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Tytuł:
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Fostering an affiliative environment in residential youth care: A cluster randomized trial of a compassionate mind training program for caregivers enrolling youth and their caregivers.
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Autorzy:
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Santos L; University of Coimbra, Center for Research in Neuropsychology and Cognitive and Behavioural Intervention, Faculty of Psychology and Educational Sciences, Rua do Colégio Novo, 3030-115 Coimbra, Portugal. Electronic address: lsantos_.
Pinheiro MDR; University of Coimbra, Center for Research in Neuropsychology and Cognitive and Behavioural Intervention, Faculty of Psychology and Educational Sciences, Rua do Colégio Novo, 3030-115 Coimbra, Portugal. Electronic address: .
Rijo D; University of Coimbra, Center for Research in Neuropsychology and Cognitive and Behavioural Intervention, Faculty of Psychology and Educational Sciences, Rua do Colégio Novo, 3030-115 Coimbra, Portugal. Electronic address: .
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Źródło:
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Child abuse & neglect [Child Abuse Negl] 2023 May; Vol. 139, pp. 106122. Date of Electronic Publication: 2023 Feb 28.
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Typ publikacji:
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Randomized Controlled Trial; Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: Oxford : Elsevier Science Inc
Original Publication: Oxford, Elmsford, N. Y., Pergamon Press.
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MeSH Terms:
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Empathy*
Caregivers*/psychology
Child ; Humans ; Adolescent ; Emotions ; Self Report
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Contributed Indexing:
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Keywords: Caregivers; Compassionate mind training; Emotional climate; Residential youth care; Social safeness; Youth at-risk
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Entry Date(s):
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Date Created: 20230302 Date Completed: 20230404 Latest Revision: 20230411
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Update Code:
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20240105
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DOI:
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10.1016/j.chiabu.2023.106122
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PMID:
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36863203
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Background: Affiliation has a positive role on well-being and human development. Most children and youth living in residential youth care (RYC) experienced maltreatment from significant others, becoming a particularly vulnerable group. Their complex needs require well trained caregivers who help them to heal and thrive.
Objective: This cluster randomized trial sought to test the Compassionate Mind Training program for Caregivers (CMT- Care Homes) effectiveness on affiliative outcomes across time.
Participants and Setting: A sample of 127 professional caregivers and 154 youth from 12 Portuguese residential care homes (RCH) participated on this study.
Methods: RCHs were randomized to treatment (n = 6) and control (n = 6) groups. Caregivers and youth completed self-report measures at baseline, post-intervention, and 6-month follow-up on social safeness and emotional climate. Caregivers were also evaluated on compassion outcomes.
Results: MANCOVA indicated large multivariate time X group effects. Univariate results suggested that caregivers from the treatment group showed improvements in compassion towards others and in self-compassion across time, while the control group gradually deteriorated in both variables. Youth and caregivers from the treatment group noticed a more soothing and safer RCH emotional climate, as well as feeling safer within relationships. At 6-month follow-up, improvements were retained by caregivers, but not by youth.
Conclusions: The CMT- Care Homes brings a new model to RYC, that represents a promising approach in promoting safe relationships and affiliative environments in RCHs. Supervision should be provided to monitor care practices and sustain change across time.
Competing Interests: Declaration of competing interest The authors declare that they have no conflict of interest.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)