儿科创伤后应激障碍的心理干预:系统性审查和网络元分析
Thole H Hoppen1, Lena Wessarges1, Marvin Jehn1
1Institute of Psychology, University of Münster, Münster, Germany.
JAMA psychiatry
|December 4, 2024
概括
以创伤为重点的认知行为疗法 (TF-CBT) 在短期,中期和长期显著减少儿科创伤后应激障碍 (PTSD) 症状. 这一发现支持TF-CBTs作为对患有PTSD的儿童和青少年的有效干预措施.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 儿童和青少年心理学 儿童和青少年心理学
- 基于证据的干预措施
背景情况:
- 儿科创伤后应激障碍 (PTSD) 是一种普遍且损害性疾病.
- 缺乏针对儿科PTSD的心理干预措施的全面综合.
研究的目的:
- 对儿科创伤后应激障碍的心理干预进行系统审查和网络元分析.
- 综合所有关于各种治疗方法疗效的现有证据.
主要方法:
- 搜索了多个数据库 (PsycINFO,MEDLINE,科学网,PTSDpubs) 直到2024年1月.
- 包括70个随机临床试验 (RCT),涉及5528名儿童和青少年.
- 使用随机效应网络元分析,遵循PRISMA指南.
主要成果:
- 以创伤为重点的认知行为疗法 (TF-CBT) 显示了儿童PTSD严重程度的最大短期减少.
- 与被动对照相比,TF-CBTs,眼动脱敏和再处理 (EMDR),多学科治疗 (MDT) 和非创伤重点干预都是有效的.
- TF-CBTs在短期,中期和长期随访中显示出显著的疗效.
结论:
- TF-CBTs是治疗儿科创伤后应激障碍的高效干预措施,具有持续的益处.
- 对于EMDR,MDT和非创伤重点干预措施,需要进一步的长期数据.
- 传播关于TF-CBT的发现可以帮助克服治疗障碍和误解.
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