在德国儿童福利计划中评估"学校创伤认知行为干预" (CBITS):随机对照试验的研究协议
Elisa Pfeiffer1, Loni Dörrie2, Jessica Köksal2
1Clinic for Child and Adolescent Psychiatry/Psychotherapy, Ulm University, Steinhoevelstr. 1, 89075, Ulm, Germany. elisa.pfeiffer@uniklinik-ulm.de.
Trials
|June 19, 2024
概括
这项研究评估了学校创伤认知行为干预 (CBITS) 作为对受过创伤的寄养儿童的外展计划. 结果将为这个弱势群体提供有效的心理健康治疗.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 创伤信息化的护理
- 心理健康服务研究 心理健康服务研究
背景情况:
- 在儿童福利机构的儿童面临高水平的创伤和心理健康障碍,包括创伤后应激障碍,抑郁和焦虑.
- 对于这些条件的实证支持的治疗方法在制度化的年轻人中非常需要.
- 学校创伤认知行为干预 (CBITS) 是一项经过验证的以创伤为中心的小组干预,用于减少创伤后应激障碍,抑郁和焦虑症状.
研究的目的:
- 评估CBITS作为德国儿童福利机构中创伤儿童的外展治疗的有效性.
- 为了将CBITS与增强的通常待遇 (TAU+) 条件进行比较.
- 为未经研究的人群提供可访问的,以创伤为重点的干预措施的证据.
主要方法:
- 一项随机对照试验 (RCT) 涉及90名患有中度创伤后压力症状的儿童和青少年 (8-16岁).
- 参与者被随机分配到他们的儿童福利机构中的CBITS或TAU+.
- 对PTSD,抑郁症,焦虑,生活质量和功能的评估发生在基线,4个月和10个月.
主要成果:
- 主要结局是干预后4个月后PTSD症状严重程度的变化.
- 二次结果包括抑郁,焦虑,易怒,生活质量和整体功能方面的变化.
- 数据分析将确定CBITS与TAU+的比较有效性.
结论:
- 该试验将提供关键证据,以有效治疗受伤儿童的护理.
- 这些发现可能会指导对住院青少年实施以创伤为重点的外展小组治疗.
- 这项研究旨在改善弱势儿童获得适当心理健康护理的机会.
相关概念视频
Cognitive Therapy
151
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
151
Beck's Cognitive Therapy
45
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
45
Modeling in Therapy
65
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
65
Operant Conditioning Intervention
56
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
56
Rational Emotive Behavior Therapy
48
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
48
Behavior Therapy
46
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
46


