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The Effectiveness of Trauma-Informed Parenting Programs for Traumatized Parents and Their Components: A Meta-Analytic Study
Clinical Child and Family Psychology Review ( IF 5.5 ) Pub Date : 2024-10-27 , DOI: 10.1007/s10567-024-00503-5
Amy Yinan Liu, Jeanne Gubbels, Bram Orobio de Castro

Parents who have been exposed to trauma face distinct challenges in parenting that can lead to negative child developmental outcomes and intergenerational transmission of trauma. Parenting programs for traumatized parents seem promising, but the existing evidence on their effectiveness has not yet been synthesized. This study aimed to examine the overall effect of trauma-informed parenting programs on (a) parenting and (b) parental mental health outcomes by conducting two three-level meta-analyses. Moderator analyses were performed to identify whether program components, delivery techniques, and other study and program characteristics were associated with effectiveness. A literature search conducted up to August 2024 yielded 15 studies reporting on 110 effect sizes. Significant overall effects were found of trauma-informed parenting programs on both parenting outcomes (d = 0.75, 95% CIs = [0.09, 1.15], p = .027) and parental mental health outcomes (d = 0.21, 95% CIs = [0.09, 0.32], p < .001). The first meta-analysis on parenting found no significant moderators, while the second meta-analysis on parental mental health indicated that programs emphasizing child disciplining skills yielded smaller effects (d = 0.04) compared to programs without this component (d = 0.31). Programs using modeling techniques yielded larger effects (d = 0.32) compared to programs without (d = 0.14). Larger program effects on parental mental health were also found for programs with longer durations and when individual sessions were used. Thus, evidence supports the effectiveness of trauma-informed parenting programs in improving parenting and reducing parental mental health problems.



中文翻译:


创伤知情育儿计划对受创伤父母及其组成部分的有效性:一项荟萃分析研究



遭受创伤的父母在养育子女方面面临独特的挑战,这可能导致负面的儿童发展结果和创伤的代际传递。针对受创伤父母的育儿计划似乎很有希望,但关于其有效性的现有证据尚未得到综合。本研究旨在通过进行两项三级荟萃分析,检查创伤知情育儿计划对 (a) 育儿和 (b) 父母心理健康结果的总体影响。进行主持人分析以确定项目组成部分、交付技术以及其他研究和项目特征是否与有效性相关。截至 2024 年 8 月进行的文献检索产生了 15 项研究,报告了 110 种效应大小。发现创伤知情育儿计划对育儿结局 (d = 0.75,95% CI = [0.09, 1.15],p = .027) 和父母心理健康结果 (d = 0.21,95% CI = [0.09, 0.32],p < .001)。关于育儿的第一个荟萃分析没有发现显着的调节因素,而关于父母心理健康的第二个荟萃分析表明,与没有这个组成部分的项目 (d = 0.31) 相比,强调儿童管教技能的项目产生的影响较小 (d = 0.04)。与不使用建模技术的程序 (d = 0.14) 相比,使用建模技术的程序产生了更大的效应 (d = 0.32)。对于持续时间较长的计划以及使用单独的会话,还发现计划对父母心理健康的影响更大。因此,证据支持创伤知情育儿计划在改善育儿和减少父母心理健康问题方面的有效性。

更新日期:2024-10-28
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