Artículo Cientifico - Abuso y negligencia infantil (Child Abuse & Neglect)

Beneficios para la salud mental de un programa grupal multimodal intensivo de 1 semana para adolescentes con múltiples experiencias adversas en la infancia - Mental health benefits of a 1-week intensive multimodal group program for adolescents with multiple adverse childhood experiences.

Authors: SusanaRoque-LopezaElkinLlanez-AnayabMaría JesúsÁlvarez-LópezcMeganEvertsaDanielFernándezdRichard J.DavidsonePerlaKalimanef.

Articulo cientifico - Child Abuse & Neglect

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Susana Roque-Lopez, Elkin Llanez-Anaya, María Jesús Álvarez-López, Megan Everts, Daniel Fernández, Richard J. Davidson, Perla Kaliman,

Mental health benefits of a 1-week intensive multimodal group program for adolescents with multiple adverse childhood experiences,

Child Abuse & Neglect,

Volume 122,

2021,

105349,

ISSN 0145-2134,

https://doi.org/10.1016/j.chiabu.2021.105349.

(https://www.sciencedirect.com/science/article/pii/S014521342100418X)

Abstract: Background

Adverse childhood experiences (ACEs) are associated with a wide range of diseases, unsafe behavior and shorter life expectancy. However, there is scarce evidence on effective interventions for children or adolescents who report multiple ACEs, including abuse, neglect and household dysfunction.

Objective

The aim of this study was to evaluate the mental health outcomes of a multimodal program designed for adolescents with multiple ACEs.

Participants

Forty-four girls (aged 13–16 years, mean ACE score > 5) were randomized to an intervention group or a care-as-usual control group.

Methods

The intervention included mindfulness-based practices, expressive arts and EMDR (Eye Movement Desensitization and Reprocessing Integrative) group treatment. We used questionnaires for adolescents to assess trauma (SPRINT, CPSS) and attention/awareness-related outcomes (MAAS-A) at baseline (T1), post-intervention (T2) and two-months post-discharge (T3).

Results

Linear mixed effects model analyses showed significant Group by Time interactions on all the scales (F = 11.0, p = 0.015; F = 12.5 p < 0.001; and F = 6.4, p = 0.001, for SPRINT, CPSS and MAAS-A, respectively). After completing the program, the intervention group showed significant reduction in trauma-related outcomes (SPRINT, Δ%(T2-T1) = −73%, p < 0.001; CPSS, Δ%(T2-T1) = −26%, p < 0.001) while attention/awareness-related outcomes were improved by 57% (p < 0.001). These changes remained stable two months after discharge. SPRINT and CPSS scales were highly correlated (r = 0.833, p < 0.001) and outcomes from both trauma-related scales negatively correlated with mindfulness scores (MAAS-A/SPRINT, r = −0.515, p = 0.007; MAAS-A/CPSS, r = −0.553, p < 0.001).

Conclusions

Results presented here support this multimodal group intervention as a feasible and promising program for reducing the psychological burden in adolescents with a history of multiple ACEs.

Keywords: Adverse childhood experience; Adolescence; PTSD; Integrative; Mindfulness; EMDR.