Mental health benefits of a 1-week intensive multimodal group program for adolescents with multiple adverse childhood experiences
Open accessAbstract
BACKGROUND: Adverse childhood experiences (ACEs) are associated with a wide range of diseases, unsafe behavior and shorter life expectancy. However, there is scarce evidence on effective interventions for children or adolescents who report multiple ACEs, including abuse, neglect and household dysfunction. OBJECTIVE: The aim of this study was to evaluate the mental health outcomes of a multimodal program designed for adolescents with multiple ACEs. PARTICIPANTS: Forty-four girls (aged 13-16 years, mean ACE score > 5) were randomized to an intervention group or a care-as-usual control group. METHODS: The intervention included mindfulness-based practices, expressive arts and EMDR (Eye Movement Desensitization and Reprocessing Integrative) group treatment. We used questionnaires for adolescents to assess trauma (SPRINT, CPSS) and attention/awareness-related outcomes (MAAS-A) at baseline (T1), post-intervention (T2) and two-months post-discharge (T3). RESULTS: = -26%, p < 0.001) while attention/awareness-related outcomes were improved by 57% (p < 0.001). These changes remained stable two months after discharge. SPRINT and CPSS scales were highly correlated (r = 0.833, p < 0.001) and outcomes from both trauma-related scales negatively correlated with mindfulness scores (MAAS-A/SPRINT, r = -0.515, p = 0.007; MAAS-A/CPSS, r = -0.553, p < 0.001). CONCLUSIONS: Results presented here support this multimodal group intervention as a feasible and promising program for reducing the psychological burden in adolescents with a history of multiple ACEs.
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PE-A is more effective than supportive counseling in reducing PTSD symptoms in adolescents.
“A study [46] found that prolonged exposure (PE-A) was more effective than supportive counseling in mitigating symptoms of PTSD in adolescents.”
From Clinical Efficacy of Psychotherapeutic Interventions for Post-Traumatic Stress Disorder in Children and Adolescents: A Systematic Review and Analysis. (2024) · cites this paper as [46]
The Discussion reports reduced PTSD symptoms after an intensive multimodal group program, and the Introduction identifies EMDR as one component. Searches for prolonged exposure (PE-A) and supportive counseling found no passage comparing those treatments, so our copy does not establish the attributed finding. (LLM, conf=0.77)
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Çokluk, G. F. (2026) · BMC Psychiatry · doi:10.1186/s12888-026-08163-1
“Epidemiological studies indicate that between 20% and 40% of adolescents exposed to natural disasters develop clinically significant symptoms of post-traumatic stress disorder [2, 3].”
Adverse childhood experiences and their impact on primary headache patients: a cross-sectional study
Moreno, A. P., Galindo, V. G., Hurtado‐Ortiz, A., Licht-Ardila, M., Hernández, E. F. M., Mendoza-Monsalve, A., Pérez-Cárdenas, A. T., Forero, X., Portilla, A. J., Sieger, F. S., et al. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1676559
BODY PRACTICES FOR CORRECTION OF STRESS DISORDERS: A CURRENT STATE, WORLD PRACTICE AND KEY TRENDS
Smyrnov, V. V., & Ladyhina, О. V. (2025) · Ukrainian Psychological Journal · doi:10.17721/upj.2025.2(24).8
From Art Therapy to Art Healing: Solutions for College Students’ Mental Health: A Review
Song, Y., Chen, C., & Wang, Z. (2026) · Arts · doi:10.3390/arts15080180
“Integrative art healing combines multiple expressive modalities, rather than relying solely on a single sensory modality (Ho et al. 2025; Roque-Lopez et al. 2021).”
Avramchuk, O., Germanovych, O., Ivanenko, O., Uralova, O., Lisenberg, M., Mukha, O., Stadnytska, Y., Davidson, R. J., & Kaliman, P. (2026) · Child Protection and Practice · doi:10.1016/j.chipro.2026.100361
- Authors
- Roque-Lopez, S., Llanez-Anaya, E., Álvarez-López, M. J., Everts, M., Fernández, D., Davidson, R. J., & Kaliman, P.
- Affiliations
- Universidad De Santander (CO)
- Universitat Politècnica de Catalunya (ES)
- University of Wisconsin–Madison (US)
- Corresponding author
- Kaliman, Perla
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2021-12
- Volume
- 122
- Pages
- 105349
- ISSN
- 0145-2134 (ISSN-L)
- PMC
- PMC8627589
- OpenAlex
- W3202502617
- Cited by
- 31
- References
- 45
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 8 · 2023: 4 · 2022: 2
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Child Abuse & Neglect (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion, cc-by)
- O2 - Repositori Institucional (Universitat Oberta de Catalunya) (submittedVersion, cc-by)
- UPCommons institutional repository (Universitat Politècnica de Catalunya) (submittedVersion, cc-by)
- Greater South Information System
- Funders
- Universidad de Santander
- Instituto Colombiano de Bienestar Familiar
- National Institute of Mental Health (R01MH043454)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- adverse childhood experiences, adolescents, mental health, mindfulness-based interventions, expressive arts therapy, EMDR, trauma, attention and awareness, abuse and neglect, household dysfunction, sprinting
- MeSH terms
- Adverse Childhood Experiences, Adolescent, Aftercare, Child, Female, Humans, Mental Health, Patient Discharge, Eye Movement Desensitization Reprocessing
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