对有创伤后应激症状的性虐待儿童进行治疗：一项随机临床试验。
Treating sexually abused children with posttraumatic stress symptoms: a randomized clinical trial.
作者信息
King N J, Tonge B J, Mullen P, Myerson N, Heyne D, Rollings S, Martin R, Ollendick T H
机构信息
Faculty of Education, Monash University, Victoria, Australia.
出版信息
J Am Acad Child Adolesc Psychiatry. 2000 Nov;39(11):1347-55. doi: 10.1097/00004583-200011000-00008.
OBJECTIVE
To evaluate the efficacy of child and caregiver participation in the cognitive-behavioral treatment of sexually abused children with posttraumatic stress symptoms.
METHOD
Thirty-six sexually abused children (aged 5-17 years) were randomly assigned to a child-alone cognitive-behavioral treatment condition, a family cognitive-behavioral treatment condition, or a waiting-list control condition.
RESULTS
Compared with controls, children who received treatment exhibited significant improvements in posttraumatic stress disorder symptoms and self-reports of fear and anxiety. Significant improvements also occurred in relation to parent-completed measures and clinician ratings of global functioning. In general, parental involvement did not improve the efficacy of cognitive-behavioral therapy. Maintenance of improvement was evident at a 12-week follow-up assessment.
CONCLUSIONS
Cognitive-behavioral treatment was useful, but further research is required on caregiver involvement.
目的
评估儿童及其照料者参与对有创伤后应激症状的受性虐待儿童进行认知行为治疗的疗效。
方法
36名受性虐待儿童（年龄5至17岁）被随机分配至儿童单独认知行为治疗组、家庭认知行为治疗组或等待名单对照组。
结果
与对照组相比，接受治疗的儿童在创伤后应激障碍症状以及恐惧和焦虑的自我报告方面有显著改善。在家长完成的测评以及临床医生对整体功能的评定方面也有显著改善。总体而言，家长的参与并未提高认知行为疗法的疗效。在12周的随访评估中，改善情况得以维持。
结论
认知行为治疗是有效的，但需要对照料者的参与进行进一步研究。
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