Treatment of posttraumatic stress symptoms in adolescent survivors of childhood cancer and their families: A randomized clinical trial
Treatment of posttraumatic stress symptoms in adolescent survivors of childhood cancer and their families: A randomized clinical trial
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DOI：
10.1037/0893-3200.18.3.493
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发表时间：
2004-09-01
影响因子：
2.7
通讯作者：
Cnaan, A
中科院分区：
文献类型：
--
作者：
Kazak, AE;Alderfer, MA;Cnaan, A
创伤后应激症状（PTSS），特别是侵入性想法、回避和觉醒，是儿童癌症幸存者及其父母最常见的心理后遗症之一。我们对新开发的为期 4 个疗程、1 天的干预措施进行了一项随机等待名单对照试验，旨在减少 PTSS，该干预措施整合了认知行为和家庭治疗方法——癌症生存能力干预计划 (SCCIP)。参与者包括 150 名青少年幸存者及其母亲、父亲和青少年兄弟姐妹。在治疗组中发现，父亲的侵入性想法和幸存者的觉醒显着减少。使用多重插补方法来解决非随机缺失数据，并表明如果保留更多陷入困境的家庭，治疗效果可能会更强。这些数据支持采取简短干预措施来减少该人群的 PTSS，并进一步支持对家庭多个成员进行干预的重要性。
Posttraumatic stress symptoms (PTSS), particularly intrusive thoughts, avoidance, and arousal, are among the most common psychological aftereffects of childhood cancer for survivors and their mothers and fathers. We conducted a randomized wait-list control trial of a newly developed 4-session, 1-day intervention aimed at reducing PTSS that integrates cognitive-behavioral and family therapy approaches-the Surviving Cancer Competently Intervention Program (SCCIP). Participants were 150 adolescent survivors and their mothers, fathers, and adolescent siblings. Significant reductions in intrusive thoughts among fathers and in arousal among survivors were found in the treatment group. A multiple imputations approach was used to address nonrandom missing data and indicated that treatment effects would likely have been stronger had more distressed families been retained. The data are supportive of brief interventions to reduce PTSS in this population and provide additional support for the importance of intervention for multiple members of the family.