Treating sexually abused children with posttraumatic stress symptoms: A randomized clinical trial

Treating sexually abused children with posttraumatic stress symptoms: A randomized clinical trial
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DOI:
10.1097/00004583-200011000-00008
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发表时间:
2000-11-01
影响因子:
13.3
通讯作者:
Ollendick, TH
Ollendick, TH
中科院分区:
医学1区
文献类型:
--
作者:
King, NJ;Tonge, BJ;Ollendick, TH

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目的:评估儿童和照顾者参与对有创伤后应激症状的性虐待儿童进行认知行为治疗的效果。方法:36 名遭受性虐待的儿童(5-17 岁)被随机分配至儿童单独认知行为治疗组、家庭认知行为治疗组或等待名单对照组。结果:与对照相比。接受治疗的儿童在创伤后应激障碍症状以及自我报告的恐惧和焦虑方面表现出显着改善。家长完成的测量和临床医生对整体功能的评分也出现了显着的改善。一般来说,父母的参与并不能提高认知行为治疗的疗效。在 12 周的跟踪评估中,改善的维持是显而易见的。结论:认知行为治疗是有用的,但需要对护理人员的参与进行进一步研究。
Objective: To evaluate the efficacy of child and caregiver participation in the cognitive-behavioral treatment of sexually abused children with posttraumatic stress symptoms. Method: Thirty-six sexually abused children (aged 5-17 years) were randomly assigned to a child-alone cognitive-behavioral treatment condition, a family cognitive-behavioral treatment condition, or a waiting-list control condition. Results: Compared with controls. children who received treatment exhibited significant improvements in posttraumatic stress disorder symptoms and self-reports of fear and anxiety. Significant improvements also occurred in relation to parent-completed measures and clinician ratings of global functioning. In general, parental involvement did not improve the efficacy of cognitive-behavioral therapy. Maintenance of improvement was evident at a 12-week follow-up assessment. Conclusions: Cognitive-behavioral treatment was useful, but further research is required on caregiver involvement.