This single-arm, repeated measures study investigated the impact caregiver trauma history may have on treatment response following an intensive, 2-day Emotion Focused Family Therapy (EFFT) caregiver workshop. Caregivers (n = 243) completed questionnaires regarding their child's emotion regulation and clinical symptoms, as well as their own childhood trauma history (i.e., exposure to various forms of child maltreatment), caregiver self-efficacy and caregiver blocks (e.g., fears) to support their child's treatment and recovery. Questionnaires were administered prior to and immediately following the workshop and again 4, 8 and 12 months later. At baseline, caregivers who reported experiences of childhood maltreatment demonstrated more blocks compared with caregivers who did not (B = 6.35, SE = 2.62, p < 0.05). Results indicated that caregivers with and without maltreatment histories reported similar, significant gains in their child's total difficulties (B = 0.64, SE = 0.41, p = 0.12) and emotional negativity and lability (B = 0.51, SE = 0.48, p = 0.29) at 12-month post-workshop. Caregivers with maltreatment histories reported greater improvements in caregiver blocks (B = 5.15, SE = 1.34, p < 0.001) and child emotion regulation (B = 0.90, SE = 0.18, p < 0.001) than caregivers without maltreatment histories. They also report less, but still significant, improvement in parental self-efficacy (B = −0.68, SE = 0.26, p < 0.01) when compared with caregivers without maltreatment histories. Findings suggest that EFFT workshops may be an acceptable and effective trans-diagnostic intervention for families presenting with complex histories, including caregiver exposure to childhood maltreatment.

中文翻译：

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在以情绪为中心的家庭治疗研讨会之后，看护者的虐待史和治疗反应

这项单臂、重复测量研究调查了在为期 2 天的集中情绪家庭治疗 (EFFT) 护理人员研讨会之后，护理人员的创伤史可能对治疗反应产生的影响。照顾者 ( n  = 243) 完成了关于他们孩子的情绪调节和临床症状的问卷调查，以及他们自己的童年创伤史（即，暴露于各种形式的儿童虐待）、照顾者自我效能和照顾者障碍（例如，恐惧）支持孩子的治疗和康复。在研讨会之前和之后立即进行问卷调查，并在 4、8 和 12 个月后再次进行问卷调查。在基线时，报告童年虐待经历的照顾者与没有报告的照顾者相比，表现出更多的障碍（B = 6.35，SE  = 2.62，p  < 0.05）。结果表明，有和没有虐待史的看护人报告说，他们孩子的总困难（B  = 0.64，SE =  0.41，p  = 0.12）和情绪消极和不稳定（B  = 0.51，SE =  0.48，p  = 0.29）相似且显着在 12 个月的研讨会后。有虐待史的看护人报告说，看护障碍（B  = 5.15，SE =  1.34，p  < 0.001）和儿童情绪调节（B  = 0.90，SE =  0.18，p < 0.001) 比没有虐待史的看护人。 与没有虐待史的看护人相比，他们还报告了父母自我效能的改善较少但仍然显着（B  = -0.68，SE =  0.26，p < 0.01）。研究结果表明，对于有复杂历史的家庭，包括照顾者遭受童年虐待的家庭，EFFT 研讨会可能是一种可接受且有效的跨诊断干预措施。