Adaptation and Implementation of Cognitive Behavioral Intervention for Trauma in Schools with American Indian Youth

摘要

American Indian (AI) adolescents experience higher rates of suicide and psychological distress than the overall U.S. adolescent population, and research suggests that these disparities are related to higher rates of violence and trauma exposure. Despite elevated risk, there is limited empirical information to guide culturally appropriate treatment of trauma and related symptoms. We report a pilot study of an adaptation to the Cognitive Behavioral Intervention for Trauma in Schools in a sample of 24 AI adolescents. Participants experienced significant decreases in anxiety and PTSD symptoms, and avoidant coping strategies, as well as a marginally significant decrease in depression symptoms. Improvements in anxiety and depression were maintained 6 months post-intervention; improvements in PTSD and avoidant coping strategies were not. Feasibility, appropriateness, and acceptability of CBITS are discussed in the context of efforts to develop culturally sensitive interventions for AI youth.