A pilot study of modified cognitive-behavioral therapy for childhood traumatic grief (CBT-CTG)
A pilot study of modified cognitive-behavioral therapy for childhood traumatic grief (CBT-CTG)
复制标题
DOI：
10.1097/01.chi.0000237705.43260.2c
复制
发表时间：
2006-12-01
影响因子：
13.3
通讯作者：
Staron, Virginia R.
中科院分区：
文献类型：
--
作者：
Cohen, Judith A.;Mannarino, Anthony P.;Staron, Virginia R.
目的：这项初步研究评估了2004年3月至2005年10月期间开展的儿童创伤性悲伤认知-行为疗法(CBT-CTG)的改良12疗程方案的结果。CTG是一种新出现的疾病，其特征是创伤后应激和未解决的悲伤症状相结合。这个由连续创伤和悲伤部分组成的两模块治疗模式是从先前提出的16次治疗方案缩短而来的。方法：39名6至17岁的CTG儿童及其父母接受了改良的CBT-CTG 12次治疗方案。CTG和创伤后应激障碍(PTSD)症状在治疗前、创伤聚焦模块后和悲伤聚焦模块后(在治疗后)进行评估。结果：治疗前后儿童的CTG、PTSD、抑郁和焦虑有显著改善，父母对儿童的PTSD、内在化和总体行为问题及个人PTSD症状有显著改善。虽然创伤后应激障碍只在创伤治疗模块中有显著改善，但CTG在创伤和悲伤治疗模块中都有显著改善。儿童对此治疗方案的满意度和家长满意度也较高。结论：CBT-CTG方案在治疗次数上与许多社区儿童丧亲计划相似，对这一人群可能是可以接受和有效的。CBT-CTG模型需要在随机对照治疗试验中进行进一步评估。
Objective: This pilot study evaluated outcomes for a modified 12-session protocol of cognitive-behavioral therapy for childhood traumatic grief (CBT-CTG) conducted between March 2004 and October 2005. CTG is an emerging condition characterized by a combination of posttraumatic stress and unresolved grief symptoms. This two-module treatment model consisting of sequential trauma- and grief-focused components was shortened from a previously presented 16-session protocol.Method: Thirty-nine children ages 6 to 17 years old with CTG and their parents received the modified 12-session protocol of CBT-CTG. CTG and posttraurnatic stress disorder (PTSD) symptoms were assessed at pretreatment, after the trauma-focused module, and after the grief-focused module (at posttreatment). Child depression, anxiety, and behavioral symptoms, as well as parental depression and PTSD symptoms, were assessed at pre- and posttreatment.Results: Children reported significant improvement in CTG, PTSD, depression, and anxiety, and parents reported significant improvement in children's PTSD, internalizing and total behavior problems, and their personal PTSD symptoms. Although PTSD significantly improved only during the trauma-focused module of treatment, CTG improved significantly during both trauma- and grief-focused modules of treatment. Child satisfaction and parent satisfaction for this treatment protocol were also high.Conclusions: These findings suggest that the shortened CBT-CTG protocol, which is similar in the number of sessions to what many community child bereavement programs offer, may be acceptable and efficacious for this population. The CBT-CTG model requires further evaluation in randomized, controlled treatment trials.