Cohen Judith A, Berliner Lucy, Mannarino Anthony P
Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, USA.
J Trauma Stress. 2003 Apr;16(2):175-86. doi: 10.1023/A:1022851324044.
Children may develop a variety of difficulties following victimization, including posttraumatic stress disorder (PTSD), other anxiety symptoms, depressive disorders, externalizing symptoms, or substance use disorders. Some children appear to be resilient in the face of victimization and do not report significant difficulties. A growing number of treatment studies for child abuse victims has supported the efficacy of trauma-focused cognitive-behavioral therapy (CBT); however, more research is needed to determine the critical components and optimal dosage of CBT, and to evaluate the efficacy of this approach for other groups of child crime victims. Psychopharmacological treatments are widely used for childhood PTSD, but little research has evaluated such treatments. Treatment guidelines and future directions are discussed.
儿童在遭受侵害后可能会出现各种困难,包括创伤后应激障碍(PTSD)、其他焦虑症状、抑郁障碍、外化症状或物质使用障碍。一些儿童在面对侵害时似乎具有恢复力,并未报告有明显困难。越来越多针对受虐儿童的治疗研究支持了以创伤为焦点的认知行为疗法(CBT)的有效性;然而,仍需要更多研究来确定CBT的关键组成部分和最佳剂量,并评估该方法对其他儿童犯罪受害者群体的有效性。心理药物治疗广泛用于儿童PTSD,但对此类治疗的研究很少。本文讨论了治疗指南和未来方向。