Salloum A, Avery L, McClain R P
Project LAST, Childrens Bureau of New Orleans, Inc. Baw Orleans, LA 70112, USA.
J Am Acad Child Adolesc Psychiatry. 2001 Nov;40(11):1261-7. doi: 10.1097/00004583-200111000-00005.
To conduct an exploratory study designed to evaluate the effectiveness of a time-limited psychotherapy group model to decrease traumatic symptoms among adolescent survivors of homicide victims.
Forty-five inner-city adolescents between the ages of 11 and 19 years participated in community-based, time-limited therapy groups that were specifically designed for youths who had a loved one die because of violence. The therapy groups were based on a 10-week treatment model for adolescent survivors of homicide victims with the goals of providing grief education, facilitating thoughts and feelings about grief, and reducing traumatic symptoms.
On completion of group therapy, the adolescent participants reported an overall significant decrease in traumatic symptoms on an index of posttraumatic stress, especially in the areas of reexperiencing and avoidance symptoms. The mean difference between pre- and posttest was a 10.03 decrease in the sum of the Child PTSD Reaction Index scores (sig = .001).
The results of this pilot study indicate that group therapy may be helpful in reducing PTSD symptoms among inner-city, African-American adolescent survivors of homicide victims. Although validity is limited by the lack of a comparison group, the authors suggest that such a brief trauma/grief psychotherapy group may be applicable for suburban and rural adolescent survivors of homicide victims as well. .
开展一项探索性研究,旨在评估限时心理治疗小组模式对减少凶杀案受害者青少年幸存者创伤症状的有效性。
45名年龄在11至19岁之间的市中心青少年参加了社区限时治疗小组,该小组是专门为因暴力失去亲人的青少年设计的。治疗小组基于针对凶杀案受害者青少年幸存者的为期10周的治疗模式,目标是提供悲伤教育,促进对悲伤的思考和感受,并减少创伤症状。
在小组治疗结束时,青少年参与者报告创伤后应激指数上的创伤症状总体显著减少,尤其是在再体验和回避症状方面。前后测的平均差异是儿童创伤后应激反应指数得分总和下降了10.03(显著性=0.001)。
这项初步研究的结果表明,小组治疗可能有助于减少市中心非裔美国青少年凶杀案受害者幸存者的创伤后应激障碍症状。尽管由于缺乏对照组,有效性有限,但作者建议这种简短的创伤/悲伤心理治疗小组可能也适用于郊区和农村凶杀案受害者青少年幸存者。