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Effect of three group interventions on psychosocial functioning in adolescents exposed to interpersonal violence in Chile: A pilot clinical trial.
Guerra, Cristóbal; Taylor, Emily P; Arredondo, Valeria.
Afiliação
  • Guerra C; Escuela de Psicología, Facultad de Ciencias Sociales y Comunicaciones, Universidad Santo Tomás, Viña del Mar, Chile.
  • Taylor EP; School of Health in Social Science, The University of Edinburgh, Edinburgh, UK. Electronic address: Emily.Taylor@ed.ac.uk.
  • Arredondo V; Centro de Estudios en Infancia, Adolescencia y Familia, ONG Paicabi, Viña del Mar, Chile.
Child Abuse Negl ; 157: 107073, 2024 Nov.
Article em En | MEDLINE | ID: mdl-39383770
ABSTRACT

BACKGROUND:

In Chile demand for specialist care following exposure to interpersonal violence (IPV) in youth far exceeds capacity. Group interventions may improve access to care for youth.

OBJECTIVE:

To evaluate the effectiveness and acceptability of two low-intensity group

interventions:

Trama Focused Cognitive Behavioral Therapy (TF-CBT); Interpersonal Psychotherapy (IPT); and treatment as usual, Art therapy-based support (ATBS). Outcomes measured were post-traumatic stress symptoms, depression, interpersonal functioning and affect regulation. PARTICIPANTS AND

SETTING:

Participants were 67 Chilean youth aged 13-17 years, victims of IPV on a waiting list to receive specialist individual intervention.

METHODS:

Using a randomised controlled trial design, participants were randomly assigned to one of the interventions. Self-report measures were completed at 5 timepoints between baseline and follow up eight weeks after intervention ended. Dropout rates and attendance were also analysed.

RESULTS:

TF-CBT showed significant decreases for PTSD (d = 0.91) and depression (d = 0.77) symptoms, sustained at follow-up with affect regulation problems also showing significant decrease from baseline (d = 0.43). IPT showed significant decreases in PTSD symptoms (d = 0.64) and affect regulation problems (d = 0.66), both sustained at follow-up. ATBS showed statistically significant decrease for PTSD (d = 0.79) and interpersonal problems (d = 0.65) but only change in PTSD was sustained at follow-up. There were no significant differences in dropout or attendance between the interventions.

CONCLUSION:

Group interventions provide a viable and effective first-phase option for reducing psychological distress in IPV-exposed youth in high-demand contexts. Effectiveness may be further improved through the more active involvement of parents and carers.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psicoterapia de Grupo / Transtornos de Estresse Pós-Traumáticos / Terapia Cognitivo-Comportamental Limite: Adolescent / Female / Humans / Male País/Região como assunto: America do sul / Chile Idioma: En Revista: Child Abuse Negl Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psicoterapia de Grupo / Transtornos de Estresse Pós-Traumáticos / Terapia Cognitivo-Comportamental Limite: Adolescent / Female / Humans / Male País/Região como assunto: America do sul / Chile Idioma: En Revista: Child Abuse Negl Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Chile País de publicação: Reino Unido