儿童和青少年多重创伤暴露后PTSD的认知治疗:一个案例系列
Charlotte Smith1, Catherine E L Ford1, Tim Dalgleish2
1Department of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, UK.
Behavioural and cognitive psychotherapy
|December 20, 2024
概括
对PTSD (CT-PTSD) 的认知治疗对于患有多重创伤PTSD的年轻人来说是安全有效的. 治疗显示PTSD症状,焦虑和抑郁症的显著减少,需要进一步研究.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 创伤心理学 创伤心理学
- 基于证据的实践.
背景情况:
- 对PTSD (CT-PTSD) 的认知疗法对青少年单一事件创伤有效.
- 对于多重创伤性PTSD的年轻人中CT-PTSD存在有限的证据.
- 这项研究解决了这个人群的证据差距.
研究的目的:
- 评估CT-PTSD对患有多重创伤PTSD的年轻人的安全性,可接受性和可行性.
- 获得CT-PTSD前后效应大小的初步估计.
- 评估治疗的可信性和治疗联盟.
主要方法:
- 9名患有多重创伤PTSD的儿童和青少年 (8-17岁) 的病例系列接受了CT-PTSD.
- 参与者完成了基线,治疗后和6个月后续的评估.
- 一个经发育调整的算法被用于PTSD诊断.
主要成果:
- CT-PTSD是安全的,被接受得很好,没有不良事件或学.
- 观察到PTSD严重程度 (d > 1.65),一般功能 (d < 1.23),焦虑和抑郁 (d > 0.57) 的显著降低.
- 报告称,治疗的可信度很高,治疗联盟很强.
结论:
- 对于患有多重创伤性PTSD的年轻人来说,CT-PTSD似乎是一种安全,可接受和可行的治疗方法.
- 该疗法对PTSD症状和相关的痛苦产生了显著的积极影响.
- 对这一群体进行CT-PTSD的进一步评估是有必要的.
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