Development, Feasibility, and Refinement of a Toxic Stress Prevention Research Program

Woods‐Jaeger, Briana; Sexton, Chris C.; Gardner, Brijin; Siedlik, Emily; Slagel, Lauren; Tezza, Vyonne; O’Malley, Donna

doi:10.1007/s10826-018-1178-1

Cited by 17 publications

(21 citation statements)

References 39 publications

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“…While they reported that mothers' self-reported parenting stress, depressive symptoms, and symptoms of psychological distress were in the clinical ranges at the start of treatment, they did not assess these constructs at the end of treatment, leaving it unknown whether the intervention had a meaningful impact on mothers' mental health. Similar to the other studies reviewed here (Martin et al, 2017;Woods-Jaeger et al, 2018), Renneberg and Rosenbach (2016) had a small sample of 15 mothers.…”

Section: Dbt Trials For Adults That Report On Parenting or Child Outc...mentioning

confidence: 67%

Integrating dialectical behavior therapy with child and parent training interventions: A narrative and theoretical review.

Zalewski

Maliken

Lengua

et al. 2023

Clinical Psychology: Science and Practice

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There is growing interest among researchers and clinicians in incorporating one of the most efficacious treatments for improving emotion regulation, dialectical behavior therapy (DBT), into parenting interventions, with the explicit purpose of improving parental well-being so as to positively impact children's social-emotional outcomes. Integrations of DBT and parenting interventions have ranged considerably, as there is extensive variability across studies in the selection of parenting interventions and the extent to which the DBT concepts are incorporated, the content modified, or the dosage abbreviated. The primary goal of this narrative review is to synthesize the accumulation of DBT and parent intervention literature with an eye toward improving future treatment development efforts in this area, as well as current clinical practice. Public Health Significance StatementThe public health need to integrate parenting interventions with dialectical behavior therapy (DBT) is increasingly evident as many parents in parenting interventions have difficulties with regulating their own emotions, which interferes with their ability to acquire and enact effective parenting behaviors. Many adults receiving DBT are parents and also need help with parenting, but their clinician may not be equipped with the training to optimally assist in this domain. This article is directly focused on these topics and aims to fill a critical gap for DBT clinicians and parenting interventionists, as well as treatment development researchers.

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Section: Dbt Trials For Adults That Report On Parenting or Child Outc...mentioning

confidence: 67%

Integrating dialectical behavior therapy with child and parent training interventions: A narrative and theoretical review.

Zalewski

Maliken

Lengua

et al. 2023

Clinical Psychology: Science and Practice

View full text Add to dashboard Cite

show abstract

“…Parents who participated in the mindfulness-based skills group reported significant reductions in depressive symptoms, parental distress, and difficulties with emotion regulation, with the overwhelming majority of parents reporting high satisfaction with the intervention and that it increased their confidence in their parenting skills (Woods-Jaeger, Sexton, et al, 2018). In parallel, teacher ratings of child outcomes in the Classroom Theraplay intervention suggested benefits in a range of domains, including: social engagement, child-initiated interactions with caregivers, sense of trust and safety, self-regulation, tolerance for new activities and people, and sense of attachment between child and caregiver (Woods-Jaeger, Sexton, et al, 2018). Finally, parents who participated in our integrated care intervention reported that the intervention content was “helpful” or “very helpful” and endorsed high levels of satisfaction with the interventionists’ teaching of the content, with 80% reporting the teaching was “excellent.” Further, all parents who participated indicated that they would recommend the program to others (Woods-Jaeger et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

“…2Gen Thrive was comprised of five phases: (1) infrastructure development including a needs and assets assessment, stakeholder meetings, and CAB formation; (2) qualitative interviews with parents of color with ACE histories (Woods-Jaeger, Cho, et al, 2018); (3) qualitative interviews with clinicians who serve families of color living in poverty exposed to ACEs (Sexton et al, 2017); (4) a series of pilot studies to determine feasibility, acceptability, and promise of interventions to address the intergenerational transmission of ACEs (Woods-Jaeger, Sexton, et al, 2018; Woods-Jaeger et al, 2020); and (5) policy advocacy to address systemic factors identified by parents with ACE histories (Cho et al, 2021). This study was approved by the academic partners’ Institutional Review Boards and executed in partnership with the lead community partner organization, Operation Breakthrough.…”

Section: Methodsmentioning

confidence: 99%

Two generations thrive: Bidirectional collaboration among researchers, practitioners, and parents to promote culturally responsive trauma research, practice, and policy.

