在患有PTSD的青少年中,统一协议与以创伤为重点的认知行为疗法
Banafsheh Mohajerin1, Steven Jay Lynn2, Clair Cassiello-Robbins3
1Shahid Beheshti University of Medical Sciences.
Behavior therapy
|August 19, 2023
概括
青少年统一协议 (UP-A) 显示出更好的长期结果比创伤集中认知行为疗法 (TF-CBT) 青少年PTSD. 在年轻人中,UP-A在治疗创伤后应激障碍方面表现出持续的有效性.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 儿童和青少年心理健康
背景情况:
- COVID-19大流行导致儿童和青少年面临重大心理健康挑战,包括增加创伤后压力症状.
- 现有的青少年PTSD治疗方法,如创伤集中认知行为疗法 (TF-CBT),需要与较新的跨诊断方法进行比较评估.
研究的目的:
- 为了比较"治疗青少年情绪障碍统一方案" (UP-A) 与TF-CBT在治疗青少年创伤后应激障碍 (PTSD) 中的疗效.
- 评估COVID-19相关和无关PTSD以及焦虑和抑郁等并发症症状的治疗结果.
主要方法:
- 一个随机对照试验,涉及93名青少年被诊断患有PTSD.
- 参与者被分配到UP-A (n=46) 或TF-CBT (n=47) 中,并在治疗后和3,6个月和9个月的随访后进行评估.
- 使用了DSM-5 (SCID-5) 的结构化临床面试和一系列结果措施.
主要成果:
- 最初,与TF-CBT相比,UP-A显示了情绪调节困难和未表达的愤怒的减少.
- 在后续评估 (3,6个月和9个月) 中,UP-A在多项措施中显示出明显优于TF-CBT的结果.
- 随着时间的推移,UP-A的治疗有效性保持不变,不管PTSD是否与COVID-19有关.
结论:
- UP-A是青少年PTSD的高效治疗方法,与TF-CBT相比,它提供了持续的好处.
- UP-A为患有PTSD的青少年提供了强大的治疗选择,包括那些患有COVID-19相关创伤的青少年,证明了长期的疗效.
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