Narrative Exposure Therapy (NET) delivered via videoconferencing with young people who witnessed domestic violence. A naturalistic, mixed-method, AB, interventional single case design was used. Five female adolescents aged 13-17 years were recruited from a Child and Adolescent Mental Health Service in the United Kingdom and attended 4-10 video-sessions of the child-friendly NET protocol. Participants completed questionnaires assessing posttraumatic stress symptoms (PTSS), general psychological distress, and trauma memory quality, wore a heart rate (HR) monitor assessing habituation, and were offered a Change Interview. At post-intervention, three participants showed reliable improvement in PTSS, but only one showed clinically significant change. One participant also demonstrated reliable improvement in general psychological distress. Effect size estimates ranged from moderate to very large and indicated change in the desired direction for all but one participant; estimated effects for general psychological distress were more modest. Three participants showed reductions in trauma memory quality, indicating increased integration. Within-session habituation was observed for all participants with available HR data; between-session habituation was also recorded for two of them. The lifeline was mentioned as a helpful aspect of NET, the video delivery was considered both a barrier and a facilitator to engagement, and positive or mixed changes were reported by two participants. Future research with more control and larger samples is needed to answer questions on generality of findings and impact of online delivery; future studies may also include longer follow-up periods and investigate other outcomes. Trial registration number NCT04866511 (ClinicalTrials.gov).

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视频叙事暴露疗法（NET）对目睹家庭暴力的儿童和青少年：一个自然主义的单一案例研究系列。

本研究旨在探讨透过视讯会议对目睹家庭暴力的青少年进行叙事暴露疗法（NET）的潜在有效性、可行性、可接受性及可能的改变机制。采用自然混合方法，AB，介入单例设计。从联合王国的儿童和青少年心理健康服务中心招募了5名13-17岁的女青少年，并参加了4-10次儿童友好型。NET协议的视频会议。参与者完成了评估创伤后应激症状（PTSS）、一般心理困扰和创伤记忆质量的问卷调查，佩戴了评估习惯的心率（HR）监测器，并进行了一次改变访谈。在干预后，3名参与者的ptsd表现出可靠的改善，但只有1人表现出临床显著的变化。一名参与者在一般心理困扰方面也表现出可靠的改善。效应量估计范围从中等到非常大，并表明除一名参与者外，所有参与者的预期方向都发生了变化；对一般心理困扰的估计效果更为温和。三名参与者表现出创伤记忆质量下降，表明整合能力增强。在所有有可用人力资源数据的参与者中观察到会话内习惯化；其中两名参与者在会议间隙的习惯也被记录下来。生命线被认为是。NET的一个有益方面，视频传送被认为是参与的障碍和促进者，两位参与者报告了积极或混合的变化。未来的研究需要更多的控制和更大的样本来回答研究结果的普遍性和在线教学的影响；未来的研究可能还包括更长的随访期和调查其他结果。试验注册号NCT04866511 （ClinicalTrials.gov）。

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来源期刊

Journal of Child & Adolescent Trauma Multiple-

CiteScore

3.00

自引率

6.70%

发文量

期刊介绍： Underpinned by a biopsychosocial approach, the Journal of Child & Adolescent Trauma presents original research and prevention and treatment strategies for understanding and dealing with symptoms and disorders related to the psychological effects of trauma experienced by children and adolescents during childhood and where the impact of these experiences continues into adulthood. The journal also examines intervention models directed toward the individual, family, and community, new theoretical models and approaches, and public policy proposals and innovations. In addition, the journal promotes rigorous investigation and debate on the human capacity for agency, resilience and longer-term healing in the face of child and adolescent trauma. With a multidisciplinary approach that draws input from the psychological, medical, social work, sociological, public health, legal and education fields, the journal features research, intervention approaches and evidence-based programs, theoretical articles, specific review articles, brief reports and case studies, and commentaries on current and/or controversial topics. The journal also encourages submissions from less heard voices, for example in terms of geography, minority status or service user perspectives. Among the topics examined in the Journal of Child & Adolescent Trauma: The effects of childhood maltreatment Loss, natural disasters, and political conflict Exposure to or victimization from family or community violence Racial, ethnic, gender, sexual orientation or class discrimination Physical injury, diseases, and painful or debilitating medical treatments The impact of poverty, social deprivation and inequality Barriers and facilitators on pathways to recovery The Journal of Child & Adolescent Trauma is an important resource for practitioners, policymakers, researchers, and academics whose work is centered on children exposed to traumatic events and adults exposed to traumatic events as children.