Treating Adolescents with CSA-Related PTSD

治疗患有 CSA 相关 PTSD 的青少年

• 批准号: 7452389
• 负责人: EDNA B FOA
• 金额: $ 41.86万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7452389
• 关键词: Adherence; Adolescence; Adolescent; Adopted; Adult; Affect; Age; Alcohols; Anger; Anxiety; Anxiety Disorders; Arts; Behavior Therapy; Biological; Child; Child Abuse; Child Sexual Abuse; Childhood; Client; Clinic; Clinical Trials; Cognition; Cognitive; Cognitive Therapy; Communities; Counseling; Data; Development; Diagnosis; Diffusion; Disasters; Distress; Drug abuse; Effectiveness; Emotional; Emotions; Ensure; Epidemiologic Studies; Event; Expectancy; Exposure to; Forcible intercourse; Functional disorder; Funding; Goals; Grant; Guidelines; Hand; Health Professional; Health Resources; Healthy People 2010; High Prevalence; Injury; Intervention; Knowledge; Life; Literature; Love; Maintenance; Manuals; Mediator of activation protein; Mental Depression; Mental Health; Mental Health Services; Modeling; Modification; Movement; National Health Policy; Natural Disasters; Outcome; Pharmaceutical Preparations; Post-Traumatic Stress Disorders; Prevalence; Process; Professional counselor; Protocols documentation; Psychopathology; Randomized; Range; Rate; Registries; Regulation; Research; Research Personnel; Risk; Risk Factors; Sampling; Score; Services; Severities; Social Change; Substance abuse problem; Symptoms; Testing; Time; Traffic accidents; Trauma; Treatment outcome; Victimization; War; assault; base; caN protocol; clinically significant; cognitive change; effectiveness research; experience; falls; follow-up; inner city; medical specialties; neglect; peer; perpetrators; physical abuse; programs; psychologic; rural area; satisfaction; sexual assault; therapy development; treatment center

DESCRIPTION (provided by applicant): The disaster of September 11 and the constant threat of imminent terrorist activity have brought into the forefront the need to develop and test efficient interventions for trauma-related psychological disturbances such as PTSD. It is important to remember, however, that terror-attacks constitute only one type of trauma and in fact is much less relevant in the US than other types of trauma such as natural disasters, traffic accidents and assault. Notably, data from large-scale epidemiological studies of children, adolescents, and adults indicate a 10% lifetime prevalence of child sexual abuse (CSA). Moreover, 62% of rapes occur during childhood or adolescence. Given the high prevalence of CSA, a clear association between CSA, PTSD, substance abuse, and sexual re-victimization during adolescence, it is of paramount importance to develop efficient, effective, and readily disseminable treatments for adolescents who suffer PTSD and related emotional difficulties as a result of CSA or sexual assault. Presently, there are effective treatment for adults and for children who suffer from CSA and sexual assault related PTSD, but very little is known about how best to treat traumatized adolescents who suffer from PTSD and associated symptoms, including PTSD related to sexual assault. The proposed research aims to examine the efficacy of a cognitive behavioral treatment developed for PTSD in adolescents exposed to CSA and sexual assault. Most importantly, the treatment will be conducted by counselors at a community clinic that provides services to victims of sexual assault across the developmental spectrum. Primary aims are: 1) To compare the immediate outcome of two active treatments, Prolonged Exposure for Adolescents (PE-A) and supportive counseling (SC), in reducing PTSD symptom severity; and 2) To assess maintenance of PE-A treatment gains at follow-up. Secondary aims are: 1) To compare PE-A and SC's effects in reducing secondary psychopathology symptoms; 2) To examine the relationship between change in PTSD symptoms and change in distress-related cognitions and emotions. The proposed research falls squarely within the national health policy and priorities set by the NIH/NIMH Healthy People 2010 by: 1) providing efficacious mental health treatment that promotes the quality and years of healthy life of people suffering from PTSD symptoms; and 2) reducing the mental health access disparity by making specialty mental health resources more accessible to the community at large.

描述（由申请人提供）：9月11日的灾难和迫在眉睫的恐怖主义活动的持续威胁，使开发和测试创伤相关心理障碍（如PTSD）的有效干预措施的需求成为最重要的。然而，重要的是要记住，恐怖袭击只构成一种类型的创伤，实际上在美国比其他类型的创伤（如自然灾害，交通事故和袭击）要少得多。值得注意的是，对儿童、青少年和成人的大规模流行病学研究数据表明，儿童性虐待（CSA）的终生患病率为10%。此外，62%的强奸发生在儿童或青少年时期。鉴于CSA的高患病率，CSA，PTSD，药物滥用和青春期性再次受害之间的明确关联，对于因CSA或性侵犯而遭受PTSD和相关情感困难的青少年来说，开发高效，有效和易于传播的治疗方法至关重要。目前，对于患有CSA和性侵犯相关的PTSD的成人和儿童有有效的治疗方法，但对于如何最好地治疗患有PTSD和相关症状（包括与性侵犯相关的PTSD）的创伤青少年知之甚少。这项拟议的研究旨在检查针对创伤后应激障碍（PTSD）开发的认知行为治疗对遭受CSA和性侵犯的青少年的疗效。最重要的是，治疗将由一家社区诊所的顾问进行，该诊所为性侵犯受害者提供各种发展方面的服务。主要目标是：1）比较两种积极治疗（青少年延长暴露（PE-A）和支持性咨询（SC））在降低PTSD症状严重程度方面的即时结果; 2）评估随访时PE-A治疗收益的维持情况。次要目标是：1）比较PE-A和SC在减轻继发性精神病理学症状方面的作用; 2）检查PTSD症状的变化与痛苦相关的认知和情绪变化之间的关系。拟议的研究福尔斯完全符合国家卫生政策和2010年NIH/NIMH健康人群的优先事项：1）提供有效的心理健康治疗，促进患有PTSD症状的人的健康生活质量和年数; 2）通过使专业心理健康资源更容易获得社区来减少心理健康获取差距。