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Mental health benefits of a 1-week intensive multimodal group program for adolescents with multiple adverse childhood experiences (Child Abuse & Neglect)

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Home / Resources / Childhood Trauma / Mental health benefits of a 1-week intensive multimodal group program for adolescents with multiple adverse childhood experiences (Child Abuse & Neglect)

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

Multimodal program for adolescents with adverse childhood experiences: mindfulness-based practices, expressive arts and EMDR group treatment.


Article 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.”

—Description from publisher 

Article Access 

Open Access

Roque-Lopez, S., Llanez-Anaya, E., Alvarez-Lopez, M. J., Everts, M., Fernandez, D., Davidson, R. J., & Kaliman, P. (2021). Mental health benefits of a 1-week intensive multimodal group program for adolescents with multiple adverse childhood experiences. Child Abuse & Neglect, 122, 105349. Open access: https://doi.org/10.1016/j.chiabu.2021.105349 

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Basic Info Collapse

Date
October 7, 2021

Creator(s)
Susana Roque-Lopez, Elkin Llanez-Anaya, María Jesús Álvarez-López

Contributor(s)
Megan Everts, Daniel Fernández, Richard J. Davidson, Perla Kaliman

Topics
Childhood Trauma

Client Population
Adolescents

Practice & Methods
Expressive Arts, Group, Mindfulness

More Info Collapse

Extent
11 pages

Publisher
Elsevier

Rights
© 2021 The Authors. Published by Elsevier Ltd.

APA Citation
Roque-Lopez, S., Llanez-Anaya, E., Alvarez-Lopez, M. J., Everts, M., Fernandez, D., Davidson, R. J., & Kaliman, P. (2021). Mental health benefits of a 1-week intensive multimodal group program for adolescents with multiple adverse childhood experiences. Child Abuse & Neglect, 122, 105349. Open access: https://doi.org/10.1016/j.chiabu.2021.105349

Audience
EMDR Therapists, Other Mental Health Professionals

Language
English

Content Type
Article, Peer-Reviewed, RCT

Access Type
External Resource, Open Access

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