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治疗受创伤儿童:现状与未来方向。

Treating traumatized children: current status and future directions.

作者信息

Cohen Judith A

机构信息

Drexel University College of Medicine, and Center for Traumatic Stress in Children and Adolescents, Allegheny General Hospital, Pittsburgh, PA 15212, USA.

出版信息

J Trauma Dissociation. 2005;6(2):109-21. doi: 10.1300/J229v06n02_10.

Abstract

Empirical knowledge regarding effective treatments for traumatized children has increased in the past decade, yet much still remains unknown. There is growing support for the efficacy of trauma-focused cognitive behavioral therapy (TF-CBT) for treating PTSD, depressive, and behavioral problems in sexually abused children, and evidence that suggests that this treatment is effective for children exposed to other types of trauma, and for multiply traumatized children. Few other psychosocial treatments have been adequately studied to date. Open psychopharmacological studies have identified several promising medication classes for traumatized children but these need to be tested in randomized, placebo controlled trials. No empirical studies have evaluated the efficacy of early interventions provided to children in the acute aftermath of mass disasters or terrorist acts. More research is needed to test potentially effective treatments for traumatized children, and to identify optimal methods for disseminating and implementing evidence-based treatments to community practitioners.

摘要

在过去十年中,关于创伤儿童有效治疗方法的实证知识有所增加,但仍有许多未知之处。越来越多的人支持以创伤为焦点的认知行为疗法(TF-CBT)对治疗遭受性虐待儿童的创伤后应激障碍、抑郁和行为问题的疗效,并且有证据表明这种治疗方法对遭受其他类型创伤的儿童以及多重创伤儿童有效。迄今为止,很少有其他心理社会治疗方法得到充分研究。开放性药物治疗研究已经确定了几种对创伤儿童有前景的药物类别,但这些需要在随机、安慰剂对照试验中进行测试。没有实证研究评估在大规模灾难或恐怖袭击的急性期为儿童提供的早期干预措施的疗效。需要更多研究来测试对创伤儿童可能有效的治疗方法,并确定向社区从业者传播和实施循证治疗的最佳方法。

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