Woods‐Jaeger¹,

Kleven²,

Sexton³

et al. 2023

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Prolonged exposure to adverse childhood experiences (ACEs) in the absence of protective relationships and systems contributes to toxic stress and can lead to numerous psychological and physical health consequences. Disproportionate exposure to ACEs and lack of appropriate responses stemming from systemic racism contributes to racial inequities. Culturally responsive practices and policies focused on early childhood are critical to prevent toxic stress and subsequent health inequities. This paper describes a collaboration among researchers, practitioners, and parents of color with lived experiences of ACEs entitled: Two Generations Thrive, which aims to prevent the intergenerational transmission of ACEs through improving practices and policies within the health care, education, and child welfare systems. Method: Communitybased Participatory Research (CBPR) and cultural humility provided a framework and key principles for our collaboration, with an emphasis on critical reflection, mitigating power imbalances, and institutional accountability. Qualitative and quantitative methods were used to evaluate outcomes. We describe our process of building an infrastructure for bidirectional collaboration and key lessons learned to offer a roadmap for researchers, clinicians, and advocates who seek to partner in preventing ACEs and subsequent health inequities. Results: Key lessons learned include: the importance of building and maintaining trust, consistently working to mitigate power imbalances, and the power of bidirectional collaboration to maximize the benefit of research and action for communities traditionally marginalized in research and practice. Conclusions: Cultural humility and CBPR provide a strong foundation to promote bidirectional collaboration among researchers, practitioners, and parents with lived experience of ACEs. Clinical Impact StatementRepeated exposure to adversity can cause toxic stress, which is damaging to physical and mental health. Disproportionate exposure to ACEs and lack of appropriate responses stemming from systemic racism contribute to racial inequities associated with toxic stress including disproportionate intergenerational transmission of ACEs among families of color. This article describes a bidirectional partnership among researchers, practitioners, and parents initially focused on intervention research that grew to focus on building capacity across systems to reduce racial inequities associated with toxic stress.

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“…Study findings suggest a need for interventions that develop resilience among individuals exposed to ACEs. One promising example is the program 2Gen Thrive, which prevents stress and promotes resilience for at-risk low-income families by improving caregiver ability to respond to a child’s development including their emotional and behavioral needs (Woods-Jaeger et al, 2018 ). Further development and testing are needed to identify evidence-based resilience interventions with long-term benefits.…”

Section: Discussionmentioning

confidence: 99%

Association Between Adverse Childhood Experiences, Resilience and Mental Health in a Hispanic Community

Dominguez

Brown

2022

Journ Child Adol Trauma

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This study explores the relations between adverse childhood experiences (ACEs), mental health and resilience among Hispanic adults living in the United States – Mexico Border region. Numerous studies have investigated the negative impact of ACEs on adult mental health, but the concept of resilience as a protective factor for mental health in the Hispanic communities has limited consideration in ACE treatment interventions. The proposed study addresses this gap in knowledge by investigating relations between ACEs, resilience, and mental health. An online survey was administered to 221 university students to assess the relationship between ACEs, mental distress and resilience. Using hierarchical linear regression, three models were estimated. First, including demographics, second including ACEs and low resilience, followed by the interaction of ACEs and resilience. Analyses indicate that ACEs were associated with mental distress (B = 1.02, 95% CI 0.37 – 1.68, p < 0.01) and low resilience was associated with mental distress (B = 5.37, 95% CI 3.15 – 7.59, p < .01). The interaction between ACEs and low resilience was also related to mental distress (B = 1.32, 95% CI 0.17 – 2.47, p = 0.03), indicating that ACEs had a larger association with mental distress among respondents with low resilience. Findings highlight the importance of the direct association between resilience and mental distress, along with the moderating influence of resilience on the relation between ACEs and mental health. Interventions promoting resilience may be effective in reducing mental distress, especially among individuals with a history of ACEs.

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Development, Feasibility, and Refinement of a Toxic Stress Prevention Research Program

Cited by 17 publications

References 39 publications

Integrating dialectical behavior therapy with child and parent training interventions: A narrative and theoretical review.

Integrating dialectical behavior therapy with child and parent training interventions: A narrative and theoretical review.

Two generations thrive: Bidirectional collaboration among researchers, practitioners, and parents to promote culturally responsive trauma research, practice, and policy.

Association Between Adverse Childhood Experiences, Resilience and Mental Health in a Hispanic Community

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