ORCID Profile
0000-0002-5350-5825
Current Organisations
University of Melbourne
,
Pennsylvania State University College of Medicine
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Publisher: Wiley
Date: 02-2022
DOI: 10.1111/EIP.13265
Abstract: Interpersonal trauma exposures are associated with anxiety, depression, and substance use in youth populations (aged 12–25 years). This meta‐analysis reports on the efficacy of psychological interventions on these symptom domains in addition to post‐traumatic stress. Following PRISMA guidelines, a search of electronic databases was performed for randomized controlled trials (RCTs) assessing interventions for young people following interpersonal trauma exposure. Risk of bias was assessed using the Cochrane Risk of Bias tool. Data were analysed using random‐effects meta‐analyses. Of the 4832 records screened, 78 studies were reviewed, and 10 RCTs, involving 679 participants (mean age 15.6 years), were analysed. There was a large pooled effect size for post‐traumatic stress (7 studies , g = 1.43, 95% CI [0.37, 2.15], p = .002) and substance use (2 studies , g = 0.70, 95% CI [−0.11, 1.22], p .001) and small effect sizes for anxiety (4 studies , g = 0.30, 95% CI [0.10, 0.49], p = .003), and trend‐level effect for depression (10 studies , g = 0.27, 95% CI [0.00, 0.54], p = .052). Heterogeneity was significant for post‐traumatic stress and moderate for depression. High‐quality RCTs of psychological interventions for anxiety, depression, substance use, and post‐traumatic stress symptoms in young people exposed to interpersonal trauma are scarce. While available studies show either statistically significant or trend‐level efficacy for psychological interventions in reducing these symptoms, wide confidence intervals, heterogeneity and small s le size mean that results need to be interpreted with caution.
Publisher: Mary Ann Liebert Inc
Date: 03-2008
Publisher: Wiley
Date: 04-05-2023
Publisher: MDPI AG
Date: 24-11-2022
Abstract: The Coronavirus Disease 2019 (COVID-19) pandemic impacted peoples’ livelihoods and mental wellbeing. Aboriginal and Torres Strait Islander peoples in Australia continue to experience intergenerational trauma associated with colonization and may experience trauma-related distress in response to government responses to public health emergencies. We aimed to develop a culturally responsive trauma-informed public health emergency response framework for Aboriginal and Torres Strait Islander peoples. This Aboriginal and Torres Strait Islander-led study involved: (i) a review of trauma-informed public health emergency responses to develop a draft framework (ii) interviews with 110 Aboriginal and Torres Strait Islander parents about how COVID-19 impacted their lives, and (iii) a workshop with 36 stakeholders about pandemic experiences using framework analysis to refine a culturally responsive trauma-informed framework. The framework included: an overarching philosophy (cultural humility, safety and responsiveness) key enablers (local leadership and Eldership) supporting strategies (provision of basic needs and resources, well-functioning social systems, human rights, dignity, choice, justice and ethics, mutuality and collective responsibility, and strengthening of existing systems) interdependent core concepts (safety, transparency, and empowerment, holistic support, connectedness and collaboration, and compassion, protection and caring) and central goals (a sense of security, resilience, wellbeing, self- and collective-efficacy, hope, trust, resilience, and healing from grief and loss).
Location: United States of America
Location: United States of America
Location: United States of America
No related grants have been discovered for Keith Cheng.