在儿童和青少年的创伤集中认知行为疗法 (TF-CBT) 期间PTSD症状的变化:单个案例实验设计研究
Lieke H Kooij1,2,3,4, Irma M Hein1,2,3,4, Samantha Bouwmeester5,6
1Amsterdam UMC, Amsterdam, The Netherlands.
European journal of psychotraumatology
|August 12, 2025
概括
创伤集中认知行为疗法 (TF-CBT) 模块,特别是叙事组件,在治疗青少年创伤后应激症状 (PTSS) 中表现出有效性. 个体症状跟踪揭示了治疗期间的关键变化,有助于复杂的病例.
科学领域:
- 心理学 心理学 心理学
- 儿童和青少年精神病学
背景情况:
- 创伤集中认知行为疗法 (TF-CBT) 是儿童创伤后压力症状 (PTSS) 的标准治疗方法.
- 在TF-CBT方面仍然存在挑战,包括患者退出和复杂或个别病例的可变有效性.
- 在TF-CBT中缺乏对症状演变的细粒度理解.
研究的目的:
- 使用单个病例实验设计 (SCED) 仔细评估TF-CBT期间的症状变化.
- 评估单个TF-CBT模块对创伤后压力症状的具体影响.
- 为复杂的青少年群体提供有关治疗过程的详细见解.
主要方法:
- 采用了一种具有重复基线的单个案例实验设计 (SCED).
- 每周对突出的症状进行评估,并通过标准化问卷 (创伤,焦虑,抑郁,认知,亲子互动) 在六个关键间隔进行评估.
- 临床医生进行的采访,以进行治疗前后的评估,以及会议报告以评估进展.
主要成果:
- 八名青少年 (年龄在14-21岁) 参与了这项研究,治疗持续时间在20-70周之间.
- 在叙事模块期间观察到显著的症状改善,特别是在与认知再处理和共享相结合时.
- 更复杂的创伤后应激障碍 (PTSD) 概况需要更好地整合应对技巧和延长治疗时间.
结论:
- 叙事模块,特别是认知再处理,对于在TF-CBT期间解决负面认知,如自责至关重要.
- SCED为多样化和复杂的青少年群体提供了对TF-CBT过程的宝贵,详细的见解.
- 这种方法可以帮助优化TF-CBT对于严重或复杂创伤呈现的个体.
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