Journal of Child & Adolescent Trauma最新文献

{"title":"Evaluation of an Adverse Childhood Experiences Screening Program for Pregnant Patients in Rural Missouri.","authors":"Aiman Fatima, Ellen M Chiocca, Jennifer Blacksmith, Melodie D Stocks","doi":"10.1007/s40653-026-00890-7","DOIUrl":"10.1007/s40653-026-00890-7","url":null,"abstract":"<p><p>Adverse Childhood Experiences (ACEs) are defined as exposure to traumatic conditions from birth until age 18 years. Exposure to ACEs is associated with poor health outcomes and increased risks of chronic conditions such as obesity, heart disease, diabetes, stroke, and cancer. Pregnant women who have experienced ACEs have increased rates of depression, anxiety, post-traumatic stress symptoms, substance abuse and suicidality. The high prevalence of ACEs justifies screening, early support and interventions. This Quality Improvement Project was an evaluation of an existing ACEs screening program initiated in 2019 at an Obstetrics and Gynecology clinic in Northeast Missouri. It was aimed at screening ACEs in pregnant patients at their prenatal visit, so that timely referrals and resources can be provided to patients with high ACEs scores. The effectiveness of this program was evaluated by screening charts of all the eligible patients January 2021 to March 2021 (Timepoint 1, T1) and January 2022 to March 2022 (Timepoint 2, T2). Of the 144 patients, 50 participants (34.7%) had an ACE score of three or above. There was no statistically significant difference in the ACE scores between T1 and T2 (<i>p</i> = .21). Although not statistically significant, there was a small to moderate increase in Community Health Worker (CHW) referrals for ACE scores of four or higher. There was a moderate, statistically significant increase in the number of patients who kept their appointment from T1 to T2, c² (4) = 9.74, <i>p</i> = .05, ϕ = 0.26). There was a 300% increase in referrals provided to pregnant patients with ACE scores of four or higher from T1 to T2. These changes could stem from the fact that every three months, providers are now prompted about ACEs, screening, documentation, and Trauma Informed Care (TIC). This has ensured that providers have ACEs and TIC awareness thereby facilitating timely referrals of patients to appropriate resources.</p>","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 2","pages":"813-824"},"PeriodicalIF":2.2,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13190873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated Inpatient Trauma-Focused Treatment for Children and Parents: A Longitudinal Evaluation Study.","authors":"L T Lysbert Zeinstra, W J Wendy Post, J Jana Knot-Dickscheit, A M N Anne-Marie Huyghen, A Abigail Akeredolu, F Femy Wanders, A T Annemiek Harder","doi":"10.1007/s40653-025-00789-9","DOIUrl":"10.1007/s40653-025-00789-9","url":null,"abstract":"<p><p>This longitudinal study evaluated the outcomes of the KINGS inpatient trauma-focused family treatment program for families experiencing complex and multiple problems. The program integrates trauma treatment for both parents and children with interventions targeting emotion regulation, parenting, and the parent-child relationship, delivered in an inpatient setting that provides safety and treatment intensity. A total of 68 families (132 children, 78 parents) participated, with data collected at baseline, post-treatment, and at 3- and 6-month follow-up. Results showed significant reductions in child and parental trauma symptoms and child psychosocial problems, which were maintained across the follow-up period. Parenting stress and quality of family and parenting conditions also improved significantly during the program, although these gains showed a decline during the follow-up period, indicating the need for continued support. The findings highlight the potential of intensive inpatient trauma-focused treatment for families with severe trauma-related problems who have not benefited from previous interventions. Future research should further investigate mechanisms of change and strategies for sustaining outcomes after discharge.</p>","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 2","pages":"847-862"},"PeriodicalIF":2.2,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13190960/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a Suicide Prevention Intervention for Youth with Maltreatment Histories: Challenges and Opportunities.","authors":"Erinn B Duprey, Camille R Quinn, Elizabeth D Handley, Micah Mitchell, Angelise Radney, Catherine Cerulli","doi":"10.1007/s40653-026-00868-5","DOIUrl":"10.1007/s40653-026-00868-5","url":null,"abstract":"<p><p>Adolescents and emerging adults who experience child maltreatment and involvement in the child welfare system have a higher risk for suicidal thoughts and behaviors (STBs; Dunn et al., 2013; Johnson et al., 2002). Selective prevention interventions, which target individuals or groups with elevated risk (Munoz et al., 1996), are critical to reduce suicide-related outcomes in youth with maltreatment exposure. This study provides preliminary qualitative data from youth providers (e.g., case workers and mental health clinicians) on challenges and opportunities for suicide prevention for youth who experience child maltreatment, in order to inform future preventive efforts. We collaborated with community organizations serving maltreated and system-involved youth (i.e., adolescents and young adults) to conduct three focus groups (<i>N</i> = 17) and 10 interviews (<i>N</i> = 10) with providers across two geographically different sites. Several themes emerged from our data regarding barriers for suicide prevention with youth with maltreatment histories, as well as opportunities and future directions for suicide prevention interventions. Research-practice partnerships can facilitate the development, implementation, acceptability, and feasibility of suicide prevention programs for youth with histories of maltreatment exposure.</p>","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'It is not my business': Adolescent boys' experiences and responses to community violence in Soweto, South Africa.","authors":"Campion Zharima, Elton Mboneli, Lerato Tsotetsi, Stefanie Vermaak, Busisiwe Nkala, Avy Violari, Rachel Kidman, Amy Hammock, Janan Dietrich","doi":"10.1007/s40653-026-00848-9","DOIUrl":"10.1007/s40653-026-00848-9","url":null,"abstract":"<p><strong>Background: </strong>Community violence is linked to adverse social and health outcomes. South Africa has high rates of community violence, particularly in townships where higher rates of poverty and unemployment are reported. The purpose of this study was to understand adolescent boys' experiences, perceptions, and responses to community violence.</p><p><strong>Methods: </strong>This study employed a qualitative design, conducting in-depth interviews with 48 adolescent boys aged 15-19 in Soweto, South Africa. This sample was drawn from a larger longitudinal study (2020-2023) of 498 young males, both living with and without HIV, investigating the associations of violence with HIV transmission. Participants were asked about their experiences with community violence and related health behaviors. Interview transcripts were coded and analyzed using thematic analysis.</p><p><strong>Results: </strong>Participants described multiple and intersecting forms of community violence including physical assaults, gender-based violence, group or gang-related attacks, robberies and entire communities against one person, known as \"mob justice\". These were perceived as routine and normal aspects of daily life linked to drug dealing, alcohol abuse, establishing gang territory, jealousy over girls, and limited opportunities for young men. Violence was also connected to masculine identity and used as expressions of strength, loyalty, and group defense. Coping strategies ranged from avoiding conflicts and emotional detachment to joining gangs for protection. There were mixed opinions on the utility of calling the police because they did not consistently respond.</p><p><strong>Conclusions: </strong>Our findings show how community violence is embedded in the lived realities of adolescent boys. Interventions must address both current and historical causes by improving employment, teaching communication and conflict resolution skills and rebuilding relationships between communities and police.</p>","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parenting After Child Maltreatment: A Study of Maternal Parenting Strategies and the Parent-child Relationship.","authors":"Marit Burkeland-Lie, Jens Christoffer Skogen, Børge Sivertsen, Kaia Kjørstad, Anders Dovran, Gertrud Sofie Hafstad, Mari Hysing","doi":"10.1007/s40653-026-00850-1","DOIUrl":"10.1007/s40653-026-00850-1","url":null,"abstract":"<p><p>Parenting practices and the parent-child relationship play a crucial role in child development. Families affected by child maltreatment may experience poor parent-child relationships and negative parenting practices. Research on parenting where both mothers and children have experienced maltreatment is limited. This study aims to investigate the parent-child relationship and parenting strategies among mothers (<i>N</i> = 228) of children (5-11 years) with maltreatment experiences, and whether there are differences in parenting behaviors between mothers with and without personal maltreatment histories. The Alabama Parenting Questionnaire (APQ) was used to assess parenting strategies, while the Child-Parent Relationship Scale (CPRS) was utilized to investigate the parent-child relationship. Mean scores and standard deviations were calculated for the entire sample and the two groups of mothers. To compare the groups, we used two-sample t-tests and generated plots to illustrate response distributions. Fisher's exact test was also used to compare response patterns. We found no significant differences between the groups in the APQ subscales (positive parenting and inconsistent discipline) or the closeness subscale of the CPRS. Both groups reported using positive parenting strategies and having close relationships with their children. However, mothers with maltreatment experiences reported significantly higher conflict (CPRS) scores than those without such experiences (<i>p</i> = 0.009). Clinicians can build on the strengths observed in this study to enhance the parent-child relationship and parenting practices. The elevated conflict levels reported by mothers with maltreatment experiences highlight a critical area for interventions aimed at supporting healthier family dynamics and reducing conflict.