Treating childhood traumatic grief: A pilot study
Treating childhood traumatic grief: A pilot study
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DOI：
10.1097/01.chi.0000135620.15522.38
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发表时间：
2004-10-01
影响因子：
13.3
通讯作者：
Knudsen, K
中科院分区：
文献类型：
--
作者：
Cohen, JA;Mannarino, AP;Knudsen, K
目的：研究儿童创伤性悲伤（CTG）的个体儿童和父母创伤集中认知行为治疗的潜在疗效和治疗反应的具体时间，CTG是一种创伤症状影响儿童成功处理正常悲伤任务的能力的情况。方法：22名儿童及其主要照顾者接受了为期16周的手动治疗，并进行了连续的以创伤和悲伤为重点的干预措施。结果如下：儿童在CTG、创伤后应激障碍（PTSD）、抑郁、焦虑和行为问题方面都有显着改善，PTSD症状仅在以创伤为重点的治疗部分得到改善，而CTG在以创伤和悲伤为重点的治疗部分都得到改善。参与的父母也经历了显着改善创伤后应激障碍和抑郁症状。结论：CTG和PTSD症状改善的时间支持提供连续的创伤和悲伤为重点的干预措施，以及CTG与PTSD相关但不同的概念。结果还表明，CTG的个体化治疗和包括父母在治疗CTG的好处。需要随机对照试验来进一步测试这种治疗模式的有效性。
Objective: To examine the potential efficacy and specific timing of treatment response of individual child and parent trauma-focused cognitive-behavioral therapy for childhood traumatic grief (CTG), a condition in which trauma symptoms impinge on the child's ability to successfully address the normal tasks of grieving. Method: Twenty-two children and their primary caretakers received a manual-based 16-week treatment with sequential trauma- and grief-focused interventions. Results: Children experienced significant improvements in CTG, posttraumatic stress disorder (PTSD), depressive, anxiety, and behavioral problems, with PTSD symptoms improving only during the trauma-focused treatment components and CTG improving during both trauma- and grief-focused components. Participating parents also experienced significant improvement in PTSD and depressive symptoms. Conclusions: The timing of improvements in CTG and PTSD symptoms lends support to providing sequential trauma- and grief-focused interventions and to the concept that CTG is related to but distinct from PTSD. The results also suggest the benefit of individual treatment for CTG and for including parents in the treatment of CTG. Randomized, controlled trials are needed to further test the efficacy of this treatment model.