Childhood exposure to intimate partner violence (IPV) increases risk for symptoms of inattention and hyperactivity, and yet no known evaluations of interventions for IPV-exposed children have demonstrated effectiveness in treating their attention problems. This study examined the utility of the Preschool Kids’ Club (PKC), a treatment program tailored to the needs of preschool-aged children whose mothers had experienced IPV, in reducing children’s attention problems during this critical developmental period. Participants ( = 120) were preschool-aged children who, with their mothers, participated in an eight-year randomized controlled trial (RCT) of the PKC. Longitudinal multi-level modeling was used to evaluate the main effect of intervention participation on children’s attention problems, as well as moderating effects of IPV exposure and maternal depression. Although there was no main effect of intervention participation, children’s outcomes were moderated by IPV exposure. Specifically, among children exposed to high levels of IPV, symptoms of inattention and hyperactivity were significantly lower for intervention participants than children in the control group one year post-intervention. These improvements were not sustained in the eight-year follow-up. Results provide support for the use of trauma-specific interventions for children exhibiting attention problems following exposure to high levels of IPV. However, more comprehensive and long-term treatment may be necessary to promote enduring change.

中文翻译：

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治疗遭受亲密伴侣暴力的儿童的注意力问题：评估学前儿童俱乐部

童年时期接触亲密伴侣暴力 (IPV) 会增加出现注意力不集中和多动症状的风险，但目前尚无已知的对 IPV 接触儿童干预措施的评估表明其在治疗注意力问题方面有效。这项研究检验了学前儿童俱乐部 (PKC) 的效用，这是一个针对母亲经历过 IPV 的学龄前儿童的需求量身定制的治疗计划，在减少儿童在这一关键发育时期的注意力问题方面的效用。参与者 (= 120) 是学龄前儿童，他们与他们的母亲一起参加了 PKC 的一项为期八年的随机对照试验 (RCT)。采用纵向多水平模型评估干预参与对儿童注意力问题的主效应，以及IPV暴露和母亲抑郁的调节作用。尽管干预参与没有主要影响，但儿童的结果受到 IPV 暴露的影响。具体而言，在接触高水平 IPV 的儿童中，干预一年后，干预参与者的注意力不集中和多动症状明显低于对照组儿童。这些改善在八年的随访中并未持续。结果支持对暴露于高水平 IPV 后表现出注意力问题的儿童使用针对创伤的干预措施。然而，为了促进持久的改变，可能需要更全面和长期的治疗。