Trauma-Focused Cognitive Behavioral Therapy for Youth: Effectiveness in a Community Setting.
Trauma-Focused Cognitive Behavioral Therapy for Youth: Effectiveness in a Community Setting.
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DOI：
10.1037/a0037364
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发表时间：
2014-09-01
影响因子：
6.3
通讯作者：
Deblinger, Esther
中科院分区：
文献类型：
--
作者：
Webb, Charles;Hayes, Adele M.;Grasso, Damion;Laurenceau, Jean-Philippe;Deblinger, Esther
关键词：
当前的研究考察了创伤聚焦认知行为疗法（TF-CBT）在全州范围内的社区环境中治疗儿童创伤性应激的有效性。72名有创伤记录（性虐待或身体虐待、创伤性丧失、家庭或社区暴力）和创伤后应激障碍（PTSD）症状的青少年（7-16岁）在国家签约的精神卫生机构接受了平均10次治疗。在治疗前以及治疗后3、6、9和12个月分别评估PTSD症状和内化和外化行为问题。分段分层线性模型显示，PTSD症状以及内化和外化问题在摄入后6个月内显著减少（预处理、3个月、6个月评估），并且在接下来的6个月（6、9和12个月评估）中这些增加保持不变。外化症状的症状在随访期间有所增加，但这种变化无统计学意义。这些发现表明TF-CBT可以在社区环境中有效实施。治疗结果与在专科诊所进行的TF-CBT疗效试验报告相似。创伤后应激障碍症状和内化和外化问题的改善在治疗开始后维持了一年，尽管外化症状的变化是最不稳定的。
The current investigation examined the effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in treating child traumatic stress when implemented in community settings on a state-wide level. Seventy-two youths (ages 7–16 years) with a history of documented trauma (sexual or physical abuse, traumatic loss, domestic or community violence) and symptoms of Posttraumatic Stress Disorder (PTSD) received an average of 10 sessions delivered in a state-contracted mental health agency. PTSD symptoms and internalizing and externalizing behavior problems were assessed at pre-treatment and then at 3-, 6-, 9-, and 12-months after intake. Piecewise hierarchical linear modeling revealed that symptoms of PTSD, as well as internalizing and externalizing problems, decreased significantly over the six months after intake (pretreatment, 3-month, 6-month assessments), and these gains were maintained over the next 6 months (6, 9, and 12 month assessments). Symptoms of externalizing symptoms increased somewhat during the follow-up period, but this change was not statistically significant. These findings suggest that TF-CBT can be implemented effectively in community settings. Treatment outcomes were similar to those reported in efficacy trials of TF-CBT delivered in specialty clinic settings. Improvements in PTSD symptoms and internalizing and externalizing problems were maintained up to one year after treatment began, although the changes in externalizing symptoms were the least stable.
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影响因子：
4.8
作者：
Cohen, Judith A.;Berliner, Lucy;Mannarino, Anthony
通讯作者：
Mannarino, Anthony
DOI：
10.1097/00004583-199009000-00012
发表时间：
1990-09-01
影响因子：
13.3
作者：
DEBLINGER, E;MCLEER, SV;HENRY, D
通讯作者：
HENRY, D
影响因子：
7
作者：
Kolko DJ;Hoagwood KE;Springgate B
通讯作者：
Springgate B
影响因子：
2.5
作者：
Cook, JM;Schnurr, PP;Foa, EB
通讯作者：
Foa, EB
DOI：
10.1097/00004583-200011000-00008
发表时间：
2000-11-01
影响因子：
13.3
作者：
King, NJ;Tonge, BJ;Ollendick, TH
通讯作者：
Ollendick, TH