有创伤史的母亲及其子女:治疗干预措施的系统性审查

Elisa van Ee, Eline M. Meuleman
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引用次数: 0

摘要

有心理创伤史的母亲在与子女的关系中经常面临重大挑战。因此,受过创伤的母亲及其年幼子女接受适当的创伤知情治疗至关重要。本综述旨在研究创伤知情干预对改善有创伤史的母亲及其 6 岁以下幼儿的母子关系的效果。研究分析了 15 篇符合资格标准的文章,样本量为 1,321 位母亲。研究发现,虽然一些干预措施显示出了小到大的效果,但证据质量仅为中等。最有前景的干预措施是亲子互动疗法(PCIT)、儿童-家长心理疗法(CPP)和母亲赋权计划(MEP),它们都包含心理疗法、心理教育和技能培训等元素。总体而言,文献表明,对于有创伤史的母亲及其年幼子女而言,将心理治疗、心理教育和技能培训相结合的干预措施在改善母婴相关结果方面最为有效。综述为未来的研究提供了建议,并强调了在创伤干预中考虑母子关系的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mothers with a history of trauma and their children: a systematic review of treatment interventions
Mothers with a history of trauma frequently face significant challenges in their relationships with their children. Therefore, it is crucial for trauma-exposed mothers and their young children to receive adequate trauma-informed treatment. This review aimed to examine the effects of trauma-informed interventions on improving the mother–child relationship among mothers with a history of trauma and their young children under 6 years old.The study analyzed 15 articles that met the eligibility criteria, encompassing a sample size of 1,321 mothers. The systematic GRADE approach was used to rate the certainty of evidence in this systematic review.The study found that while some interventions demonstrated small to large effects, the quality of evidence was only moderate. The most promising interventions were Parent–Child Interaction Therapy (PCIT), Child–Parent Psychotherapy (CPP), and Maternal Empowerment Program (MEP), which all included elements of psychotherapy, psychoeducation, and skills training.The study underscores the importance of understanding the needs of mother–child dyads affected by trauma and tailoring interventions to meet those needs. Overall, the literature suggests that interventions combining psychotherapeutic, psychoeducational, and skills-training components are most effective in improving mother and child-related outcomes for mothers with a history of trauma and their young children. The review provides recommendations for future research and emphasizes the importance of considering the mother–child relationship in trauma-informed interventions.
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