</p>","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 2","pages":"421-433"},"PeriodicalIF":2.2,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13190942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Annual Acknowledgement of Reviewers.","authors":"","doi":"10.1007/s40653-026-00863-w","DOIUrl":"https://doi.org/10.1007/s40653-026-00863-w","url":null,"abstract":"","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 1","pages":"311-315"},"PeriodicalIF":2.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the Assessment of Childhood Adversity: Factors Influencing Questionnaire and Interview Method Concordance.","authors":"Austen McGuire, George M Slavich, Neal Kingston, Damion Grasso, Yo Jackson","doi":"10.1007/s40653-026-00817-2","DOIUrl":"10.1007/s40653-026-00817-2","url":null,"abstract":"<p><p>Although caregiver reports of adverse life events (ALEs) in young children yield notable discrepancies for face-to-face interview vs. paper-and-pencil questionnaire assessments, the factors contributing to these differences are not well understood. The present study addressed this knowledge gap by examining multiple factor domains for caregivers (e.g., caregivers' assessment beliefs, mental health, demographics) that might play a role in these discrepancies. Participants were 57 caregivers (<i>M</i> _age = 33.72; 96.5% biological mothers; 61.4% Black/African American) of pre-school and school-age children who completed an interview and questionnaire ALE assessment, as well as measures of mental health challenges and research participation beliefs (e.g., positive experience, privacy, research rights). Concordance between formats at the participant level was mostly in the moderate range. Results suggested that participants were more likely to believe they could exercise their research rights (e.g., know they could terminate the assessment at any time) during the interview format relative to questionnaire format. Caregiver mental health, race-congruence with the interviewer, and participation beliefs were not significantly associated with total agreement. However, participants from lower federal poverty levels tended to demonstrate lower agreement between formats, compared to participants from higher federal poverty levels. Taken together, these findings highlight the need for dual approaches to assess ALEs in children when relying on caregiver report, as well as to ensure the aspects of the ALE administration procedure (including before and after the ALE assessment) are similar across assessment formats. This may be especially important when working with families from low-income backgrounds to improve detection of ALEs in young children.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s40653-026-00817-2.</p>","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 1","pages":"235-247"},"PeriodicalIF":2.2,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma and Resilience among Latiné Girls: A Mixed Methods Exploration of Positive Adaptations for Trauma and Healing (PATH).","authors":"Monica Noriega, Jasmine Ramirez-Miranda, Reid Whaley, David Hoskins","doi":"10.1007/s40653-026-00836-z","DOIUrl":"10.1007/s40653-026-00836-z","url":null,"abstract":"<p><p>The present study measured the feasibility and acceptability of multifamily group therapy in reducing trauma symptomatology and increasing resilience among adolescent Latiné girls. Positive Adaptations for Trauma and Healing (PATH) is a manualized 10-week multifamily group therapy model for Latiné youth in English and Spanish. PATH is a culturally adapted treatment modality that integrates a trauma treatment with mindfulness, positive psychology, and resilience interventions. This study analyzed quantitative and qualitative data collected from 12 adolescent Latiné girls and 16 monolingual Spanish-speaking caregivers (three groups total). Data from pre- and postintervention measures of trauma symptomatology, resilience, and caregiver-related stress were gathered. Postintervention group interviews were transcribed and analyzed using interpretative phenomenological analysis. Latiné girls reported a reduction in the severity of pre- to postintervention posttraumatic stress disorder symptoms (<i>M</i> _diff = 7.75, <i>p =</i> 0.043). Participants also reported feeling more confident at postintervention (<i>M</i> _diff = 0.73, <i>p</i> = 0.05). In addition, caregivers reported a reduction in caregiver stress at postintervention (<i>M</i> _diff = 6, <i>p</i> = 0.043). Three domains were derived from postintervention youth interviews: stronger parent-child relationships, increased self-concept, and increased confidence in the group process. Despite a small sample size, the intervention reduced trauma symptomatology among Latiné adolescent girls in a primary care setting. Group interviews revealed benefits and challenges of multifamily group therapy for Latiné families in urban areas. Future directions for gender- and culture-specific treatment modalities for ethnic minority youth are discussed.