The Impact of a Neurocollaborative Theraplay® Informed Intervention on the Presentations of Developmental Trauma and Attachment Difficulties in Adopted Children with Prenatal Alcohol Exposure: An Extended Case Study.

IF 2 Q2 FAMILY STUDIES

Journal of Child & Adolescent Trauma Pub Date : 2025-05-31 eCollection Date: 2025-09-01 DOI:10.1007/s40653-025-00715-z

Jack Purrington, Alan D Price, Chloe Godfrey, Jacqueline Lynch, Penny A Cook, Raja A S Mukherjee

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引用次数: 0

Abstract

The UK incident rate of Fetal Alcohol Spectrum Disorders (FASD) in looked after populations is estimated to be 27%. The vast majority of these children enter care due to experiences synonymous with the prodromal stages of developmental trauma and all of them experience some form of attachment disruption. The intersection between developmental trauma, attachment disruptions, prenatal alcohol exposure (PAE), and FASD is an emerging and complex research area however there are currently no evidence based interventions specifically designed for young people with both FASD and early life trauma. Therefore, the purpose of this extended case study is to explore the impact of a novel, practice-based, neurocollaborative Theraplay®-informed intervention on the presentations of developmental trauma and attachment difficulties in adopted children with PAE. The study was based in a specialist trauma and attachment service based in the North of England. A total 16 families engaged in a therapeutic intervention based on the principles of Theraplay, sensory interventions, and Dyadic Developmental Parenting. Outcomes were measured on the Trauma Symptom Checklist for Young Children (TSCYC), the Child Behaviour Checklist (CBCL), the Behaviour Rating Inventory of Executive Function, and the Assessment Checklist for Children. The TSCYC Depression subscale demonstrated a significant difference following therapy with a further three TSCYC scales approaching significance. Clinically meaningful change was also demonstrated for several participants across the outcome measures. Implications and limitations are discussed. It is hoped that this study can provide proof of concept for interventions targeting pre- and post-natal adversities such as PAE and developmental trauma.

Supplementary information: The online version contains supplementary material available at 10.1007/s40653-025-00715-z.

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神经协同治疗®知情干预对产前酒精暴露的收养儿童发育创伤和依恋困难表现的影响：一项扩展案例研究。

在英国，胎儿酒精谱系障碍（FASD）在被照顾人群中的发生率估计为27%。这些孩子中的绝大多数都是由于经历了与发展性创伤前驱阶段相同的经历而进入护理的，他们都经历了某种形式的依恋中断。发育创伤、依恋中断、产前酒精暴露（PAE）和FASD之间的交叉是一个新兴和复杂的研究领域，但目前还没有专门针对FASD和早期生活创伤的年轻人设计的基于证据的干预措施。因此，本扩展案例研究的目的是探讨一种新颖的、基于实践的、神经协作的Theraplay®干预对收养的PAE儿童的发育创伤和依恋困难的影响。这项研究是在英格兰北部一家专门的创伤和依恋服务机构进行的。共有16个家庭参与了基于治疗游戏、感官干预和二元发展养育原则的治疗干预。结果采用幼儿创伤症状检查表（TSCYC）、儿童行为检查表（CBCL）、执行功能行为评定量表和儿童评估检查表进行测量。治疗后，TSCYC抑郁量表显示出显著差异，另外三个TSCYC量表接近显著性。在结果测量中，几名参与者也证明了临床意义的变化。讨论了影响和局限性。希望本研究能够为针对产前和产后逆境（如PAE和发育创伤）的干预措施提供概念证明。补充信息：在线版本包含补充资料，提供地址为10.1007/s40653-025-00715-z。

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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.