Trauma focused CBT for children with co-occurring trauma and behavior problems
Trauma focused CBT for children with co-occurring trauma and behavior problems
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DOI：
10.1016/j.chiabu.2009.12.003
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发表时间：
2010-04-01
影响因子：
4.8
通讯作者：
Mannarino, Anthony
中科院分区：
文献类型：
--
作者：
Cohen, Judith A.;Berliner, Lucy;Mannarino, Anthony
目的：儿童期创伤影响包括行为在内的多个功能领域。创伤儿童通常有行为问题，治疗师必须在提供创伤治疗的背景下有效地评估和管理。这篇手稿描述了管理行为问题的创伤为重点的循证治疗（EBT）的背景下，使用一个共同实施的EBT为traumatizedchildren.Methods：经验文献进行审查和实用的策略进行创伤和行为为重点的评估，从事创伤和行为为重点的治疗家庭;治疗计划，包括创伤和行为焦点的平衡;在提供创伤治疗的背景下管理持续的行为问题;管理行为危机（“一周的危机”）;处理压倒性的家庭或社会问题;以及知识转移的步骤。以创伤为中心的EBT整合了行为管理策略，可以有效地管理创伤儿童常见的行为调节问题。解决创伤相关的行为问题是创伤治疗的重要组成部分，在使用常见的创伤EBT的背景下是可行的。实践意义：整合有效的行为干预创伤为重点的EBT是必不可少的，由于创伤儿童的行为调节困难的共同性质。(C)2010爱思唯尔有限公司版权所有。
Objective: Childhood trauma impacts multiple domains of functioning including behavior. Traumatized children commonly have behavioral problems that therapists must effectively evaluate and manage in the context of providing trauma-focused treatment. This manuscript describes practical strategies for managing behavior problems in the context of trauma-focused evidence-based treatment (EBT) using a commonly implemented EBT for traumatized children.Methods: The empirical literature is reviewed and practical strategies are described for conducting trauma- and behavioral-focused assessments; engaging families in trauma- and behavioral-focused treatment; treatment-planning that includes a balance of both trauma and behavioral foci; managing ongoing behavioral problems in the context of providing trauma-focused treatment; managing behavioral crises ("crises of the week"); addressing overwhelming family or social problems; and steps for knowledge transfer.Results: Trauma-focused EBT that integrate behavioral management strategies can effectively manage the behavioral regulation problems that commonly occur in traumatized children.Conclusions: Addressing trauma-related behavioral problems is an important part of trauma-focused treatment and is feasible to do in the context of using common trauma-focused EBT.Practice implications: Integrating effective behavioral interventions into trauma-focused EBT is essential due to the common nature of behavioral regulation difficulties in traumatized children. (C) 2010 Elsevier Ltd. All rights reserved.