</p>","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 2","pages":"801-812"},"PeriodicalIF":2.2,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13190934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma-Informed Parenting Skills for Resource Parents: A Pilot Study of Acceptability, Feasibility, and Effectiveness.","authors":"Ginny Sprang, Stephanie Gusler, Jessica Eslinger, Adrienne Whitt","doi":"10.1007/s40653-026-00824-3","DOIUrl":"https://doi.org/10.1007/s40653-026-00824-3","url":null,"abstract":"<p><p>Children entering foster care have often been exposed to a myriad of traumatic events- abuse, neglect, and exposure to violence (Shaw et al., 2015). These experiences can be destabilizing and dysregulating, and present considerable challenges to resource parents charged with introducing stability into their lives (Humphreys et al., 2022). Trauma-informed parenting strategies are noted to improve a resource parent's capacity to manage a child's trauma sequelae, and to improve family resiliency, though many of these programs are didactic in nature. For families needing therapeutic support, evidence-based intervention options are limited (Angelow et al., 2023; Patterson et al., 2018).</p><p><strong>Methods: </strong>This pilot study examines intervention feasibility, acceptability, and outcomes of the Trauma-Informed Parenting for Resource Parents intervention in 34 resource parents, over time. It was hypothesized that disruption worry, trauma-informed knowledge and skills, caregiving efficacy, and secondary traumatic stress would improve, considering the number of placements, child sex and age, and mode of delivery.</p><p><strong>Results: </strong>Statistically significant changes were noted in disruption worry and knowledge and skills from pre to post that were sustained at follow-up. Significant changes in empathy were noted that varied by the sex of the index child; improvements remained constant at follow-up. Session rating scores indicated intervention acceptability, and measures of feasibility identified significant challenges related to completion of study measures, even in those who completed the intervention.</p><p><strong>Implications: </strong>Based on the results of this study, there is evidence of effectiveness though authors recommend enhancements to the intervention and evaluation protocol for further implementation and study.</p>","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 1","pages":"17-29"},"PeriodicalIF":2.0,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent Delinquency Following Exposure to Childhood Traumatic Experiences: The Moderating Role of Resilience Factors.","authors":"Jingyi Zhu, Matt Bruce","doi":"10.1007/s40653-026-00826-1","DOIUrl":"https://doi.org/10.1007/s40653-026-00826-1","url":null,"abstract":"<p><p>While the association between childhood traumatic experiences and subsequent adolescent delinquent behaviors is well established, commensurate understanding of the mitigating role of resilience factors remain poorly understood and warrant further investigation. This systematic review aims to examine empirically validated resilience factors that mitigate the negative outcome associated with childhood traumatic experience among adolescents who engage in, or are at risk of, delinquent behaviors. A total of 104 studies published between 2004 to 2022 were systematically identified according to PRISMA Guidelines through PsycINFO, PubMed, Scopus, Web of Science, Dissertation & Thesis Global through ProQuest, and Sociological Abstract in May 2023. 67 studies were screened, and twelve studies that met the inclusion criteria were included. The findings were summarized. The result indicated that both internal (e.g., positive coping styles, religiosity, age, future orientation, self-esteem, mastery, sense of relatedness and emotional reactivity); and external resilience factors (e.g., family communication, school connectedness, engagement in community traditions, and peer role models) can contribute to ameliorating the impact of childhood traumatic experiences. This systematic review provides an empirical and conceptual examination of resilience factors that may prevent or mitigate the negative outcome of childhood traumatic experiences among adolescents who engage in, or are at risk of, delinquent behaviors. A conceptual model of the interaction between internal and external resilience factors and recommendations for future research were provided. The number and limitations of included studies also indicate the urgent need for more primary research in this area.</p>","PeriodicalId":44763,"journal":{"name":"Journal of Child & Adolescent Trauma","volume":"19 1","pages":"195-207"},"PeriodicalIF":2.0,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13004780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}