Trauma Focused Cognitive Behavioral Therapy for Adolescents with Problem Sexual Behaviors: Feasibility and Acceptability for Alleviating Traumatic Stress, Regulation Problems, and Sexual Behavior Problems.
Jamie Yoder, Melissa D Grady, Anette Birgersson, Susan Schmidt, Brian Jimenez Fraile, Maytal Schmidt
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引用次数: 0
Abstract
While there are multiple risk factors associated with adolescent sexual violence perpetration, childhood trauma and adversity may be one of the most prominent factors. Trauma sequela including regulation deficits, trauma symptoms, and attachment-based disruptions may be key modifiable targets in interventions that aim to impact functional outcomes, yet treatment targets and philosophies of change are not always well defined or not robustly integrated into problem sexual behavior treatment programs for adolescents. Trauma-Focused Cognitive Behavioral Therapy for problem sexual behaviors among adolescents (TF-CBT for PSB-A) has emerged as a new treatment option for adolescents with histories of victimization or adversity who may concurrently be at risk for or have detected PSB. This study explored the initial feasibility, acceptability, and preliminary promise in providing the enhanced TF-CBT for PSB-A in community-based and juvenile justice settings to youth and their caregivers. Results show feasibility and acceptability of this intervention but found notable readiness factors that warrant consideration. Results also demonstrated statistical significance and positive trends from pre-to post-test on treatment targets. This study offers promise for trauma-specific treatment services among youth and opportunities for strengthening training and implementation.
虽然与青少年性暴力行为有关的风险因素有多种,但童年创伤和逆境可能是最突出的因素之一。创伤后遗症包括调节缺陷、创伤症状和基于依恋的中断可能是影响功能结果的干预措施中关键的可修改目标,然而治疗目标和改变的理念并不总是很好地定义或没有健全地整合到青少年问题性行为治疗方案中。以创伤为中心的青少年问题性行为认知行为疗法(TF-CBT for PSB- a)已成为一种新的治疗选择,适用于有受害史或逆境的青少年,这些青少年可能同时有患PSB的风险或已经发现PSB。本研究探讨了在社区和少年司法环境中为青少年及其照顾者提供增强的TF-CBT治疗PSB-A的初步可行性、可接受性和初步前景。结果显示了这种干预的可行性和可接受性,但发现了值得考虑的显著准备因素。结果还显示治疗目标前测和后测具有统计学意义和正趋势。本研究为青少年创伤特异性治疗服务提供了希望,并为加强培训和实施提供了机会。
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.