创伤为重点的干预措施在减少外向化行为中创伤青少年的有效性:系统性审查和元分析
Shan Jiang1, Yuhang Cheng2, Wenjie Qian1
1Zhejiang University, Hangzhou, China.
Trauma, violence & abuse
|December 1, 2025
概括
针对创伤的干预措施有效地减少了青少年的外部化行为. 这一系统性审查和元分析证实了他们的影响,为创伤青少年的临床实践提供了宝贵的见解.
科学领域:
- 心理学 心理学 心理学
- 儿童和青少年精神病学
- 临床心理学 临床心理学
背景情况:
- 受过创伤的青少年经常表现出外化行为.
- 现有的研究强调了针对PTSD,抑郁症和焦虑症的创伤专注干预措施.
- 这些干预措施对外部化行为的有效性仍未得到充分研究.
研究的目的:
- 系统地审查和元分析创伤为中心的干预措施对外化行为在创伤青少年的有效性.
- 确定影响干预结果的因素.
主要方法:
- 在八个电子数据库中进行系统搜索.
- 包括12项1251名参与者的研究.
- 使用Review Manager (版本5.4) 进行随机效应模型元分析.
主要成果:
- 针对创伤的干预措施显著减少了外部化行为 (SMD = -0.70,95% CI [-0.98, -0.41]).
- 有效的干预措施包括以创伤为重点的认知行为疗法,叙述性暴露疗法,长期暴露疗法,MASTR/EMDR疗法和认知处理疗法.
- 青少年年龄,干预持续时间,方法,参与者数量和设置影响了有效性.
结论:
- 以创伤为重点的干预措施有效地减少了创伤青少年的外部化行为.
- 结果为利用这些干预措施提供了基于证据的支持.
- 小组分析为优化治疗提供了实际指导.
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