A Web-Based Early Intervention Can Prevent Long-Term PTS Reactions in Children With High Initial Distress Following Accidental Injury.
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| Title: | A Web-Based Early Intervention Can Prevent Long-Term PTS Reactions in Children With High Initial Distress Following Accidental Injury. |
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| Authors: | Kenardy, Justin A., Cox, Catherine M., Brown, Felicity L. |
| Source: | Journal of Traumatic Stress. Aug2015, Vol. 28 Issue 4, p366-369. 4p. 1 Graph. |
| Subjects: | Prevention of post-traumatic stress disorder, Treatment of children's injuries, Symptoms, Internet in medicine, Long-term memory in children, Psychological distress, Psychology, Prevention |
| Abstract (English): | The present study explored the targeting of a preventative information provision intervention delivered to children following accidental injury by assessing the impact of initial traumatic distress on response to treatment. Analyses were based on baseline and 6-month outcome of child traumatic stress in a control ( n = 28) and an intervention group ( n = 31). Moderation of treatment outcome by initial levels of child traumatic stress was assessed through multiple hierarchical regression analyses. Results indicated the interaction between treatment provision and initial level of posttraumatic stress significantly predicted 6-month outcome (β = −.42, p = .019). When initial distress was high, children in the control group demonstrated an increase in trauma symptoms, and had significantly higher trauma symptoms at follow-up than those in the treatment group ( d = 0.94, p = .008). When initial distress was not elevated, no significant differences were noted between the groups. These results indicate that a preventative early intervention may be best targeted at children presenting with the specific risk factor of high initial distress. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Resumen Intervención basada en la web para niños con estrés post traumático El presente estudio exploró el blanco de una intervención de información preventiva entregada a niños con lesiones por accidentes a través de la evaluación del impacto del distres traumático inicial en respuesta al tratamiento. Los análisis estuvieron basados en el estrés traumático infantil a nivel basal y a los 6 meses en el grupo control (n = 28) y en el grupo con intervención (n = 31). La Moderación del resultado del tratamiento por los niveles iniciales de estrés traumático infantil fue evaluado a través de análisis de regresión jerárquico múltiple. Los resultados indicaron que la interacción entre la provisión del tratamiento y los niveles iniciales de estrés postraumático predijeron significativamente los resultados a los 6 meses (B = -.42, p = .019). Cuando el distres inicial fue alto, los niños del grupo control demostraron síntomas de trauma más altos y tenían síntomas de trauma significativamente más altos en el seguimiento que aquellos del grupo en tratamiento (d = .94, p = .008). Cuando el distres inicial no era elevado, no se notaron diferencias significativas entre los grupos. Estos resultados indican que los niños que presentan el factor de riesgo específico de un distres inicial alto pueden ser el mejor blanco de una intervención preventiva precoz. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): | Traditional and Simplified Chinese Abstracts by AsianSTSS 標題 : 早期的心理教育干預可預防意外受傷後有高水平起首悲痛的兒童長遠的創傷後壓力：一項調節效應分析 撮要: 本研究透過評估創傷悲痛的起首水平對治療反應的影響，探索為意外受傷的兒童提供的一項預防性教育干預目標。研究分析一個對照組(n = 28)和干預組(n = 31)的兒童創傷壓力基線和六個月的結果；透過多元層次迴歸分析，評估兒童創傷壓力的起首水平對治療成果的調節效應。結果顯示治療和創傷後壓力起首水平的交互作用顯著地預測到六個月的成果 (β = -.42, p = .019)。當起首的悲痛水平高，對照組的兒童創傷症狀便上升，並且比受治療的組別在跟進期有顯著較高的創傷症狀水平(d = .94, p = .008)。當起首的悲痛水平不高，則無發現組別間有顯著差異。結果顯示，早期的預防性干預最好可能是針對對於高水平的起首悲痛抱特殊風險因素的兒童。 标题 : 早期的心理教育干预可预防意外受伤后有高水平起首悲痛的儿童长远的创伤后压力：一项调节效应分析 撮要: 本研究透过评估创伤悲痛的起首水平对治疗反应的影响，探索为意外受伤的儿童提供的一项预防性教育干预目标。研究分析一个对照组(n = 28)和干预组(n = 31)的儿童创伤压力基线和六个月的结果；透过多元层次回归分析，评估儿童创伤压力的起首水平对治疗成果的调节效应。结果显示治疗和创伤后压力起首水平的交互作用显著地预测到六个月的成果 (β = -.42, p = .019)。当起首的悲痛水平高，对照组的儿童创伤症状便上升，并且比受治疗的组别在跟进期有显著较高的创伤症状水平(d = .94, p = .008)。当起首的悲痛水平不高，则无发现组别间有显著差异。结果显示，早期的预防性干预最好可能是针对对于高水平的起首悲痛抱特殊风险因素的儿童。 [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | The present study explored the targeting of a preventative information provision intervention delivered to children following accidental injury by assessing the impact of initial traumatic distress on response to treatment. Analyses were based on baseline and 6-month outcome of child traumatic stress in a control ( n = 28) and an intervention group ( n = 31). Moderation of treatment outcome by initial levels of child traumatic stress was assessed through multiple hierarchical regression analyses. Results indicated the interaction between treatment provision and initial level of posttraumatic stress significantly predicted 6-month outcome (β = −.42, p = .019). When initial distress was high, children in the control group demonstrated an increase in trauma symptoms, and had significantly higher trauma symptoms at follow-up than those in the treatment group ( d = 0.94, p = .008). When initial distress was not elevated, no significant differences were noted between the groups. These results indicate that a preventative early intervention may be best targeted at children presenting with the specific risk factor of high initial distress. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 08949867 |
| DOI: | 10.1002/jts.22025 |
