Cognitive-behavioral therapy for PTSD in children and adolescents: A preliminary randomized controlled trial
Cognitive-behavioral therapy for PTSD in children and adolescents: A preliminary randomized controlled trial
复制标题
DOI：
10.1097/chi.0b013e318067e288
复制
发表时间：
2007-08-01
影响因子：
13.3
通讯作者：
Clark, David M.
中科院分区：
文献类型：
--
作者：
Smith, Patrick;Yule, William;Clark, David M.
目的：目的评价个体创伤认知行为疗法（CBT）治疗儿童和青少年创伤后应激障碍（PTSD）的疗效。方法：在为期4周的创伤后应激障碍监测基线期后，24名儿童和青少年（8-18岁）在经历单一创伤事件（机动车事故，人际暴力或目击暴力）后符合DSM-IV PTSD诊断标准，被随机分配到为期10周的个人CBT课程或放置在候补名单（WL）上10周。结果如下：与WL组相比，接受CBT的参与者在PTSD，抑郁和焦虑症状方面表现出更大的改善，功能明显更好。在CBT之后，92%的参与者不再符合PTSD的标准;在WL之后，42%的参与者不再符合标准。在6个月随访时，CBT的增加得以维持。CBT的影响部分介导的适应不良认知的变化，如PTSD的认知模型预测。结论：以创伤为中心的个体化认知行为疗法是治疗儿童和青少年创伤后应激障碍的有效方法。
Objective: To evaluate the efficacy of individual trauma-focused cognitive-behavioral therapy (CBT) for treating posttraumatic stress disorder (PTSD) in children and young people. Method: Following a 4-week symptom-monitoring baseline period, 24 children and young people (8-18 years old) who met full DSM-IV PTSD diagnostic criteria after experiencing single-incident traumatic events (motor vehicle accidents, interpersonal violence, or witnessing violence) were randomly allocated to a 10-week course of individual CBT or to placement on a waitlist (WL) for 10 weeks. Results: Compared to the WL group, participants who received CBT showed significantly greater improvement in symptoms of PTSD, depression, and anxiety, with significantly better functioning. After CBT, 92% of participants no longer met criteria for PTSD; after WL, 42% of participants no longer met criteria. CBT gains were maintained at 6-month follow-up. Effects of CBT were partially mediated by changes in maladaptive cognitions, as predicted by cognitive models of PTSD. Conclusions: Individual trauma-focused CBT is an effective treatment for PTSD in children and young people.