RESUMEN
Purpose: Despite the high rate of trauma exposure among young people with child welfare involvement, various systematic and patient barriers exist that inhibit utilization of evidence-based trauma treatments. One strategy for alleviating barriers to such treatments is using telehealth. A few studies have found that the clinical outcomes of telehealth TF-CBT are comparable to those found from clinic-based, in-person treatment administration. Studies have yet to examine the feasibility of telehealth TF-CBT with young people in care. The current study sought to address this gap by examining outcomes for patients who received telehealth TF-CBT, along with factors that may have impacted successful completion, at an integrated primary care clinic exclusively serving young people in care. Methods: Patient data were collected retrospectively from the electronic health records of 46 patients who received telehealth TF-CBT between March 2020 and April 2021, and feedback was sought via focus group from 7 of the clinic's mental health providers. A paired-sample t-test was conducted to evaluate the impact of the intervention for the 14 patients who completed treatment. Results: Responses from the Child and Adolescent Trauma Screen showed a significant decrease in posttraumatic stress symptoms when comparing pre-treatment scores (M = 25.64, SD = 7.85) to post-treatment scores (13.57, SD = 5.30), t(13) = 7.50, p < .001. The mean decrease in scores was 12.07 with a 95% confidence interval ranging from 8.60 to 15.55. Themes emerging from the focus group centered on home environment, caregiver participation, and systemic topics. Conclusions: Findings suggest that telehealth TF-CBT with young people in care is feasible but relatively low completion rates suggest that barriers to treatment completion remain.
RESUMEN
Emotion suppression is widely assumed to be unhealthy. Yet, this conclusion may be limited to independent Western cultures that value self-expression. In a pre-registered, daily diary study of European American and East Asian college students, we tested whether culture moderates the effects of daily use of emotion suppression on sleep-a critical component of healthy living among young adults. A total of 117 college students (62 European Americans and 55 East Asians) completed two diaries per day for 14 days to assess (a) their daily use of emotion suppression every night and (b) subjective sleep quality and mood upon awakening every morning. Participants also wore actigraphy watches to provide behavioral measures of sleep. The data were collected between 2018 and 2020. We used multilevel models to test cultural differences in the effects of emotion suppression on sleep and mood measures at both between-person (average) and within-person (day-to-day) levels. For European Americans, greater use of emotion suppression across 2 weeks was associated with lower average subjective sleep quality and more tense (vs. calm) feelings upon awakening. At the within-person level, on days when European Americans used emotion suppression more than usual, they had less amount of sleep that night. In contrast, these associations were completely absent among East Asians. These results provide support for the cultural fit hypothesis that how emotion suppression affects sleep health varies by cultural contexts, depending on whether this regulatory behavior is normatively congruous or incongruous with the values prioritized in each culture. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
