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Wilderness adventure therapy effects on the mental health of youth participants

机译：荒野探险疗法对青少年参与者心理健康的影响

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Adventure therapy offers a prevention, early intervention, and treatment modality for people with behavioural, psychological, and psychosocial issues. It can appeal to youth-at-risk who are often less responsive to traditional psychotherapeutic interventions. This study evaluated Wilderness Adventure Therapy (WAT) outcomes based on participants' pre-program, post-program, and follow-up responses to self-report questionnaires. The sample consisted of 36 adolescent out-patients with mixed mental health issues who completed a 10-week, manualised WAT intervention. The overall short-term standardised mean effect size was small, positive, and statistically significant (0.26), with moderate, statistically significant improvements in psychological resilience and social self-esteem. Total short-term effects were within age-based adventure therapy meta-analytic benchmark 90% confidence intervals, except for the change in suicidality which was lower than the comparable benchmark. The short-term changes were retained at the three-month follow-up, except for family functioning (significant reduction) and suicidality (significant improvement). For participants in clinical ranges pre-program, there was a large, statistically significant reduction in depressive symptomology, and large to very large, statistically significant improvements in behavioural and emotional functioning. These changes were retained at the three-month follow-up. These findings indicate that WAT is as effective as traditional psychotherapy techniques for clinically symptomatic people. Future research utilising a comparison or wait-list control group, multiple sources of data, and a larger sample, could help to qualify and extend these findings. (C) 2016 The Authors. Published by Elsevier Ltd.
机译：冒险疗法为具有行为，心理和社会心理问题的人们提供了预防，早期干预和治疗方式。它可以吸引处于危险中的年轻人，这些人通常对传统的心理治疗干预反应较差。这项研究基于参与者的计划前，计划后以及对自我报告调查表的后续回应，评估了荒野冒险疗法（WAT）的结果。该样本由36名青少年心理健康问题混合门诊患者组成，他们完成了为期10周的手动WAT干预。总体而言，短期标准化的平均效应量很小，为阳性，在统计学上具有统计学意义（0.26），在心理适应能力和社会自尊方面有中等，统计学上的显着改善。短期总效果在基于年龄的冒险疗法荟萃分析基准90％的置信区间内，但自杀性的变化低于可比基准。短期变化保留在三个月的随访中，除了家庭功能（显着减少）和自杀倾向（显着改善）外。对于参加预编程临床范围的参与者，抑郁症状有统计学上的显着降低，行为和情绪功能方面有从统计学上显着的巨大改善。这些变化保留在三个月的随访中。这些发现表明，对于临床上有症状的人，WAT与传统的心理治疗技术一样有效。利用比较或等待列表对照组，多种数据来源和更大样本进行的未来研究可能有助于限定和扩展这些发现。 （C）2016作者。由Elsevier Ltd.发布

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