Maddern Lynn H, Cadogan Julia C, Emerson Michael P
Child and Adolescent Mental Health Service, Downend Clinic, Bristol, UK.
Clin Child Psychol Psychiatry. 2006 Jul;11(3):431-43. doi: 10.1177/1359104506064987.
'Outlook' is a unit within North Bristol Trust which has been developing a psychosocial service for children, young people and adults with a different appearance resulting from congenital abnormalities such as cleft lip and palate and also burns and other forms of trauma. This study presents data collected from 29 children aged between 5 and 16 who received individual therapeutic interventions. The baseline assessment included a semistructured interview schedule, visual analogue scales and the CBCL (Achenbach, 1991) to provide the parents' view of their children's behaviour profile. Measures were repeated post intervention and at 6 months follow-up. The intervention consisted of four sessions of cognitive-behavioural therapy (CBT) including social skills and problem-solving components. Statistical analyses revealed significant outcomes on a range of measures. At 6 months follow-up children reported a reduction in the frequency of teasing and in the degree of distress it caused both in the classroom and in the playground. Parents reported reductions in their children's' somatizing behaviour and levels of anxiety. These outcomes suggest that this approach represents an effective therapy for children with appearance-related psychological problems.
“展望”是北布里斯托尔信托基金旗下的一个部门，一直在为因唇腭裂等先天性异常以及烧伤和其他形式创伤而容貌各异的儿童、青少年和成年人开发一种心理社会服务。本研究展示了从29名年龄在5至16岁之间接受个体治疗干预的儿童身上收集的数据。基线评估包括一份半结构化访谈提纲、视觉模拟量表和儿童行为量表（阿肯巴克，1991年），以了解家长对其孩子行为特征的看法。干预后及6个月随访时重复进行测量。干预包括四节认知行为疗法（CBT）课程，包括社交技能和解决问题的内容。统计分析显示在一系列测量指标上都有显著效果。在6个月随访时，孩子们报告说在课堂和操场被取笑的频率以及由此造成的苦恼程度有所降低。家长报告说孩子的躯体化行为和焦虑水平有所降低。这些结果表明，这种方法对有容貌相关心理问题的儿童是一种有效的治疗方法。
