Do Externalizing Problems Impact Change in Post-Traumatic Stress Symptoms for Youth in a School-Based Group Intervention?

Autor/inn/en	Tennity, Cassidy L.; Grassetti, Stevie N.; Boniface, Rosa L.; Charles, Nora E.; Paprzycki, Peter
Titel	Do Externalizing Problems Impact Change in Post-Traumatic Stress Symptoms for Youth in a School-Based Group Intervention?
Quelle	In: School Mental Health, 15 (2023) 3, S.777-786 (10 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Grassetti, Stevie N.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1866-2625
DOI	10.1007/s12310-023-09583-0
Schlagwörter	Trauma; Posttraumatic Stress Disorder; Intervention; Behavior Problems; Group Therapy; Symptoms (Individual Disorders); Counseling Effectiveness + Suchen Sie Ihr Suchwort? Psychiatrische Symptomatik
Abstract	Trauma exposure places youth at an increased risk for post-traumatic stress symptoms (PTSS) and externalizing problems. Trauma-focused therapies help treat these symptoms, but many youth with these symptoms are still unable to receive treatment. Offering trauma-focused therapies in a group format is one way to extend therapeutic services to more youth who need them. Providing group interventions to youth in the school setting can further minimize barriers for youth who need therapeutic services. Despite the relationship between trauma exposure and externalizing behavior problems, and the disruptive nature of externalizing problems, the impact of externalizing problems on outcomes in group treatment for PTSS has yet to be examined. This study uses multilevel modeling to examine whether PTSS symptom change during group therapy for youth with PTSS differs as a function of youth's self-reported externalizing problems or as a function of youth's exposure to other youth's externalizing problems within their therapy group. Results show that youth's own level of externalizing problems at baseline did not yield a significant effect on PTSS symptom change from pre- to post-treatment; however, youth who were part of groups with higher levels of externalizing problems experienced less change in PTSS from baseline to post-intervention. While youth with higher levels of externalizing problems themselves still report experiencing reductions in PTSS from group therapy, the presence of these youth in group sessions may impede therapeutic progress of other groups members. The clinical implications of these findings for treatment of PTSS in youth with externalizing behavior problems will be discussed. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01