A randomized controlled trial to assess the efficacy of Parenting-STAIR in treating maternal PTSD to reduce maltreatment recidivism: protocol for the Safe Mothers, Safe Children study.
A randomized controlled trial to assess the efficacy of Parenting-STAIR in treating maternal PTSD to reduce maltreatment recidivism: protocol for the Safe Mothers, Safe Children study.
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DOI：
10.1186/s13063-022-06354-1
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发表时间：
2022-05-23
期刊：
影响因子：
2.5
通讯作者：
Kaplan, Debra
中科院分区：
文献类型：
--
作者：
Lindsey, Michael;Sullivan, Kathrine;Chemtob, Claude;Ancharski, Kelly;Jaccard, James;Cloitre, Marylene;Urquiza, Anthony;Timmer, Susan;Okosi, Mercedes;Kaplan, Debra
儿童虐待累犯大大增加了不良生活后果的可能性，但几乎没有证据表明家庭保护服务可以有效减少累犯。儿童福利机构的母亲有很高的创伤暴露率;母亲创伤后应激障碍是一个干预目标，有可能减少虐待和忽视。安全母亲、安全儿童干预方案涉及提供创新的干预组合，包括情感和人际调节技能培训和亲子互动疗法。联合干预，父母楼梯（P-STAIR），针对母亲的创伤后应激障碍和共病抑郁症状，以减少创伤后应激障碍对父母的不利影响，提高积极的育儿技巧，并防止虐待累犯。这项研究是一项两组随机对照试验：P-STAIR（23次）与支持性咨询（23次）。参与者是接受儿童福利家庭保护服务（FPS）的母亲，孩子年龄在1-8岁之间，符合PTSD（有/无抑郁症）的诊断标准。在治疗前（基线）、两次治疗中评估（模块9后的中期评估#1和模块15后的中期评估#2）、治疗后和6个月随访时进行临床评估。累犯将使用纽约州儿童福利登记处（NYSCWR）进行衡量。我们将在4年内招募总共220名参与者：一半（N = 110）随机分配到P-STAIR条件，一半（N = 110）支持性咨询条件。这是首个研究P-STAIR疗效的RCT。该试验的结果有可能有助于扩大产妇创伤后应激障碍，虐待和儿童福利的循证实践。
Child maltreatment recidivism substantially increases the likelihood of adverse life outcomes, but there is little evidence that family preservation services are effective at reducing recidivism. Mothers in child welfare have very high rates of trauma exposure; maternal post-traumatic stress disorder (PTSD) is an intervention target that has the potential to reduce abuse and neglect. The Safe Mothers, Safe Children (SMSC) intervention program involves the delivery of an innovative combination of interventions, including Skills Training in Affective and Interpersonal Regulation (STAIR) and Parent-Child Interaction Therapy (PCIT). The combined intervention, Parenting-STAIR (P-STAIR), targets maternal PTSD and comorbid depression symptoms to reduce the adverse effects of PTSD on parenting, improve positive parenting skills, and prevent maltreatment recidivism. This study is a two-arm randomized controlled trial: P-STAIR (23 sessions) versus supportive counseling (23 sessions). Participants are mothers receiving child welfare family preservation services (FPS), with a child in the age range of 1–8 years old and meeting diagnostic criteria for PTSD (with/without depression). Clinical assessment occurs at pre-treatment (baseline), two in-treatment assessments (mid-assessment #1 after module 9 and mid-assessment #2 after module 15), post-treatment, and at a 6-month follow-up. Recidivism will be measured using the New York State Child Welfare Registry (NYSCWR). We will enroll a total of 220 participants over 4 years: half (N = 110) randomly assigned to the P-STAIR condition and half (N = 110) to the supportive counseling condition. This is the first RCT to investigate the efficacy of P-STAIR. The findings for the trial have the potential to contribute to the expansion of evidence-based practices for maternal PTSD, maltreatment, and child welfare.
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DOI：
10.1111/j.1440-1614.2004.01452.x
发表时间：
2004-09-01
影响因子：
4.6
作者：
Bor, W;Sanders, MR
通讯作者：
Sanders, MR
影响因子：
5.9
作者：
Chaffin, Mark;Funderburk, Beverly;Gurwitch, Robin
通讯作者：
Gurwitch, Robin
影响因子：
8
作者：
Chaffin, Mark;Hecht, Debra;Beasley, William Howard
通讯作者：
Beasley, William Howard
影响因子：
4.8
作者：
De Bellis, MD;Broussard, ER;Benitez, JG
通讯作者：
Benitez, JG
DOI：
10.1001/archpediatrics.2009.176
发表时间：
2009-10-01
影响因子：
--
作者：
Conron, Kerith J.;Beardslee, William;Gortmaker, Steven L.
通讯作者：
Gortmaker, Steven L.