Restavek is a form of modern-day slavery that is estimated to affect 300,000 (i.e., approximately 1 in 10) children in Haiti. It typically involves a child from a poor rural family being sent to work as an indentured domestic servant for an affluent urban family. Restavek children experience a high rate of trauma, as well as other mental health concerns. The present study explored the effectiveness of a culturally adapted form of Spiritually Oriented Trauma-Focused Cognitive-Behavioral Therapy (SO-TF-CBT), a treatment model for assessing and treating religious and spiritual issues within the standard TF-CBT protocol (an evidence-based treatment for childhood trauma). This study involved 20 control participants and 38 treatment participants assigned to a 12-session protocol. Results indicated that participants who received the treatment, relative to those who did not, reported lower PTSD symptoms and spiritual struggles (relative to control participants), with medium-to-large effect sizes. Implications of these findings for future research and clinical work with restavek children are discussed.
This study examined the moderating role of positive peer relationships in the relation between behavioral or academic risk factors and victimization in Asian children's peer groups. We recruited 296 children (161 boys, 135 girls) from Tianjin, China (mean age of 11.5 years) and 122 children (66 boys, 56 girls) from Seoul, South Korea (approximate mean age of 11 years). The children's behavioral, academic and social functioning were assessed with a multi-informant approach. Their behavioral and academic vulnerabilities were associated with their victimization by peers. However, these effects were mitigated for children who were able to establish positive relationships with their peers. Taken together, our findings highlight the potential buffering role of peer relationships in the cultural contexts examined.
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