Direction of influence between posttraumatic and depressive symptoms during prolonged exposure therapy among children and adolescents.
Direction of influence between posttraumatic and depressive symptoms during prolonged exposure therapy among children and adolescents.
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DOI：
10.1037/a0023318
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发表时间：
2011-06
影响因子：
5.9
通讯作者：
Gilboa-Schechtman, Eva
中科院分区：
文献类型：
--
作者：
Aderka, Idan M.;Foa, Edna B.;Applebaum, Edna;Shafran, Naama;Gilboa-Schechtman, Eva
本研究的目的是检查儿童和青少年在创伤后应激障碍（PTSD）延长暴露（PE）治疗期间创伤后和抑郁症状的时间序列。参与者为73名儿童和青少年（56.2%为女性），年龄在8至18岁之间。参与者在每次治疗前完成创伤后应激和抑郁的自我报告。测量方法包括儿童PTSD症状量表（CPSS）、贝克抑郁量表（BDI）和儿童抑郁量表（CDI）。多水平中介分析表明，在治疗期间存在相互关系：创伤后症状的改变导致抑郁症状的改变，反之亦然。创伤后症状占抑郁变化的64.1%，而抑郁症状占创伤后应激变化的11.0%。体育锻炼可能主要通过减少创伤后压力而起作用，从而减少抑郁症。
The objective of the present study was to examine the temporal sequencing of posttraumatic and depressive symptoms during prolonged exposure (PE) therapy for posttraumatic stress disorder (PTSD) among children and adolescents. Participants were 73 children and adolescents (56.2% female) between the ages of 8 and 18. Participants completed self report measures of posttraumatic stress and depression prior to every session. Measures included the Child PTSD Symptom Scale (CPSS), Beck Depression Inventory (BDI), and Children's Depression Inventory (CDI). Multilevel mediational analyses indicated reciprocal relations during treatment: changes in posttraumatic symptoms led to changes in depressive symptoms and vice versa. Posttraumatic symptoms accounted for 64.1% of the changes in depression, whereas depressive symptoms accounted for 11.0% of the changes in posttraumatic stress. PE may work primarily by reducing posttraumatic stress which in turn reduces depression.
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影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
--
作者：
Copeland, William E.;Keeler, Gordon;Costello, E. Jane
通讯作者：
Costello, E. Jane
影响因子：
3.8
作者：
King, Daniel W.;King, Lynda A.;Doron-LaMarca, Susan
通讯作者：
Doron-LaMarca, Susan
影响因子：
1.5
作者：
Feeny, NC;Foa, EB;March, J
通讯作者：
March, J
影响因子：
3
作者：
AKAIKE, H
通讯作者：
AKAIKE, H