呼吁纳入:智力障碍儿童在创伤治疗研究中的参与
Zackary F Moore1, Anna W Wright2, Carine E Leslie3
1Massey Comprehensive Cancer Center, Virginia Commonwealth University Health System, Richmond, USA.
Journal of intellectual disability research : JIDR
|August 7, 2025
概括
智障儿童经常被排除在创伤治疗研究之外,导致心理健康护理的差异. 这种排除意味着当前的PTSD治疗指南可能对这种脆弱人群不有效.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 智力障碍 (ID) 的儿童在心理健康护理方面面临着显著的差异.
- 这些孩子经历的创伤率更高,包括身体,情感和性虐待.
- 从医学研究中排除可能会加剧患有智障的人的医疗保健不平等.
研究的目的:
- 确定智力障碍 (ID) 儿童在多大程度上被排除在创伤治疗研究之外.
- 评估当前对ID儿童创伤后应激障碍 (PTSD) 治疗研究的代表性.
主要方法:
- 从国际创伤性压力研究学会 (ISTSS) 临床护理指南中重新分析和编码62项随机对照试验 (RCT).
- 文章进行了双重编码,以确定与ID或同时出现的发育障碍相关的排除标准.
- 调查被发送给研究作者,以评估ID资格的可能性.
主要成果:
- 超过61%的审查研究报告了可以排除ID儿童的排除标准,使用"认知障碍"或"自闭症谱系障碍"等术语.
- 排除标准通常定义和运行不良.
- 很少有研究报告了由于ID诊断而被排除的儿童数量.
结论:
- 目前儿童PTSD治疗指南的证据基础并不代表患有ID的儿童.
- 需要改进包含/排除标准的文档和报告.
- 将ID儿童纳入未来的PTSD治疗试验对于公平的研究代表性至关重要.
相关概念视频
Intellectual Disability
159
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
159
Modeling in Therapy
149
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...
149
Post-traumatic Stress Disorder
114
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
114
Traumatic Memory
181
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
181


